Related Experiment Video
Updated: Apr 4, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Early stage of vascular disease and diabetic kidney disease: an under-recognized entity
Narisa Futrakul1, Ankanee Chanakul2, Prasit Futrakul3
1a Renal Microvascular Research Group, Department of Physiology, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University , Bangkok , Thailand .
Insights
Early detection of vascular disease and diabetic kidney disease (DKD) is crucial. Sensitive markers enable timely intervention, preventing disease progression and improving kidney function.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Diabetology
Background:
- Early-stage vascular disease and diabetic kidney disease (DKD) are frequently underdiagnosed globally.
- Lack of sensitive diagnostic markers results in delayed diagnosis and disease progression.
- Late-stage treatment is ineffective due to established vascular dysfunction and impaired nitric oxide production.
Purpose of the Study:
- To highlight the significance of early recognition for vascular disease and DKD.
- To emphasize the role of sensitive diagnostic markers in preventing disease progression.
- To underscore the benefits of early intervention in restoring vascular homeostasis and renal function.
Main Methods:
- This study is a review of current understanding and practices.
- Analysis of the impact of diagnostic timing on disease outcomes.
- Evaluation of treatment efficacy based on disease stage and vascular health.
Main Results:
- Under-recognition of early vascular disease and DKD leads to significant renal damage.
- Effective prevention and treatment are achievable with early diagnosis using sensitive markers.
- Early intervention can correct renal ischemia and improve kidney function by restoring vascular homeostasis.
Conclusions:
- Sensitive diagnostic markers are essential for the early detection of vascular disease and DKD.
- Timely intervention in early-stage disease can prevent progression and improve renal outcomes.
- Restoring vascular homeostasis through early treatment is key to preserving kidney function.
Abstract:
Early stage of vascular disease and diabetic kidney disease (DKD stages 1 and 2) has been under-recognized, under common practice worldwide. The lack of sensitive diagnostic marker leads to late diagnosis and a progression of underlying vascular disease associated with chronic renal ischemia, which eventually intensifies the magnitude of DKD damage. Treatment at this late stage fails to correct the renal ischemia, or restore renal function, due to the altered vascular homeostasis associated with an impaired nitric oxide production. In contrast to the above information, early recognition of vascular disease and DKD with sensitive diagnostic markers would be able to implement an effective prevention of progression of vascular disease and DKD. Treatment at early stage under environment favorable for adequate vascular homeostasis is able to correct the renal ischemia and improve the renal function.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Renal Corpuscle
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Chronic Kidney Disease II: Clinical Manifestations
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Peripheral Artery Disease I: Introduction
Chronic Kidney Disease IV: Nursing Management

