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AUTHOR INDEX Alcorta, D. A., 20 Goral, S., 83 AAAAutrptsaprtkieilelnll,,,o vEG,H.. ., AB5A...2,,,3 92I53II 1,. 323.0 9 265 GGGruredaenmrgu,en rd,Js. d oWJt.. t,P i.r,3 .34 51 7H ., 209 LLLLuieenkvrdeime,nan ,nf ,iRe. N l.d LG,..W ,. O.S.5 .,5 66M04 . 5,6 54 w SSSSaaaasydnalediegb,rh e,,r H g.J,,.M .H2 K.0.,H , . ,5 400392,3 . 501526 Balow, J. E., 32, 265 Hakim, R. M., 543 Ma, J. Z., 345 Schnackenberg, C. G., 417 BBBBolealosntcadohren,ar, b, , M W.S. A. . J,J.K .,., 3, 4 6574424 34 4 HHHHooeanglngadc,neo ,rc mkJa.,S n .C, .W ,L. .,J .1 0W2H8.3. .3. 28137 MMMMeaaaltrctacdelooros,un, g, a Ml.H,lA. ., , B1.93I,.90 9C4 .5,0 375 SSSStticrrnhoagwmnhe,d,n n geTAse..sr ,, B K..,D, V. . ,11 0E63.43. 8 2J j , 445 BBroiusmcopea,s , D. D.M .T,. , 13929 HHruimceisk,, DH.. WD..,., 71]8 8 MMoilliatmo,ri s,R . BA.. , A.3.3 54 SSuutkhhaanttmhei,ra n,V . MP.... 8170 3 Burns, G. C., 293 Munger, W., 20 Jefferson, J. A., 286 Murphy, S. T., 350 Taylor, A., 437 Cattran, D. C., 299 Jennette, J. C.. 20, 233 Teng, S. N., 256 CCohlolyinkse,, AP.. JL..., 344550 JJJoio,hh nnHss.oo,nn ,,4 02RH .. JK.., , 28562 3 NNiascshemnasnon,, PA.. H.R. , 233139 , 543 TTTehoxaltmkoeorfr,f, - R2uM»b .i,¢€ n.., 3 3452N 6 , E.4,8 9 148 Denton, M. D., 164 Julian, B. A., 277 Parfrey, P. S., 350 Turka, L. A., 209 EEEEDssgbuccgbBaheeorrbncssa,e,ec , ,h , JP. J.,.T ,.J3 W. 4 5.D5,2W. .6., 5 11 362 0 KKKKKlieaaolsmhltimaymsen,kal, en ,,,K .B .BP P.J... D , .LLE,.4.. ,. , 1320139875 36 PPPPProoeiaawclkrekaate,s,sr c hih,nSNe g..g , gK S,.R., .T, , . ,H23 .508-43 8D75 .4 . 60 VVVVVeaaaalzlnnlie ar ri,i, WJ, ay Ja.cNr Ak.s.P ,v,. e ,D l.d3,D1,0 .2 9 6 3 B5B..6. C3 3.0 463 Kone, B. C., 47 Falk, R. J., 20, 233 Krijnen, P., 463 Ray, N. F., 565 Waga, I., 20 Feldman, H. I., 526 Kunis, C. L., 256 Rettig, R. A., 503, 505 Warnock, D. G.. 40 Ritz, E., 382 Welch, W. J., 394 Galla, J. H., 556 Lakkis, F. G., 95 Romero, J. C., 456 Wilcox, C. S., 387, 432. 489 Geddes, C. C., 299 Lazarus, J. M., 543 RRuobsisn,, M.R,. H5.6,5 148 WWionmsetro,n , K.J . L.A,, 122963 Seminars in Nephrology, Vol 20, No 6 (N ovember), 2000: p 577 oO ™N SUBJECT INDEX Ablative chemotherapy, bone marrow transplantation with stem Alloantigen-dependent chronic renal allograft dysfunction, 127- cell reconstitution and, for lupus nephritis, 35 132 Academic institutions, recommendations to, on nephrologist acute rejection as predictor of, 127-129 training, 89-90 cellular immune response and, 130-131 Academic renal division, 556-564 HLA match and, 130 clinical care organization in university hospital by, 561-562 humoral immune response and, 131-132 dialysis section of, 558-559 inadequate immunosuppression and, 129-130 future of, 562-564 panel reactive antibodies and, 132 parity and incentives in, 561 role of T-cell costimulation in, 131 research section of, 560-561 Alloantigen-independent chronic renal allograft dysfunction, teaching section of, 559-560 132-139 transplantation and hypertension sections of, 559 brain death and, 133-134 ACEI\(s), see Angiotensin-converting enzyme inhibitor(s) cellular senescence and, 135-136 ACEI-PRA (angiotensin-converting enzyme inhibitor-plasma CMV infection and, 136 renin activity) test, 433-435, 451, 464, 466 cytokines and growth factors in, 138-139 Acetaminophen, 112 hyperlipidemia and, 136-137 Acidosis, and epithelial cell injury in ARF, hypertension and, 137-138 Acute renal allograft rejection immunosuppression and, 137 and posttransplantation CVD, 183-184 ischemia/reperfusion injury and, 134-135 as predictor of alloantigen-dependent chronic renal allograft “marginal” donor and, 132-133 dysfunction, 127-129 Allochimeric molecules in transplantation, 120 Acute renal failure (ARF), 4-19 Allograft dysfunction, see Chronic renal allograft dysfunction bioartifical RAD and, 71-78 Allograft rejection, see Rejection, allograft outcome of, 17-18 Allograft survival pathophysiology and, see Pathology of ARF renal, in pediatric renal transplantation, 199-202 preventive and therapeutic management of, 14-17 SPK, 190-191 Acute tubular necrosis (ATN), bioartifical RAD impact on, Alloimmune response in allograft rejection, 95-102 75-78 alloantigens in, 95 Acyclovir (ACV), 157 allorecognition in, 95-96 Adenine nucleotide metabolism, and epithelial cell injury in cytokines in, 98 ARF, 8 effector mechanisms of allograft rejection and, see Effector Adenosine mechanisms of allograft rejection in AT,-induced hypertension, 420 self-regulation of, 100 as mediator of renin release in RVH, 399 T lymphocyte activation and, 96-98 Adenosine triphosphate (ATP) depletion, ischemia-induced ep- Allorecognition, 95-96 ithelial cell injury and, 6 Alpha (q@)-adrenergic blockers, 179 Adequacy of dialysis, Medicare policy and, 568-569 Alpha (a@)-melanocyte stimulating hormone (@-MSH), 14 Adhesion molecule-1 oligonucleotides, antisense intercellular, ALS (antilymphocyte serum), 111 118-119 Alternative therapies of ANCA GN and vasculitis, 242-243 Administration AME (apparent mineralocorticoid excess) syndrome, low-renin ATGAM/thymoglobulin, 111 hypertension and, 41 see also Routes of rHuEPO administration American Society of