Accelerated atherosclerosis is common in patients with chronic kidney disease (CKD). The association between CKD and atherosclerosis is in part driven by the downregulated synthesis of high-density lipoprotein (HDL) and an impairment of HDL antioxidant and anti-inflammatory activity. In this Review, Vaziri and colleagues discuss the mechanisms by which CKD adversely affects HDL level, activity and ability to mediate reverse lipid transport, and describe the mechanisms by which HDL dysregulation predisposes patients to atherosclerosis and CKD progression.
- Nosratola D. Vaziri
- Mohamad Navab
- Alan M. Fogelman