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University of Groningen

Lifestyle, Inflammation, and Vascular Calcification in Kidney Transplant Recipients

Sotomayor, Camilo G.

DOI:

10.33612/diss.135859726

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2020

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Sotomayor, C. G. (2020). Lifestyle, Inflammation, and Vascular Calcification in Kidney Transplant Recipients: Perspectives on Long-Term Outcomes. University of Groningen.

https://doi.org/10.33612/diss.135859726

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Lifestyle, Inflammation

& Vascular Calcification

in Kidney Transplant Recipients:

Perspectives on Long-Term Outcomes

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Sotomayor CG

Lifestyle, Infl ammation, and Vascular Calcifi cation in Kidney Transplant Recipients: Perspectives on Long-Term Outcomes.

PhD Dissertation, University of Groningen, Groningen, The Netherlands. This dissertation includes a summary in Dutch and a summary in Spanish.

The doctorate studies presented in this thesis were performed within the framework of Becas de Doctorado en el extranjero, Becas Chile, fi nancially supported by Agencia Nacional de Investigación y Desarrollo (research grant F 72190118). The studies presented in this thesis were based on data of the TransplantLines Insulin Resistance and Infl ammation cohort, which was funded by the Dutch Kidney Foundation (grant C00.1877), and data of the TransplantLines Food and Nutrition Biobank and Cohort Study, which was funded by the Top Institute Food and Nutrition (A-1003).

Financial support for the printing of this thesis from the University of Groningen, University Medical Center Groningen, Dutch Kidney Foundation, and Dutch Heart Foundation is gratefully acknowledged.

Additional fi nancial support for the printing of this thesis was kindly provided by Laboratorio Clínico Tecnoanálisis, Valtek SA, ERBE Nederland BV, Chipsoft BV, Bio-Connect Diagnostics BV, Noord Negentig accountants en belastingadviseurs, and Chiesi Pharmaceuticals, among others, as shown below.

Cover and lay-out: María José Mellado (mlld.mariajose@gmail.com) in Perú. Printing: Michal Slawinsky (thesisprint.eu) in Poland.

ISBN: 978-94-034-2902-1 (printed version) ISBN: 978-94-034-2903-8 (digital version) ©C.G. Sotomayor 2020.

All rights reserved. No part of this publication may be reproduced, copied, modifi ed, stored in a retrieval system, or transmitted without prior written consent of the author. Foundation is gratefully acknowledged.

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Lifestyle, Infl ammation, and

Vascular Calcifi cation in

Kidney Transplant Recipients:

Perspectives on Long-Term Outcomes

PhD thesis

to obtain the degree of PhD at the University of Groningen

on the authority of the

Rector Magnifi cus Prof. C. Wijmenga and in accordance with the decision by the College of Deans. This thesis will be defended in public on Wednesday 28 October 2020 at 11.00 hours

by

Camilo Germán Sotomayor Campos born on 18 January 1993

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Supervisors Prof. S.J.L. Bakker Prof. G.J. Navis Prof. R. Rodrigo Assessment Committee Prof. H.G.D. Leuvenink Prof. M.G. Vervloet Prof. C. Ferreccio

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Paranymphs Irina Versteeg Yusof Said

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TABLE OF CONTENTS

Chapter 1 Introduction and Aims of this Thesis 15 Lifestyle, Inflammation, and Vascular Calcification

in Kidney Transplant Recipients: Perspectives on Long-Term Outcomes

J Clin Med 2020, 9, 1911

Part I Lifestyle; Healthy Diet & Toxic Contaminants 49 Chapter 2 Consumption of Fruits and Vegetables and 51

Cardiovascular Mortality in Renal Transplant Recipients: A Prospective Cohort Study Nephrol Dial Transplant 2020, 35, 357–365

Chapter 3 Fish Intake, Circulating Mercury and Mortality 89 in Renal Transplant Recipients

Nutrients 2018, 10, 1419

Chapter 4 Plasma Cadmium is Associated with Increased 121 Risk of Long-Term Kidney Graft Failure

Kidney Int - Accepted

Part II Inflammation and Oxidative Stress & Vascular 177 Calcification

Chapter 5 Vitamin C Depletion and All-Cause Mortality 179 in Renal Transplant Recipients

Nutrients 2017, 9, 568

Chapter 6 Circulating Advanced Glycation Endproducts and 201 Long-Term Risk of Cardiovascular Mortality in

Kidney Transplant Recipients

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Chapter 7 Galectin-3 and Risk of Late Graft Failure in Kidney 235 Transplant Recipients: A 10-years Prospective Cohort

Study

Transplantation - Accepted

Chapter 8 Bone Mineral Density and Aortic Calcification: 265 Evidence for a Bone-Vascular Axis after Kidney

Transplantation

Transplantation - Accepted

Chapter 9 Lifestyle, Inflammation, and Vascular Calcification 289 in Kidney Transplant Recipients: Perspectives on

Long-Term Outcomes

› Summary 291

› Discussion and Future Perspectives 302

Appendix Dutch Summary 325

Spanish Summary 331

Acknowledgements 337

About the Author 345

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