Nephrology, recommendations to, on Administrative issues in chronic dialysis, need to resolve, 66-69 nephrologist training, 88 a (alpha)-Adrenergic blockers, 179 Amlodipine, 464-465 B (beta)-Adrenergic blockers, 179, 252, 253, 493, 496 Amphotericin, 160-161 Adverse effects of NESP, 380-381 Amyloidosis in the elderly, treatment of, 259-261 AG490, 118 ANCAs, see entries beginning with terms: Antineutrophil cy- Aldosterone, 399 toplasmic antibody Aldosterone antagonists, 252-253 Anemia management in dialyzed ESRD patients Aldosteronism, glucocorticoid-remediable, low-renin hyperten- current concepts dealing with, 320-329 sion and, 41-42 introduction to, 319 ALG (antilymphocyte globulin), 171, 252 see also rHuEPO for anemia in dialyzed ESRD patients Algorithm for functional studies of renin, 435 Angiitis, cutaneous leukocytoclastic, as ANCA GN and vascu- Alloantibodies in allograft rejection, 99-100 litis, 234 Alloantigen(s), 95 Angiography, see Magnetic resonance angiography of renovas- see also Alloantigen-dependent chronic renal allograft dys- cular disease function; Alloantigen-independent chronic renal allograft Angioplasty, see Balloon angioplasty; Percutaneous translumi- dysfunction nal renal angioplasty 578 Seminars in Nephrology, Vol 20, No 6 (November), 2000: pp 578-595 SUBJECT INDEX Angiotensin-converting enzyme inhibitor(s) (ACEI) for GN in the elderly, 263 for ANCA-GN, 240 for IgA nephropathy, 278, 279, 283, 287 for ANCA-negative RPGN, 252-253 for post-renal transplantation CVD, 184 in chronic renal allograft dysfunction, 138, 141-142 for renovascular disease, 396, 427-428, 439-440 for FSGS, 314 see also specific angiotensin Il receptor antagonists for GN in the elderly, 263 ANPs (atrial natriuretic peptides) in ARF, 12, 14 for HIV-associated nephropathy, 296 Antibodies for IgA nephropathy, 278-280, 283 alloantibodies in allograft rejection, 99-100 for IMN, 300-305 ANCA, see Antineutrophil cytoplasmic antibody glomerulo- for post-renal transplantation CVD, 179, 184 1ephritis and vasculitis; Antineutrophil cytoplasmic anti see also Angiotensin-converting enzyme inhibitor-plasma re- body-negative rapidly progressive glomerulonephritis nin activity test; Angiotensin-converting enzyme inhibitor monoclonal, see Monoclonal antibody(ies) renography; Angiotensin-converting enzyme inhibitor(s) panel reactive, chronic renal allograft dysfunction and, 132 in renovascular disease and specific ACEIs Anti-CD25 monoclonal antibody (mAb), 108, 112 Angiotensin-converting enzyme inhibitor-plasma renin activity Antigen (ACEI-PRA) test (captopril stimulation test), 433-435, heteropolymers based on, for ANCA-negative RPGN, 252 451, 464, 466 see also HLA; HLA-B27 Angiotensin-converting enzyme inhibitor (ACEI) renography, Anti-glomerular basement membrane (GBM) disease, post- 437-444 renal transplantation recurrent or de novo, 169-170 choice of ACEI for, 438 Antihistamines, 237 costs of, and recommendations on, 440-443 Antihypertensive therapy interpretation of, 440 of ANCA GN and vasculitis, 240 in ischemic nephropathy, 492-493 of chronic renal allograft dysfunction, 141-142 one versus two day protocols, 438-439 of post-renal transplantation CVD, 179 patient preparation for, 439-440 of renovascular disease, see Medical management of problems with, and limitations of, 440 vascular disease radiopharmaceuticals used in, 437-438 see also specific antihypertensive agents; for example: Angiotensin-converting enzyme inhibitor(s) (ACEI) in renovas- giotensin-converting enzyme inhibitor(s) cular disease, 423, 427-429, 453, 481-484 Antilymphocyte globulin (ALG), 171, 252 in DRASTIC study, 463-470 Antilymphocyte preparations, polyclonal, 111, 115 in ischemic nephropathy, 489, 493-497 Antilymphocyte serum (ALS), I 11 renin-angiotensin system inhibition with, 404-412 Antineutrophil cytoplasmic antibody (ANCA) glomerulone and renin release in RVH, 396-397 phritis (GN) and vasculitis, 233-243 Angiotensin (AT) receptor(s), role of, in renal pathophysiology, clinical manifestations of, 236-238 402-416 natural history and prognosis of, 238 experimental models of, 407-412 pathology of, 236-237 and renin-angiotensin inhibitors, 404-407 serology of, 233-236 subtypes of, 402-404 therapy of, see Treatment of ANCA glomerulonephritis and Angiotensin I (AT,) receptor(s), role of, in renal pathophysiol- vasculitis ogy, 402-403 Antineutrophil cytoplasmic antibody-negative rapidly pro- Angiotensin I (AT,) receptor antagonists, 397, 406-412, 427- gressive glomerulonephritis (ANCA-negative RPGN), 428 244-255 see also specific angiotensin I receptor antagonists Angiotensin II (AT,)-induced hypertension, 417-425 classification of, 245, 247 adenosine and, 420 clinical presentation of, 244-246 eicosanoids and, 420-421 histopathologic lesions in, 246-247 GFR and, see Glomerular filtration rate in AT,-induced hy- prognosis and course of, 247-248 pertension treatment of, see Treatment of ANCA-negative rapidly pro- nitric oxide and, 421 gressive glomerulonephritis pressure natriuresis and, see Pressure natriuresis in AT,- Antiretroviral therapy induced hypertension highly active, for HIV-associated nephropathy, 294-296 superoxide and, 421-422 