Articles tagged with Nephropathies
Researchers at the University of Zurich have used AI to uncover the underlying cellular mechanism behind kidney disease in cystinosis. They identified a causal association between mTORC1 protein regulation and the disease, highlighting a promising therapeutic target.
A new study has identified 16 new locations in the genome linked to immunoglobulin A (IgA) nephropathy, a common kidney disease. The research confirms an earlier hypothesis that the immune system plays a key role in driving the disease and provides potential drug targets for treatment.
A new patient-guided intervention using telemedicine has been shown to improve symptoms of fatigue, pain, and depression in dialysis patients. The Technology Assisted Stepped Collaborative Care (TĀCcare) trial found significant improvements in energy levels and pain severity that persisted for six months after treatment.
A new study suggests that increased exposure to air pollution may be associated with first hospital admissions for acute kidney injury. The research found a link between PM2.5, NO2, and O3 exposure and an increased risk of AKI, even at low annual exposures.
A Japanese study reveals significant birth cohort effects on ESKD requiring RRT, with increased risk for men born in the 1940-60s and women born in 1930–40s. Poor environmental conditions during World War II may contribute to this trend.
A study of over 43,000 adults found that parathyroidectomy has no estimated effect on long-term kidney function in older adults. However, early treatment may preserve kidney function in patients younger than 60 years old.
A study by Johns Hopkins Medicine researchers found that certain biomarkers in urine and blood can predict the risk of developing chronic kidney disease (CKD) in patients with acute kidney injury (AKI). Higher levels of KIM-1, MCP-1, and TNFRI were associated with a increased risk of CKD progression.
People with recent atrial fibrillation diagnosis have a 13% higher risk of developing dementia. A stronger link is seen in younger patients and those without chronic kidney disease. The study's findings may lead to important clinical and public health implications.
A study found that cystatin C-based eGFR was strongly correlated with creatinine-based eGFR and that 27% of patients would be classified as having a more severe chronic kidney stage based on cystatin C test results. The use of cystatin C can lead to changes in CKD staging, which can impact clinical management.
Researchers analyzed electronic health record data from over 7.1 million children to identify risk factors associated with a faster decline in kidney function, including disease origin, proteinuria, hypertension, and younger age. The study found that certain attributes are linked to a more rapid decline in kidney function, providing va...
A new review paper aims to educate medical professionals on diagnosing and treating rat lungworm disease, which is expected to spread globally due to climate change. Early diagnosis and treatment are critical in reducing the risk of complications such as long-term disability.
Two new studies found that dialysis facilities owned by nephrologists may provide better care, with patients receiving home dialysis more often. Additionally, a shorter interval between dialysis and surgery was associated with improved post-surgery survival rates.
A new technique analyzing urine extracellular vesicles can detect changes in the kidneys earlier than conventional methods and predict renal function decline. This method has the potential to develop new urine tests that can catch the disease earlier, as well as similar tests for other diseases.
A new study has shown that SGLT-2 inhibitors, a type of diabetes medication, can decrease cardiovascular risk in adults with chronic kidney disease. The meta-analysis included results from 13 major clinical trials and found a 28% lower risk of worsening kidney disease and death from cardiovascular disease.
Researchers identified seven distinct subpopulations of kidney resident macrophages, each with unique transcriptomic signatures and functions. These subpopulations are associated with different portions of the nephron and have distinct roles in protecting the kidney from infection and maintaining tissue health.
A new study found that only around half of older adults with hypertension regularly check their blood pressure at home. Those who received a healthcare provider's recommendation to do so were three and a half times more likely to monitor their blood pressure regularly.
Studies investigate lifestyle interventions to achieve nutritional ketosis and its impact on chronic illness, sleep, and cardiovascular disease in the military. Researchers aim to understand how ketogenic diet, ketone-based beverages, and their effects on clinical outcomes will benefit soldiers' health.
A prespecified subgroup analysis of East Asian adults with lupus nephritis found that belimumab added to standard therapy improved kidney outcomes significantly. The study also showed no new safety concerns were raised in the subgroup.
Researchers identified differences in PTK activity between normal and cancer kidney tissue, with Src family kinases and PI3K pathways exhibiting high activity. Ex vivo treatment of clear cell RCC with TKIs revealed that tivozanib and cabozantinib were more potent inhibitors than sunitinib or pazopanib.
A Mayo Clinic study found that diets rich in calcium and potassium can help prevent recurrent symptomatic kidney stones. Patients who experienced a first-time stone were more likely to experience recurrence if their diet was low in these nutrients.
A study found that widely-used kidney function tests are inaccurate for predicting kidney disease in African populations, suggesting a significant underestimation of kidney disease prevalence. The creatinine-based test was shown to be less effective due to unique biological characteristics in African populations, while the cystatin C t...
