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Structural and Functional Changes in Aging Kidneys

Journal

Publisher

MDPI
DOI: 10.3390/ijms232315435

Keywords

aging; kidney function; elderly; nephrosclerosis; glomerular filtration rate

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Renal condition is a crucial predictor of longevity, so early diagnosis of renal dysfunction is important. The kidneys are highly susceptible to the aging process, and unfavorable conditions can disrupt the body's homeostasis. In addition to physiological changes, conditions such as hypertension, diabetes, or obesity accelerate aging. Understanding macroscopic and microscopic changes in the kidneys is essential for assessing the progression of aging.
The renal condition is one of the crucial predictors of longevity; therefore, early diagnosis of any dysfunction plays an important role. Kidneys are highly susceptible to the aging process. Unfavorable conditions may lead to a significant disturbance of the body's homeostasis. Apart from physiological changes, there are some conditions such as hypertension, diabetes or obesity which contribute to the acceleration of the aging process. A determination of macroscopic and microscopic changes is essential for assessing the progression of aging. With age, we observe a decrease in the volume of renal parenchyma and an increase in adipose tissue in the renal sinuses. Senescence may also be manifested by the roughness of the kidney surface or simple renal cysts. The main microscopic changes are a thickening of the glomerular basement membrane, nephrosclerosis, an accumulation of extracellular matrix, and mesangial widening. The principal aspect of stopping unfavorable changes is to maintain health. Studies have shown many useful ways to mitigate renal aging. This review is focused especially on medications such as renin-angiotensin-aldosterone system blockers or resveratrol, but even eating habits and lifestyle.

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