see also specific antiretroviral drugs tubular reabsorption and, see Tubular reabsorption in AT,- Antisense intercellular adhesion molecule-1 (ICAM-1) oligonu- induced hypertension cleotides, 118-119 Angiotensin II (AT,) receptor(s), role of, in renal pathophysi- Antithymocyte globulin (ATG; thymoglobulin/ATGAM), 35, ology, 403-404 11, 115, 267-269 Angiotensin II (AT,) receptor antagonists Apoptosis, sublethal ischemic injury and, in ARF, 9-11 for ANCA-GN, 240 Apparent mineralocorticoid excess (AME) syndrome, low for ANCA-negative RPGN, 252-253 renin hypertension and, 41 in chronic renal allograft dysfunction, 138 ARF, see Acute renal failure for FSGS, 314 Arteriography, renal, patient selection for, 464-465 580 SUBJECT INDEX Arteritis, giant cell and Takayasu, as ANCA GN and vasculitis, Bioartificial renal tubule assist device (RAD), 71-78 234 Biochemistry of rHuEPO, rHuEPO administration and, 368-271 Aspirin, 170, 183, 184, 467 Biofeedback on chronic dialysis, need for improved, 61-62 Assessment Biological response modifiers, lupus nephritis treatment with, clinical, of ENaC subunits, 43 35-36 see also entries beginning with term: Diagnosis and specific Biomaterials in chronic dialysis, need to improve, 61 conditions Bladder drainage in SPK transplantation, complications of, 195 Associated conditions Blood flow, see Intrarenal blood fiow distribution in renovas- with ANCA-negative RPGN, 247 cular disease with RAS, 430 Blood levels of EPO, rHuEPO administration and, 366 Asymptomatic proteinuria with normal renal function in IMN, Blood lines, need for improvements in, 63 treatment of, 300-301 Blood pressure, see Hypertension AT, see entries beginning with term: Angiotensin Blood transfusions, donor-specific, in management of chronic Atenolol, 464-465 renal allograft dysfunction, 142 ATG (antithymocyte globulin), 35, 11, 115, 267-269 Body iron status, optimum, iron therapy and, 331-332 ATGAM/thymoglobulin, 35, 11, 115, 267-269 Bone marrow transplantation for lupus nephritis with ablative Atherosclerotic renovascular disease chemotherapy and stem cell reconstitution, 35 FMD versus, in RAS, 426-427 Bosenten, 399 management of, 476-478 Brain death, and alloantigen-independent chronic renal allograft ATN (acute tubular necrosis), bioartifical RAD impact on, dysfunction, 133-134 75-78 ATP (adenosine triphosphate) depletion, ischemia-induced epithelial injury and, 6 C (complement), soluble receptor of, for ANCA-negative Atrial natriuretic peptides (ANPs), 12, 14 RPGN, 251, 252 Autonomic neuropathy, effects of SPK transplantation on, 194 Ca (calcium) Azathioprine (AZA; Imuran), 34, 170 cytosolic, rHuEPO effects on, rHuEPO-induced hypertension for ANCA-GN, 239 and, 358-359 for ANCA-negative RPGN, 239, 250, 251 role of, in epithelial cell injury of ARF, 7-8 in chronic renal allograft dysfunction, 140, 149 Ca (calcium) antagonists, 179, 495, 496 for FSGS, 311, 313, 314 Ca channel blockers (CCBs), 141, 252, 253, 427-428 for IgA nephropathy, 279, 281-283 Cadherins in of ARF, 13-14 for IMN, 300, 303 Caffeine, 399 for lupus nephritis, 266, 267, 270, 271, Calcineurin inhibitors in pediatric renal transplantation, 205 cytokine paradigm as basis for, 112-115 in SPK, 189 see also Cyclosporine; Rapamycin in transplantation generally, 108-110, 113, 115-117 Calcium, see Ca; Ca antagonists; Ca channel blockers Azithromycin, 154 Cancers, renal, gene therapy of, 56 Azotemia with moderate risk of RVH, 442-443 Candesartan, 406, 409, 412 Azoiemic nephropathy, see Ischemic nephropathy Captopril, 296, 405, 407, 438, 439, 481, 482 Captopril stimulation (angiotensin-converting enzyme inhibi- B- and T-cell costimulation tor-plasma renin activity) test, 433-435, 451, 464, 466 inhibitors of, see B- and T-cell costimulation inhibitors Cardiovascular disease (CVD), post-renal transplantation, 176- as paradigm for immunosuppression, 117-118 187 B- and T-cell costimulation inhibitors, 29-30, 35-36, 204 acute rejection and, 183-184 in lupus nephritis, 271-272 cigarette smoking and, 182 Bacterial infections, see Infections, posttransplantation coagulopathies and, 183 Balloon angioplasty for renovascular disease, 466-469 diabetes mellitus and, 181-182 Basiliximab, 115 erythrocytosis and, 184 Benefits hyperlipidemia and, 180-181 of PTRA and renal artery stenting, 480 hypertension and, 177-180 of SPK transplantation, 193-195 incidence of, 176-177 Berger’s disease, see IgA nephropathy, treatment of posttransplantation infections and, 183 Beta (8)-adrenergic blockers, 179, 252, 253, 493, 496 pretransplant CVD and, 177 Bindarit, 252 pretransplant splenectomy and, 184 Bioartificial hemofilter, 78-79 tHcy and, 182-183 Bioartificial kidney, 71-82 Cardiovascular disease (CVD) in ESRD, rHuEPO effects on, bioartifical hemofilter and, 78-79 350-355 and bioartificial RAD, 71-78 on cardiovascular mortality and morbidity, 351-352 erythropoietin cell therapy and, 80 on echocardiographic LV disease, 353-354 potential of, 79-80 hemodynamic effects of rHuEPO, 352-353; see also Hyper- Bioartificial renal tubule, 72-73 tension, mechanism(s) of rHuEPO-induced SUBJECT INDEX 581 on myocardial dysfunction, 350-351 Chronic renal insufficiency (CRI) in