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Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
Polycystic kidney disease: a 2011 update
1Department of Medicine and Renal Division, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. tsteinma@bidmc.harvard.edu
Insights
Autosomal dominant polycystic kidney disease (ADPKD) research focuses on slowing cyst growth to preserve kidney function. Understanding total kidney volume and biomarkers aids in predicting disease progression and evaluating new treatments.
Area of Science:
- Nephrology
- Genetics
- Molecular Biology
Background:
- Polycystic kidney disease (PKD) is a common inherited disorder.
- Autosomal dominant polycystic kidney disease (ADPKD) is the most prevalent form.
- Research in PKD has significantly advanced in recent years.
Purpose of the Study:
- To review clinically relevant advances in PKD, with a focus on ADPKD.
- To discuss predicting ADPKD disease course.
- To cover clinical trials and new research directions.
Main Methods:
- Literature review of recent advances in PKD research.
- Analysis of studies on cyst proliferation and fluid formation.
- Examination of methods for predicting disease progression.
Main Results:
- PKD research is highly active, focusing on pathophysiology.
- Strategies aim to decrease cyst proliferation and fluid formation.
- Preserving kidney function is linked to inhibiting cyst growth.
Conclusions:
- Cysts are central to ADPKD; understanding this is key.
- Total kidney volume and its relation to glomerular filtration rate predict disease course.
- Biomarkers and managing complications are crucial for evaluating treatments and prognosis.
Purpose Of Review:
The review will examine clinically relevant advances in the area of polycystic kidney disease (PKD), mainly focusing on autosomal dominant polycystic kidney disease (ADPKD). Discussion will focus on predicting the course of ADPKD, clinical trials and new research endeavors.
Recent Findings:
During the past several years PKD research has been one of the most prolific areas in investigative nephrology. Research endeavors have focused on decreasing cyst proliferation and cyst fluid formation based on an understanding of the pathophysiology of these processes. If cysts can be prevented from growing, kidney function can be better preserved.
Summary:
Progression of this most common inherited kidney disorder can be altered by understanding that cysts are the disease in ADPKD. Assessing total kidney volume and noting its relationship to glomerular filtration rate is key in predicting the course of the disease and will aid in the evaluation of the new research initiatives that are designed to stop cyst proliferation and fluid secretion into the kidney cysts. The role of biomarkers is an advancement in predicting PKD progression and can potentially be used in evaluation of treatments for this disease. Complications of PKD alter the course and prognosis; hence management approaches will be addressed.
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