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2018 ; 2018
(ä): 6753489
Nephropedia Template TP
gab.com Text
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English Wikipedia
Undiagnosed Kidney Injury in Uninsured and Underinsured Diabetic African American
Men and Putative Role of Meprin Metalloproteases in Diabetic Nephropathy
#MMPMID29854459
Cao L
; Sedighi R
; Boston A
; Premadasa L
; Pinder J
; Crawford GE
; Jegede OE
; Harrison SH
; Newman RH
; Ongeri EM
Int J Nephrol
2018[]; 2018
(ä): 6753489
PMID29854459
show ga
Diabetes is the leading cause of chronic kidney disease. African Americans are
disproportionately burdened by diabetic kidney disease (DKD) and end stage renal
disease (ESRD). Disparities in DKD have genetic and socioeconomic components, yet
its prevalence in African Americans is not adequately studied. The current study
used multiple biomarkers of DKD to evaluate undiagnosed DKD in uninsured and
underinsured African American men in Greensboro, North Carolina. Participants
consisted of three groups: nondiabetic controls, diabetic patients without known
kidney disease, and diabetic patients with diagnosed DKD. Our data reveal
undiagnosed kidney injury in a significant proportion of the diabetic patients,
based on levels of both plasma and urinary biomarkers of kidney injury, namely,
urinary albumin to creatinine ratio, kidney injury molecule-1, cystatin C, and
neutrophil gelatinase-associated lipocalin. We also found that the urinary levels
of meprin A, meprin B, and two kidney meprin targets (nidogen-1 and monocytes
chemoattractant protein-1) increased with severity of kidney injury, suggesting a
potential role for meprin metalloproteases in the pathophysiology of DKD in this
subpopulation. The study also demonstrates a need for more aggressive tests to
assess kidney injury in uninsured diabetic patients to facilitate early diagnosis
and targeted interventions that could slow progression to ESRD.