ischemic nephropathy, optimal target Het and, 354 490-49| Cardiovascular function, relationship between Hgb concentra- Chronic tubulointerstitial disease, gene therapy of, tion, physical performance, cerebral function and, 382-383 Chronic vascular access failures, gene therapy of, 5 Care providers for ESRD, see Dialysis care providers Churg-Strauss syndrome, 234, 235, 237 Catecholamines, rHuEPO effects on, rHuEPO-induced hyper- Cigarette smoking, and post-renal transplantation CVD, 182 tension and, 358 Cilazapril, 278 CS5b (complement 5b), monoclonal antibody to, in lupus nephri- Ciprofloxacin, 155 tis, 29, 36 Cladribine, 34 CCBs (calcium channel blockers), 141, 252, 253, 427-428 Clarithromycin, 154 CDU (color Doppler ultrasound) of RAS, 445-449 Classification of ANCA-negative RPGN, 245, 247 Cellular immune response, chronic renal allograft dysfunction Clinical assessment of ENaC subunits, 43 and, 130-131 Clinical care in university hospital, organization of, by aca- Cellular senescence, alloantigen-independent allograft dysfunc- demic renal division, 561-562 tion and, 135-136 Clinical efficacy of immunosuppressive agents, 109-119 Central transplantation tolerance, 210-211 of antisense ICAM-1 oligonucleotides, 118-119 Cerebral function, relationship between Hgb concentration, of ATGAM, 111 physical performance, cardiovascular function and, 382- of azathioprine, 109-110 383 of CsA and TRL, 113-115 CGN, see Crescentic glomerulonephritis of FTY720, 119 Chemotherapy of lupus nephritis, 34-35 of MMF, 110-111 ablative, bone marrow transplantation with stem cell recon- of OKT3, 111-112 stitution and, 35 of sirolimus, 116-117 combination, 34-35 Clinical management, see Treatment high-dose, 35 Clinical manifestations and presentation with MMF and fludarabine, 34 of ANCA GN and vasculitis, 236-238 Chip technology, DNA, glomerular disease diagnosis with, of ANCA-negative RPGN, 244-246 23-24 of ischemic nephropathy, 492 Chlorambucil of lupus nephritis, 265 for FSGS, 311-313 of renovascular disease, 426-431 for GN in the elderly, 257-258 of SLE, pathogenesis and severity of, 33 for IgA nephropathy, 273 ‘linical prediction rule for RAS, 465 for IMN, 300-303, 304 ‘linical trials, see Controlled trials; Uncontrolled trials for lupus nephritis, 268 ‘lonidine, 493, 495 ‘hronic antineutrophil cytoplasmic antibody-negative rapidly ‘MV, see Cytomegalovirus infection progressive glomerulonephritis (ANCA-negative RPGN), ‘oagulopathies, and post-renal transplantation CVD, 183 treatment of, 252-253 ‘olchicine, 260 Chronic dialysis, 60-70 olor Doppler ultrasound (CDU) of RAS, 445-449 biofeedback in, 61-62 ‘ombination chemotherapy of lupus nephritis, 34-35 biomaterials in, 61 blood lines in, 63 ‘ombination therapy of ARF, 14-17 dialyzers for, see Dialyzer(s) finding answers to socio-economic and administrative issues of RVH with AT, receptor antagonists and ACEIs, 407 in, 66-69 omplement (C), soluble receptor of, for ANCA-ne hemofilters in, 63 RPGN, 251, 252 home HD, 63-64 omplement 5b (C5b), monoclonal antibody to, lu integrated dialysis units for, 62-63 treatment with, 29, 36 PD, 65-66 ‘omplications sterile dialysate, hemofiltration, HDF and, 62 bladder drainage, in SPK transplantation, 195 vascular access in, see Vascular access of diabetes mellitus, effects of SPK transplantation on, 194 Chronic renal allograft dysfunction, 126-147 195 alloantigen-dependent, see Alloantigen-dependent chronic of PTRA and renal artery stenting, 479-480 renal allograft dysfunction see also specifi COonaimtons and therapeutic nite? ntl alloantigen-independent, see Alloantigen-independent chronic omposite rate of payment, Medicare, 568-570 renal allograft dysfunction ‘omputed tomography (CT) of renal function, 45 16] management of, 139-142 ‘oncordant xenografts, discordant versus, 219 mechanisms of, 126-127 ‘oncurrent conditions, see Associated conditions Chronic renal artery stenosis (RAS), EBCT estimation of renal ‘onditions and disorders tubular dynamics in, 460 associated, see Associated conditions Chronic renal failure, see Anemia management in dialyzed presenting as RAS, 427; see also Atherosclerotic renovascu ESRD patients; Dialysis lar disease; Fibromuscular dysplasias 582 SUBJECT INDEX Consolidation of dialysis facilities, care providers’ views on, for FSGS, 311-314 544-547 for GN in the elderly, 260, 262 Constitutional symptoms of ANCA GN and vasculitis, 236-238 for IgA nephropathy, 281-283 Consultation, nephrology, in early stages of ARF, 16 for IMN, 300, 302-303, 305 Controlled trials for lupus nephritis, 271, 273-274 of ANCA-negative RPGN therapies, 249-250 and post-renal transplantation CVD, 179, 181 design of potential ARF therapy, 16 and posttransplantation infections, 154-156, 158 see also Controlled trials of lupus nephritis treatment in renal transplantation, 202, 204, 205 Controlled trials of lupus nephritis treatment, 267-272 for transplantation in general, 108-110, 112-117 with experimental therapies, 271-272 in SPK, 188, 189, 192-195 with immunosuppression, 270-271 Cytokine(s) with intensified initial cytotoxic therapy, 267-269 in alloimmune response, 98 with sequential treatment strategies, 269-270 