Is autosomal dominant polycystic kidney disease an early sweet disease?

Angélique Dachy1,2,3, Jean-Paul Decuypere1, Rudi Vennekens4

  • 1PKD Research Group, GPURE, Department of Development and Regeneration, KU Leuven, Leuven, Belgium.

Insights

Autosomal dominant polycystic kidney disease (ADPKD) may be worsened by obesity. This review explores glucose metabolism

Area of Science:

  • Nephrology
  • Metabolic Disorders
  • Pediatric Research

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) has early childhood onset.
  • Overweight and obesity are linked to faster ADPKD progression in adults.
  • Metabolic reprogramming and glucose metabolism defects are implicated in ADPKD.

Purpose of the Study:

  • To review the role of glucose metabolism in ADPKD pathophysiology.
  • To highlight the risks of overweight and obesity in ADPKD, particularly in children.
  • To discuss potential metabolic therapeutic targets for ADPKD.

Main Methods:

  • Literature review of studies on ADPKD, glucose metabolism, and obesity.
  • Analysis of current and emerging metabolic interventions for ADPKD.
  • Examination of pediatric obesity trends and their implications for ADPKD.

Main Results:

  • Accumulating evidence supports early nephron-protective strategies and lifestyle changes for ADPKD.
  • Defective glucose metabolism pathways are potential therapeutic targets in ADPKD.
  • Childhood obesity crisis presents risks for pediatric ADPKD patients' cardiovascular and renal health.

Conclusions:

  • Understanding glucose metabolism is crucial for managing ADPKD.
  • Overweight and obesity pose significant risks to ADPKD prognosis, especially long-term cardiovascular and renal outcomes.
  • Further research is needed on metabolic interventions for pediatric ADPKD.

Related Concept Videos

Pedigree Analysis01:35

Pedigree Analysis

Overview
85.9K
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...
105
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
139
Glucose Transporters01:27

Glucose Transporters

Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
25.7K
Cystic Fibrosis: Pathogenesis01:23

Cystic Fibrosis: Pathogenesis

Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
390
External Anatomy of the Kidney01:21

External Anatomy of the Kidney

The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
1.9K