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Related Concept Videos

Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...
Urine Studies I: Urinalysis01:29

Urine Studies I: Urinalysis

Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document any history...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...

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Related Experiment Video

Updated: Jul 5, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
10:31

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice

Published on: May 2, 2025

Urinary proteomics in diabetes and CKD.

Kasper Rossing1, Harald Mischak, Mohammed Dakna

  • 1Steno Diabetes Center, Niels Steensens Vej 2, DK 2820 Gentofte, Denmark. krossing@dadlnet.dk

Journal of the American Society of Nephrology : JASN
|May 2, 2008
PubMed
Summary

Researchers identified urinary biomarkers to detect diabetic nephropathy early. This proteomic analysis accurately distinguishes diabetes, predicts disease progression, and differentiates it from other kidney diseases.

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Proteomic Profile of EPS-Urine through FASP Digestion and Data-Independent Analysis
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Proteomic Profile of EPS-Urine through FASP Digestion and Data-Independent Analysis

Published on: May 8, 2021

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Last Updated: Jul 5, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
10:31

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice

Published on: May 2, 2025

Proteomic Profile of EPS-Urine through FASP Digestion and Data-Independent Analysis
14:48

Proteomic Profile of EPS-Urine through FASP Digestion and Data-Independent Analysis

Published on: May 8, 2021

Area of Science:

  • Nephrology
  • Proteomics
  • Biomarker Discovery

Background:

  • Diabetic nephropathy is a leading cause of chronic kidney disease.
  • Early detection and accurate diagnosis are crucial for effective management.
  • Current diagnostic methods have limitations in sensitivity and specificity.

Purpose of the Study:

  • To identify and validate urinary biomarkers for diabetes and diabetic nephropathy.
  • To differentiate diabetic nephropathy from nondiabetic proteinuric renal diseases.
  • To assess the prognostic value of urinary biomarkers for disease progression.

Main Methods:

  • High-resolution capillary electrophoresis coupled with electrospray-ionization mass spectrometry (CE-ESI-MS).
  • Analysis of urinary proteomes in 305 individuals.
  • Validation in blinded datasets.

Main Results:

  • A panel of 40 biomarkers distinguished diabetes from healthy individuals (89% sensitivity, 91% specificity).
  • A model with 65 biomarkers identified diabetic nephropathy with 97% sensitivity and specificity.
  • Biomarkers predicted progression to overt nephropathy and differentiated it from other renal diseases (81% sensitivity, 91% specificity).
  • Reduced collagen type I fragments were observed in patients with diabetes or nephropathy.

Conclusions:

  • Urinary proteome analysis offers a promising approach for early detection of diabetic nephropathy.
  • Biomarker panels can provide prognostic information and aid in differential diagnosis.
  • This method may improve patient outcomes through timely intervention.