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Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
[Importance of diabetic nephropathy in childhood. Clinical findings and basic research in recent decades]
1Semmelweis Egyetem, Általános Orvostudományi Kar I. Gyermekgyógyászati Klinika, MTA-SE Lendület Diabétesz Kutatócsoport Budapest Bókay J. u. 53. 1083.
Insights
Childhood diabetic nephropathy, a growing concern, requires early screening and assessment. Research is advancing understanding and therapies for this serious diabetes complication in youth.
Area of Science:
- Pediatrics
- Nephrology
- Endocrinology
Context:
- Diabetes mellitus is a global pandemic, with rising type 2 diabetes cases in children and adolescents.
- Diabetic nephropathy affects 30% of diabetic patients, leading to end-stage renal disease.
- Early renal injury detection is crucial in pediatric populations due to the rarity of overt childhood nephropathy.
Purpose:
- To summarize the current epidemiology, diagnosis, and therapies for childhood diabetic nephropathy.
- To review the latest basic research on diabetic nephropathy pathogenesis.
- To identify promising targets for future drug development in pediatric diabetic nephropathy.
Summary:
- The article reviews the global rise of diabetes and its impact on children, particularly focusing on diabetic nephropathy.
- It highlights the importance of early screening and assessment for renal injury in pediatric diabetes patients.
- Current diagnostic and therapeutic strategies are presented, alongside an overview of basic research and potential drug targets.
Impact:
- Provides a comprehensive overview of childhood diabetic nephropathy for clinicians and researchers.
- Emphasizes the urgent need for improved prevention and definitive care strategies.
- Highlights emerging research avenues and therapeutic targets for pediatric diabetic kidney disease.
Abstract:
Over the past decades diabetes mellitus is becoming a global pandemic affecting more than 371 million people worldwide. Parallel with the increasing prevalence of type 1 diabetes, there is a growing number of type 2 diabetes cases among children and adolescents that poses new challenges to pediatricians. Diabetic nephropathy is one of the major causes of end stage renal disease, developing in approximately 30% of diabetic patients. However, overt nephropathy is rare in childhood; screening and ongoing assessment for the earliest manifestation of renal injury is extremely important in this young population, as well. Although in the past decades intensive research activity focused on understanding of the pathomechanism of diabetic nephropathy and invention of new therapeutic approaches, prevention and definitive care are still urgently needed. The clinical section of the article summarizes the present state of epidemiology, diagnosis and current therapies of childhood diabetic nephropathy. Then, the authors discuss the state of basic research and show a few promising targets for drug development.
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