in ARF, 14 Cortical perfusion within RBF autoregulation, fast CT measure- role of, in alloantigen-independent allograft dysfunction, ment of, 458 138-139 Corticosteroids, see specific corticosteroids see also Cytokine paradigm of immunosuppression Costimulation, see B- and T-cell costimulation; T-cell costimu- Cytokine paradigm of immunosuppression, | 12-117 lation calcineurin inhibitors in, see Calcineurin inhibitors Costs IL-2R mAb reagents in, 115 of ACEI renography of RVH, 440-443 SDZ-RAD in, 117 of dialysis, 523-525 Cytomegalovirus (CMV) infection sharing of, for prescription drug insurance benefit, 538-539 alloantigen-independent allograft dysfunction and, 136 of SPK transplantation, 195 posttransplantation, management of, 156-157 see also Economics of nephrology Cytoplasmic antibodies, see Antineutrophil cytoplasmic anti- Cotrimoxazole, 242 body glomerulonephritis and vasculitis; Antineutrophil cy- Course and progression toplasmic antibody-negative rapidly progressive glomeru- of ANCA-negative RPGN, 247-248 lonephritis of RAS, 448-449 Cytosolic Ca [Ca*] and [Mg’]), rHuEPO effects on, rHuEPO- Coverage, see Payment policy, Medicare ESRD program induced hypertension and, 358-359 Crescentic glomerulonephritis (CGN) Cytotoxic T cells, 98-99 in the elderly, treatment of, 261 Cytotoxic therapy pauci-immune ANCA, 235 of glomerular diseases in the elderly, 260 CRF (chronic renal failure), see Anemia management in dia- intensified initial, of lupus nephritis, 267-269 lyzed ESRD patients; Dialysis see also specific cytotoxic agents CRI (chronic renal insufficiency) in ischemic nephropathy, 490- 49] Daclizumab, 115 Cryoglobulinemic membranoproliferative glomerulonephritis, Danazol, 281 see Hepatitis C virus-associated membranoproliferative Dapsone, 281 glomerulonephritis Delayed xenograft rejection (DXR), immunopathology of, Cryoglobulinemic vasculitis, essential, 234 228 CsA, see Cyclosporine Delivery of gene therapy, vehicles for, 50-51 CT (computed tomography) of renal function, 457-461 Demographics of renovascular disease, 428 CTLA4-immunoglobulin (Ig), 251, 252 De novo glomerulonephritis, see Recurrent and de novo Cutaneous leukocytoclastic anglitis, essential, as ANCA GN merulonephritis, post-renal transplantation and vasculitis, 234 Deoxyribonucleic acid, see DNA CV-11974, 409 Deoxyspergualine, 252 CVD, see Cardiovascular disease, post-renal transplantation; Depletion paradigm of immunosuppression, 111-112 Cardiovascular disease in ESRD, rHuEPO effects on Design CY-1503, 118 of insurance benefit for prescription drugs, 537-539 Cyclophosphamide, 28, 33-36, 108, 166-170 service bundle, 567-568 for ANCA GN, 237-240 Diabetes mellitus for ANCA-negative RPGN, 250, 251 and post-renal transplantation CVD, 181-182 for FSGS, 311-314 see also Diabetic nephropathy; Diabetic retinopathy for GN in the elderly, 258, 259, 261 Diabetic nephropathy for HCV-associated glomerular disease, 288, 290 gene therapy of, 55 for lupus nephritis, 266-271, 273, 274 see also Pancreas-kidney transplantation for diabetic ne- for IMN, 300-303, 305 phropathy Cyclosporine (CsA), 28, 34, 166, 169-171, 214 Diabetic retinopathy, effects of SPK transplantation on, 194 for ANCA-negative RPGN, 244 Diagnosis, see Diagnosis of posttransplantation infections; Di- in chronic renal allograft dysfunction, 127, 137, 138, 140, agnosis of renovascular disease; Molecular diagnosis spe- 142 cific conditions and diagnostic procedures SUBJECT INDEX Diagnosis of posttransplantation infections, Discordant xenografts, 219-220 microbiological, 152-154 concordant versus, 219 pathological, 152 rejection of, immunobiology of, 219-220 radiologic, 150-152 Diuretics, 439, 481, 493, 496-497 Diagnosis of RAS see also specific diuretics with CDU and ultrasound, 445-449 DNA (deoxyribonucleic acid) in DRASTIC study, 464-466 lupus nephritis treatment with DNA toleragens, 36 with MRA, 451-453 see also DNA chip technology; Gene(s) Diagnosis of renovascular disease DNA (deoxyribonucleic acid) chip technology, glomerular dis- of ischemic nephropathy, 492-493 ease diagnosis with, 23-24 see also Diagnosis of RAS; Diagnosis of RVH: Magnetic Donor species in xenotransplantation, 218-219 resonance angiography of renovascular disease concordant species combinations, 219 Diagnosis of RVH selection of, and risk of zoonoses in, 218-219 with Doppler and ultrasound, 445-449 see also Discordant xenografts see also Angiotensin-converting enzyme inhibitor renogra- Donor-specific blood transfusions (DSTs) in management of phy; Functional studies of RVH chronic renal allograft dysfunction, 142 Dialysate, sterile, development of, as new millennium chal- Dopamine in ARF, 12 Doppler, color, of RAS, 445-449 lenge, 62 Dialysis Dose ATGAM, I11 for ANCA GN and/or vasculitis, 240-241 daclizumab and basiliximab, 115 for ARF, 17 iron dextran test, 326, 332 cost of, 523-525 rHuEPO, administration route and, 368-371 evolution of technologies, 526-529 patient’s views of dialysis care, by, 66 see also specifi pharmac ological agents Drainage of bladder in SPK transplantation, complications of, see also Anemia management in dialyzed ESRD patients; 195 Chronic dialysis; Dialyzer(s) and