A study published in The American Journal of Medicine found that regular physical activity can substantially reduce the risk of chronic kidney disease in individuals from lower socioeconomic backgrounds. Participants with higher levels of fitness showed a significantly lower risk of developing the disease, even among those with low soc...
A cross-sectional study found significant differences between estimated glomerular filtration rate (eGFR) and directly measured GFR (mGFR), highlighting the importance of considering uncertainty in eGFR calculations. Researchers suggest renaming eGFR as a population average GFR to improve accuracy.
Researchers found that invasive therapy for non-ST segment elevation myocardial infarction in patients with CKD is associated with lower mortality and reduced risk of cardiac events. The study challenges the dominant practice of offering medical management instead of invasive therapy for this population.
A recent review article highlights the crucial role of macrophages in the progression from acute kidney injury (AKI) to chronic kidney disease (CKD). The study suggests that targeting specific signaling pathways and altering macrophage activation can prevent renal fibrosis and CKD. Therapeutic strategies such as clodronate liposomes an...
A retrospective cohort study found that poor continuity of care is associated with increased health care use and sub-optimal prescribing of guideline-recommended medications in patients with CKD. Strengthening patient-provider relationships and guiding physicians on recommended prescribing can help mitigate these issues.
A study found that general practitioners use ultrasound for exploratory purposes, outside of formal training areas, raising concerns about appropriate use and scanning competency. Meanwhile, lung ultrasounds may enable primary care physicians to prescribe antibiotics directly, reducing radiation exposure and saving time.
A qualitative study of Black veterans with chronic kidney disease reveals feelings of anger and resentment towards racist encounters in healthcare. Participants expressed a strong sense of distrust in the healthcare system, highlighting the need for increased awareness and action to address racism.
Scientists have created cilia-free human pluripotent stem cells that exhibit symptoms of ciliopathy, such as polycystic kidney disease. These cells can be used to study the cause of these diseases and guide therapy development.
A team of researchers has identified two transcription factors, AP-2α and AP-2β, that regulate distinct segments of the distal nephron in the mammalian kidney. The study sheds light on the molecular mechanisms underlying urinary concentration and its implications for treating kidney diseases.
Researchers at Massachusetts General Hospital identified genes that play a crucial role in maintaining healthy kidney repair, including FANCD2 and Rad51. Activating a DNA repair mechanism may help preserve kidney function in people with chronic kidney disease.
A new study used a virtual population to simulate a clinical trial examining kidney damage in Black Americans. The model predicted kidney damage and showed that adding drug therapy and reducing salt intake could stop the damage, improving heart sizes as well.
A systematic review of 41 studies found that patients with advanced kidney disease who forgo dialysis have improved survival rates and quality of life. The study also showed a significant reduction in healthcare resource utilization and end-of-life care expenses.
A new study published in the Endocrine Society's Journal of Clinical Endocrinology & Metabolism found that obesity may increase the risk of end-stage kidney disease in women with type 2 diabetes. Managing blood pressure and sugar levels is not enough to slow progression, emphasizing the need for weight management.
Researchers have developed a gel that improves the formation of arteriovenous fistulas, a vital connection site for kidney failure patients undergoing dialysis. The gel helps reduce intimal hyperplasia and vein narrowing, leading to better blood flow and increased success rates.
Researchers created novel frog models to replicate polycystic kidney disease, allowing for real-time observation of disease processes. AI analysis enabled rapid assessment of disease in the tiny animals.
Researchers developed a new compound based on Nobel Prize-winning discoveries that raised hemoglobin levels in patients with kidney disease undergoing dialysis and those not on dialysis. The oral medication was found to be as safe and efficacious as conventional treatment for anemia, offering a transformative approach to patient care.
Researchers discovered an important mediator of thrombosis in CKD patients, the IDO enzymatic pathway, which can be targeted for therapeutic purposes. Current antithrombotic agents fail to target this pathway, predisposing patients to increased risk of bleeding.
Researchers found significant variations in guideline-recommended chronic kidney disease care delivery based on race and ethnicity. The study highlights the need for targeted interventions to address these disparities and improve health outcomes for diverse patient populations.
A new global study found that setting targets for treating diabetes patients with cholesterol or blood pressure medication can significantly improve cardiovascular outcomes. Achieving these targets could save up to 6% of healthy lifetime lost to diabetes over 10 years, mainly due to reduced cardiovascular conditions.
A study published in Journal of Internal Medicine found that 64.3% of adults with moderate chronic kidney disease also had metabolic syndrome, increasing their risk of premature death and cardiovascular problems. Patients with metabolic syndrome had a 26% higher risk of dying and a 48% higher risk of experiencing cardiovascular events.
