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University of Groningen

Towards personalized cardiovascular risk management in renal transplant recipients

de Vries, Laura Victorine

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from

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Publication date:

2018

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

de Vries, L. V. (2018). Towards personalized cardiovascular risk management in renal transplant recipients.

Rijksuniversiteit Groningen.

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Towards Personalized

Cardiovascular Risk Management

in Renal Transplant Recipients

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Laura V. de Vries

Towards Personalized Cardiovascular Risk Management in Renal Transplant Recipients

PhD dissertation, University of Groningen, the Netherlands

Financial support by the University of Groningen, University Medical Center Groningen, Groningen Graduate School of Medical Sciences, Dutch Kidney Foundation, Neder-landse Transplantatie Vereniging, and Dutch Heart Foundation for the publication of this thesis is gratefully acknowledged.

Further financial support for the printing of this thesis was kindly provided by Astellas Pharma B.V., Chiesi Pharmaceuticals B.V., ChipSoft, Eurocept Homecare, Fresenius Medical Care Nederland B.V., Noord Negentig Accountants & Belastingadviseurs, Sanofi, Spark Holland B.V., and Van der Meer Accountants & Adviseurs.

Cover design & lay-out: Evelien Jagtman (evelienjagtman.com) Printed by: Gildeprint Drukkerijen, Enschede

ISBN: 978-94-6233-890-6 (printed version) ISBN: 978-94-034-0503-2 (digital version)

© Copyright 2018, L.V. de Vries, Groningen, the Netherlands

All rights reserved. No part of this publication may be reproduced, copied, modified, stored in a retrieval system, or transmitted in any form without prior written permis-sion of the author.

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Towards Personalized

Cardiovascular Risk Management

in Renal Transplant Recipients

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op woensdag 11 april 2018 om 14.30 uur

door

Laura Victorine de Vries

geboren op 3 augustus 1986 te Zeist

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Promotores

Prof. dr. S.J.L. Bakker Prof. dr. G.J. Navis Prof. dr. I.P. Kema

Beoordelingscommissie

Prof. dr. J.J. Homan van der Heide Prof. dr. R.J. Porte

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Paranimfen

Drs. M.A. van den Boomgaard Dr. J.C. Tanis

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Chapter 2

Chapter 6

Chapter 4

Chapter 3

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1

Chapter 4

Chapter 1

Introduction and Aims of Thesis Chapter 2

Effects of Dietary Sodium Restriction in Kidney Transplant Recipients Treated With Renin-Angiotensin-Aldosterone System Blockade: A Randomized Clinical Trial

Am J Kidney Dis. 2016 Jun;67(6):936-44 Chapter 3

Aldosterone, From (Patho)Physiology to Treatment in Cardiovascular and Ren-al Damage

Curr Vasc Pharmacol. 2011 Sep;9(5):594-605 Chapter 4

Twenty-four Hour Urinary Cortisol Excretion and the Metabolic Syndrome in Prednisolone-Treated Renal Transplant Recipients

Steroids. 2017 Sep 8;127:31-39 Chapter 5

Endogenous Glucocorticoid Metabolites and Mortality in Prednisolone-Treated Renal Transplant Recipients

Submitted Chapter 6

The Tryptophan-Kynurenine Pathway, Systemic Inflammation, and Long-Term Outcome after Kidney Transplantation

Am J Physiol Renal Physiol. 2017 Aug 1;313(2):F475-F486 Chapter 7

Summary and General Discussion Chapter 8

Nederlandse Samenvatting (voor niet-ingewijden) Appendix Dankwoord / Acknowledgements

About the Author Author Affiliations 11 33 53 83 113 137 169 193 205 215 219

CONTENTS

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ITHACA

When you set out for distant Ithaca, fervently wish your journey may be long, —

full of adventures and with much to learn. Of the Laestrygones and the Cyclopes, of the angry god Poseidon, have no fear: these you shall not encounter, if your thought

remains at all times lofty, — if select emotion touches you in body and spirit. Not the Laestrygones, not the Cyclopes, nor yet the fierce Poseidon, shall you meet,

unless you carry them within your soul, — unless your soul should raise them to confront you.

Fervently wish your journey may be long. May they be numerous — the summer mornings when, pleased and joyous, you will be anchoring

in harbours you have never seen before. Stay at the populous Phoenician marts, and make provision of good merchandise;

coral and mother of pearl; and ebony and amber; and voluptuous perfumes

of every kind, in lavish quantity. Sojourn in many a city of the Nile, and from the learned learn and learn amain.

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At every stage bear Ithaca in mind. The arrival there is your appointed lot.

But hurry not the voyage in the least: ’twere better if you travelled many years and reached your island home in your old age,

being rich in riches gathered on the way, and not expecting more from Ithaca.

Ithaca gave you the delightful voyage: without her you would never have set out:

and she has nothing else to give you now.

And though you should find her wanting, Ithaca will not surprise you; for you will arrive wise and experienced, having long since perceived

the unapparent sense in Ithacas.

Κωνσταντίνος Π. Καβάφης, 1911 (origineel in Grieks)

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