entries beginning with DRASTIC (Dutch Renal Artery Stenosis Intervention Cooper- term: Dialysis ative) study, 463-473 Dialysis adequacy, Medicare payment policy and, 568-569 aim of, 464 Dialysis care providers diagnosis in, 464-466 effects of Medicare payment policy on, 573-574 treatment in, 466-469 see also Dialysis care providers’ views Drugs, see specific drugs and conditions Dialysis care providers’ views, 543-555 DSTs (donor-specific blood transfusions) in management of on achieving marketplace success, 547-548 chronic renal allograft dysfunction, 142 on consolidation of dialysis facilities, 544-547 Dutch Renal Artery Stenosis Intervention Cooperative study, on issues facing dialysis community, 548-550 see DRASTIC study on Medicare ESRD program, see Payment policy, Medicare DXR (delayed xenograft rejection), immunopathology of, 225 ESRD program, dialysis care providers’ views on IIR Dialysis community, dialysis providers’ views on issues facing, Dysplasias, see Fibromuscular dysplasias 548-550 Dialysis facilities, see Dialysis care providers Early initiation of chronic dialysis, need for, 66-67 Dialysis section of academic renal division, 558-559 Early stages of ARF, nephrology consultation in, 16 Dialysis units EBCT (electron beam computed tomography) of renal function, desirability of nephrologist’s presence in, 66 458-461 need for integrated, 62-63 EBV infection, see Epstein-Barr virus infection Dialyzer(s) Echocardiographic left ventricular (LV) disease, rHuEP¢ new developments in, 63 effects on, 353-354 see also Dialyzer reuse Economics of nephrology Dialyzer reuse, 65, 526-534 introduction to, 503-504 dialysis technologies and, 52 see also Academic renal division; Dialysis care providers effects of, on outcomes, 532 Dialyzer reuse; Payment policy, Medicare ESRD program efficiency of, 532-533 Political economy of nephrology evolution in, 529-531 Edema, pulmonary, in ischemic nephropathy, 491 prevalence and types of, 531 Effectiveness of current Medicare policies, 567-572 regulation of, 531-532 of Medicare+Choice policies, 570-571 Differential display of expressed mRNAs (messenger ribonu- for renal transplantation, 571-572 cleic acids), glomerular disease diagnosis with, 21-23 of traditional policy, 567-570 Diphenhydramine, | 12 Effector mechanisms of allograft rejection, 98-101 Dipyridamole, 168, 170, 279 alloantibodies, 99-100 Direct vasopressor action of rHuEPO, rHuEPO-induced hyper- cytotoxic T lymphocytes, 98-99 tension and, 358-359 macrophages and NK cells, 99 584 SUBJECT INDEX EGF (epidermal growth factor) in ARF, 14 Expenditure(s), see Economics of nephrology; Expenditures, Eicosanoids Medicare ESRD in AT,-induced hypertension, 420-421 Expenditures, Medicare ESRD, 516-522 see also Prostaglandins; Thromboxane A, drivers of, 566-567 Elderly, the, treatment of GN in, 256-264 1974-1998, 518-521 of amyloidosis, 259-261 Experimental therapies of lupus nephritis, 271-272 of crescentic GN or RPGN, 261 Expressed mRNAs, see entries beginning with terms: Reverse of FSGS, 261-262 transcriptase of membranous GN, 257-258 of minimal change disease, 259 Fast computed tomography (CT) of renal function, 457-458 Electron beam computed tomography (EBCT) of renal func- Fibrillary-immunotactoid glomerulopathy, post-renal transplan- tion, 458-461 tation recurrent or de novo, 171-172 ENaC (epithelial sodium channel), low-renin hypertension and, Fibromuscular dysplasias (FMD) 42-43 MRA of, 453-454 Enalapril, 409, 438, 464-465, 481 PTRA effects on, 476 Endothelial/host interactions versus atherosclerosis, RAS and, 426-427 during DXR, 226-227 Fish oil, 167, 278, 280 during hyperacute xenograft rejection, 222 FK506, see Tacrolimus Endothelin (ET) Flash pulmonary edema, 481 as mediator of renin release in RVH, 398-399 Fluconazole, 155, 156, 160 rHuEPO effects on, 357 Flucytosine, 154 Endothelin-1 (ET-1) in ARF, 12 Fludarabine, 34, 269 End-stage renal disease, see Anemia management in dialyzed Fluid retention, renal, in ischemic nephropathy, 491 Fluvastatin, 282 ESRD patients; Dialysis; Payment policy, Medicare ESRD FMD, see Fibromuscular dysplasias program; Renal transplantation Focal segmenta! glomerulosclerosis (FSGS) Epidemiology post-renal transplantation recurrent, 164-166 of ischemic nephropathy, 492 see also Focal segmental glomerulosclerosis, treatment of of renovascular disease, 426-431 Focal segmental glomerulosclerosis (FSGS), treatment of, 309- see also specific conditions 317 Epidermal growth factor (EGF) in ARF, 14 in the elderly, 261-262 Epithelial cell injury in ARF, 5-9 initial, 310-311 acidosis and, 9 nonspecific treatment, 314 adenine nucleotide metabolism and, 8 molecular approach to, 28 Ca role in, 7-8 of post-renal transplantation recurrent FSGS, 314 mechanisms of, 5-7 of steroid-resistant FSGS, 311-314 phospholipases and, 8-9 Folic acid, 183 proteases and, 9 Fosinopril, 296 sublethal, 9-11 FSGS, see Focal segmental glomerulosclerosis Epithelial sodium channel (ENaC), low-renin hypertension and, FTY720, 119 42-43 Function, see Cardiovascular function; Functional studies of EPO, see rHuEPO for anemia in dialyzed ESRD patients RVH; Renal function Epstein-Barr virus (EBV) infection