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The effects of therapeutic glucocorticoid doses on carbohydrate and energy metabolism and cardiovascular risk have not been fully clarified. This PhD thesis will be based around two studies aiming to: 1.) Define mechanisms underlying the adverse effects of low dose prednisolone in patients with inflammatory rheumatologic disease and 2.) Improve treatment of prednisolone-induced hyperglycaemia in hospitalized patients.
Chronic Kidney Diseases (CKDs) present serious morbidity and mortality in our society. Kidney scarring is the final manifestation of many types of kidney diseases. Recent evidence showed that a reduced ability to generate energy during injuries leads to kidney scarring. My study is looking at how the specific changes in kidney energy production can lead to kidney scarring. The findings of my study can have potential to prevent kidney scarring and change the course of kidney diseases.
Many heart diseases are associated with impairment of energetics of the heart. Improving the heart's energetics can lead to improved survival and long-term outcomes. Perhexiline is a heart medication that works by improving the way the heart uses energy. Although effective, it is associated with long-term toxicities. Better understanding of this medication may lead to less adverse effects and also provide a basis for further investigation of drug development in the future.