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Published on: June 23, 2015
Understanding the role of genetic polymorphisms in chronic kidney disease
Karin Luttropp1, Peter Stenvinkel, Juan Jesús Carrero
1Department of Molecular Medicine and Surgery, Neurogenetics Unit, Karolinska Institutet, Stockholm, Sweden.
Insights
The global prevalence of chronic kidney disease (CKD) and end-stage renal disease (ESRD) is rising, particularly in pediatric patients. Genetic factors may play a role in CKD progression, necessitating genetic screening for personalized treatment.
Area of Science:
- Nephrology
- Genetics
- Pediatrics
Background:
- Global prevalence of chronic kidney disease (CKD) and end-stage renal disease (ESRD) is increasing.
- Improved renal replacement therapy (RRT) access and survival rates contribute to rising CKD/ESRD numbers.
- While environmental factors are primary drivers, genetic factors may influence CKD incidence and progression.
Purpose of the Study:
- To understand the pathogenesis and underlying causes of CKD in pediatric patients.
- To identify genetic factors contributing to CKD outcomes and complications.
- To explore the potential for genetic screening to predict disease, identify at-risk populations, and enable personalized therapy.
Main Methods:
- The study focuses on the genetic analysis of pediatric CKD patients.
- Investigates the influence of genetic factors in the context of a uraemic environment.
- Emphasizes the importance of genetic screening in this specific patient group.
Main Results:
- No definitive studies show increasing/decreasing pediatric CKD patient numbers.
- Genetic factors are hypothesized to influence CKD incidence and progression.
- Paediatric CKD patients may exhibit heightened sensitivity to genetic effects due to the uraemic milieu.
Conclusions:
- Genetic screening in pediatric CKD patients can enhance preventive measures and improve outcomes.
- Understanding genetic backgrounds may lead to individualized therapeutic strategies.
- Further research into genetic factors is crucial for advancing CKD management in children.
Abstract:
Although no valid studies clearly indicate increasing or decreasing numbers of incident paediatric patients, the prevalence of chronic kidney disease (CKD) and end-stage renal disease (ESRD) is growing worldwide. This is mainly due to improved access to renal replacement therapy (RRT), increased survival after dialysis and kidney transplantation and an increase in diagnosis and referral of these patients. Although the increase in CKD prevalence is mainly caused by environmental factors, genetic factors may also influence the incidence and/or the progression of CKD and its complications. As CKD patients might be more sensitive to genetic effects due to the exposure to a uraemic milieu, this makes studies of genetic factors especially interesting in this population. The goal of identifying genetic factors that contribute to the outcome of CKD is to gain further understanding of the disease pathogenesis and underlying causes and, possibly, to use this knowledge to predict disease or its complications and to identify a risk population. Therefore, genetic screening of paediatric CKD patients may enhance the impact of preventive measures that could have a positive effect on outcome. Furthermore, by identifying patients' genetic backgrounds, it is possible that a more individualised therapy could be designed.
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