Functional studies of RVH posttransplantation, management of, 158 of PRA, 432-436 PTLD and, in pediatric renal transplantation, 205 see also Angiotensin-converting enzyme inhibitor renogra- Erythrocytosis, post-renal transplantation CVD and, 184 phy Erythromycin, 154 Fungal infection, posttransplantation, management of, 160-161 Erythropoiesis, physiology of, and routes of rHuEPO adminis- Furosemide, 459, 495 tration, 366-368 Erythropoiesis stimulating protein, see Novel erythropoiesis Gamma (y) globulin, intravenous, 250, 251, 300 stimulating protein Ganciclovir, 155, 157, 161 Erythropoietin, see rHuEPO for anemia in dialyzed ESRD G-CSF (granulocyte colony stimulating factor), 35 patients Gene(s) Erythropoietin cell therapy, bioartificial kidney and, 80 glomerular disease-related, identification of, 24-27 ESRD (end-stage renal disease), see Anemia management in SLE; 32; 33 dialyzed ESRD patients; Dialysis; Medicare end-stage re- see also DNA; Gene therapy; mRNA expression; Target gene nal disease program; Renal transplantation expression in molecular diagnosis of rejection and entries Essential cryoglobulinemic vasculitis, 234 beginning with terms: Reverse transcriptase Essential hypertension, see Hypertension Gene therapy, 47-59, 120 ET, see Endothelin; Endothelin-1 described, 48-50 Etanercept, 29 of genetic renal diseases, 52-53 SUBJECT INDEX 585 of GN, glomerulosclerosis, and chronic tubulointerstitial dis- HAART (highly active antiretroviral therapy) for HIV-associ- ease, 53-54 ated nephropathy, 294-296 of hypertension and diabetic nephropathy, 55 Het, see Hematocrit in dialyzed ESRD patients iatrogenic diseases due to, 56 HCV-MPGN, see Hepatitis C virus-associated membranopro of ischemic renal disease, 54-55 liferative glomerulonephritis of lupus nephritis, 36 Hcy (homocysteine), total, post-renal transplantation CVD and. needs in, and current obstacles to, 56-57 182-183 regulating expression of therapeutic genes in, 51-52 HD (hemodialysis), see Dialysis in renal cancers and chronic vascular access failures, 56 HDF (hemodiafiltration), 62 in renal transplantation, 55-56 Health maintenance organizations (HMOs), recommendations transplantation tolerance and, 120 to, on nephrologist training, 88 vehicles for delivery of, 50-51 Heavy proteinuria in IMN, 301-303 3 Hematocrit (Hct) of dialyzed ESRD patients Genetic screening for glomerular disease, 27-28 features of, compared with Hgb, successful anemia manage GFR, see Glomerular filtration rate ment and, 332 GH (growth hormone), recombinant human, 202-203 impact of, on mortality and morbidity, 345-349 Giant cell arteritis, as ANCA GN and vasculitis, 234 optimal target, 354, 368 Globulin, see entries beginning with term: Cryoglobulinemic Hematologic factors in ARF, 11-14 and acronym: Ig Hemodiafiltration (HDF), 62 Glomerular diseases, see Treatment of glomerular disease(s) Hemodialysis, see Dialysis Glomerular filtration rate (GFR) Hemodynamic effects of rHuEPO, 3: ARF prevention and need for new measures of, 15 sion, mechanism(s) of rHuEPO-induced EBCT estimation of, 461 Hemofilters see also Glomerular filtration rate in AT,-induced hyperten- bioartificial, 78-79 sion improving, as new millennium challenge, 63 Glomerular filtration rate (GFR) in AT,-induced hypertension, Hemofiltration 418-420 improving, as new millennium challenge, 62 AT, regulation of, 419 see also Hemofilters effects of enhanced tubular reabsorption and/or reduced pres- Hemoglobin (Hgb) sure natriuresis on, 418-419 features of, compared with Hct, in determination of success sensitivity of preglomerular vessels to AT, and reduced, ful anemia management, 332 419-420 optimal target, 382-386 Glomerulonephritis (GN) Hemolytic uremic syndrome (HUS), post-renal transplantatior gene therapy of, 53-54 recurrent, 170-171 see also Treatment of glomerular disease(s) and specific Henoch Schoénlein purpura (HSP), 167 types of glomerulonephritis; for example: Antineutrophil Heparin-warfarin, 279 cytoplasmic antibody glomerulonephritis and vasculitis Hepatitis C virus-associated membranoproliferative glomerulo Glomerulosclerosis (GS) nephritis (HCV-MPGN) gene therapy of, 53-54 de novo, 168-169 see also Focal segmental glomerulosclerosis see also Hepatitis C virus-associated membranoproliterative Glucocorticoid(s), see specific glucocorticoids glomerulonephritis, treatment of Glucocorticoid-remediable aldosteronism (GRA), low-renin Hepatitis C virus-associated membranoproliferative glomerulo hypertension and, 41-42 nephritis (HCV-MPGN), treatment of, 286-292 Glycemic control achieved with SPK transplantation, 193-194 coincident with HIV infection, 289 GN, see Glomerulonephritis with IFN-a, 288-290 GRA (glucocorticoid-remediable aldosteronism), low-renin hy- with immunosuppression and plasmapheresis, 288 pertension and, 41-42 in liver transplantation, 289-290 Granulocyte colony stimulating factor (G-CSF), 35 of recurrent HCV-MPGN in renal transplantation, 290 Granulomatosis, Wegener’s, 169, 234, 235, 237, 239 with ribavirin, 289, 290 Granzyme B expression in molecular diagnosis of rejection, Hepatitis viruses quantitating magnitude of, 104-105 posttransplantation infections