Researchers compared various race-free equations and found that removing race adjustments increases eGFR values for Black patients, leading to more chronic kidney disease stage reclassifications. Blending or direct removal of race coefficients resulted in decreased eGFR estimates.
A new study found that lead contamination in drinking water can have detrimental effects on individuals with advanced kidney disease, affecting hemoglobin levels and requiring higher doses of medications. The study also revealed concerning inequities, with higher water lead levels observed for Black patients compared to white patients.
Chronic kidney disease patients are at high risk of fragility fractures, yet most receive no osteoporosis therapy. A new review provides concise recommendations for clinicians to manage osteoporosis in these patients, outlining diagnosis, risk assessment, and intervention thresholds.
Iron deficiency has been linked to higher risks of death and cardiovascular events in patients with chronic kidney disease (CKD), regardless of whether they have anemia. Clinical trials are needed to test the effects of iron treatment on these outcomes in CKD patients.
Researchers have identified the alternative complement pathway as a key driver of IgA nephropathy, a chronic kidney disease. Iptacopan, an oral inhibitor of Factor B, has been shown to significantly reduce proteinuria and stabilize renal function in patients with IgAN, offering a new therapeutic approach.
Researchers found dapagliflozin reduced the risk of progressive kidney disease by half in FSGS patients over a 2.4-year period, with good tolerability and safety. The medication stabilizes renal function and improves clinical outcomes in patients with type 2 diabetes and concomitant kidney damage.
SGLT2 inhibitors like gliflozins reduce the risk of progressing to end-stage kidney disease in both diabetic and non-diabetic patients. The kidneys produce less erythropoietin as a result, which reduces anemia, resulting in reduced renal endpoint, cardiovascular events, and mortality
A novel AI tool predicts the grade of interstitial fibrosis and tubular atrophy in kidney biopsies, a known structural correlate of progressive and chronic kidney disease. This technology has the potential to increase efficiency in clinical practices.
Researchers at the Francis Crick Institute have discovered how lipid droplets in kidney cells help prevent damage from excess dietary fats. The study found that lipid droplets act as a safe haven for storing excess fats, and boosting the ATGL enzyme can repair damage caused by a high-fat diet.
Researchers from Kumamoto University have discovered that cysteinylated albumin can be used as an early diagnostic marker for diabetic kidney disease. The study found that serum oxidized albumin reflects renal pathology earlier than urinary albumin and predicts disease progression.
A large observational study by Karolinska Institutet researchers found a clear link between poor kidney function and increased risk of dementia. The study of over 325,000 individuals suggested that an eGFR score of 30-59ml/min was associated with a 71% increased risk of dementia.
Researchers found that people with reduced kidney function have an increased risk of developing dementia, with those with moderate chronic kidney disease having a 71% higher risk. The study highlights the importance of identifying and treating cases of kidney disease to reduce the risk of dementia.
A new algorithm developed by researchers at Columbia University can automatically scan electronic medical records for signs of chronic kidney disease, alerting physicians to patients in the earliest stages. The algorithm performs nearly as well as experienced nephrologists, correctly diagnosing kidney disease in 95% of identified cases.
Researchers have discovered a compound found in some vegetables that may help reverse kidney problems associated with diabetes. Phenethyl isothiocyanate (PEITC) has been shown to target multiple pathways involved in diabetic nephropathy, including inflammation and oxidative status.
A pilot trial found that the 'Sit Less, Interact, Move More' intervention decreased sedentary time, increased stepping time, and boosted step counts in patients with moderate-to-advanced CKD. However, these benefits were not sustained over 20 weeks. The study suggests that additional interventions may be needed to sustain long-term eff...
A new special issue of Calcified Tissue International brings together state-of-the-art reviews on key issues in CKD-MBD. The reviews cover topics such as pathogenesis, epidemiology, challenges in management, including after kidney transplantation, and the role of bone biopsy in management.
The ASN and NKF publish an interim report assessing alternative methods to diagnosing kidney diseases, highlighting the need for a standardized approach. The task force recommends replacing existing equations with a new method that is accurate, representative, and unbiased.
A University of Tsukuba study identifies a cost-effective way to promote dietitian-led patient education and lifestyle advice for chronic kidney disease management. By adjusting reimbursements and incentivizing general physicians, the intervention can slow CKD progression and extend patients' lives.
A rat study reveals that consuming heat-treated foods increases the risk of chronic kidney disease due to intestinal barrier permeability and microvascular diseases. Heat-treated compounds lead to hyperactive innate immune system components, causing kidney damage.