due to, management of, Growth and development, postpediatric renal transplantation, 160 202-203 see also specific types of hepatitis Growth factor(s) Heteropolymers, antigen-based, 2: in alloantigen-independent allograft dysfunction, 138-139 Hgb, see Hemoglobin in ARF, 14 HHV-6 (human herpesvirus-6) infection, posttransplantation, inhibitors of, for ANCA-negative RPGN, 252 management of, 158-159 Growth hormone (GH), recombinant human, 202-203 HHV-8 (human herpesvirus-8) infection, posttransplantation, GS, see Glomerulosclerosis management of, 159 586 SUBJECT INDEX High-dose chemotherapy of lupus nephritis, 35 Hypertension, mechanism(s) of rHuEPO-induced, 356-363 High risk characteristics of, 356-357 for IMN, treatment of patients at, 301-303 direct rHuEPO vasopressor action as, 359 for RVH, ACEI renography and, 443 rHuEPO effects on cytosolic [Ca?] and [Mg’], 358-359 Highly active antiretroviral therapy (HAART) of HIV-associ- rHuEPO effects on prostaglandins and catecholamines, 358 ated nephropathy, 294-296 rHuEPO effects on renin-angiotensin system, 357-358 Histopathologic lesions in ANCA-negative RPGN, 246-247 rHuEPO effects on vascular structure, 360-361 History rHuEPO effects on vasodilatory system, 360 of developing ideas on renovascular hypertension, 388-393 rHuEPO effects on vasopressor systems, 357 legacy issues in political economy of nephrology, 506-511 Hypertension section of academic renal division, 559 of xenotransplantation, 217-218 HIV (human immunodeficiency virus) infection Iatrogenic diseases due to gene therapy, 56 posttransplantation, management of, 160 ICAM-1 (intercellular adhesion molecule-1) oligonucleotides, treatment of MPGN associated with HCV and, 289 antisense, 118-119 HIV-associated nephropathy (HIVAN), treatment of, 293-298 Idiopathic membranous nephropathy (IMN), treatment of, 299- HLA (human leukocyte antigen)-B27, 85-84, 120 308 HLA (human leukocyte antigen) matching, chronic renal allo- clinical trials of, 300 graft dysfunction and, 130 in high risk patients, 301-303 HMG-CoA (hydroxy-methylglutaryl coenzyme A) reductase in low risk patients, 300-301 inhibitors, 141, 180-181, 282, 287, 304 nonimmunologic, 304 HMOs (health maintenance organizations), recommendations nonspecific, 303-304 to, on nephrologist training, 88 of secondary effects of IMN, 304 Home hemodialysis (HD), 63-64 IFN-q@ (interferon-a), 159, 288-290 Homocysteine (Hcy), total, and post-renal transplantation CVD Ig (immunoglobulin) and, 182-183 CTLA4-, for ANCA-negative RPGN, 251, 252 intravenous, for IMN, 300 Hormonal mediators of renin release in RVH, 397-399 Ig (immunoglobulin)-Fe infusions for ANCA-negative RPGN, Hospitalization risks with CRF, Hct impact on, 347-348 Zo LOL HSP (Henoch Schonlein purpura), 167, 234 Ig (immunoglobulin)-like family in ARF, 13 Human herpesvirus-6 (HHV-6) infection, posttransplantation, IgA (Berger’s disease) nephropathy (IgAN), treatment of, management of, 158 285 Human herpesvirus-8 (HHV-8) infection, posttransplantation, with ACE inhibitors, 278-280, 283 management of, 159 with cyclophosphamide, 281, 283 Human immunodeficiency virus, see HIV infection; HIV-asso- with fish oil, 280 ciated nephropathy, treatment of with glucocorticoids, 279-280 Human leukocyte antigen, see HLA-B27; HLA matching with MMF, 281, 283 Humoral immune response, chronic renal allograft dysfunction with renal transplantation, 282-283 and, 131-132 post-renal transplantation recurrent, 166-167 HUS (hemolytic uremic syndrome), post-renal transplantation with tonsillectomy, 281 recurrent, 170-171 IGF-1 (insulin-like growth factor-1) in ARF, 14 Hydralazine, 481, 495, 496 IgG (gamma globulin; immunoglobulin G), intravenous, 250, Hydrochlorothiazide, 464-465, 481, 496 251, 300 40-O-(2-Hydroxyethyl)-rapamycin (SDZ-RAD), 117 IL, see entries beginning with term: Interleukin Hydroxy-methylglutary] coenzyme A (HMG-CoA) reductase Immune crescentic glomerulonephritis (CGN), serology of inhibitors, 141, 180-181, 282, 287, 304 ANCA pauci-, 235 Hyperacute xenograft rejection, 220-225 Immune response in chronic renal allograft dysfunction, 130- 132 overcoming, 223-225 cellular, 130-131 pathobiology of, 220-222 humoral, 131-132 Hypercholesterolemia, EBCT of renal tubular dynamics in, Immunobiology of discordant xenograft rejection, 219-220 460-461 Immunoglobulin, see entries beginning with acronym: Ig Hyperlipidemia Immunopathology of DXR, 225-228 and alloantigen-independent allograft dysfunction, 136-137 Immunosuppression, 108-125 and post-renal transplantation CVD, 180-181 B- and T-cell costimulation paradigm for, 117-118 Hypertension and chronic renal allograft dysfunction, 129-130, 137, 139- and alloantigen-independent allograft dysfunction, 137-138 140 and post-renal transplantation CVD, 177-180 cytokine paradigm of, see Cytokine paradigm of immuno- SPK transplantation effects on, 194 suppression see also Angiotensin II-induced hypertension; DRASTIC depletion paradigm of, 111-112 study; Hypertension, mechanism(s) of rHuEPO-induced; determinants of net state of, 150 Low-renin hypertension; Treatment of hypertension for GN, 270-271, 288, 303

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