NDT Advance Access originally published online on August 18, 2006
Nephrology Dialysis Transplantation 2006 21(11):3012-3017; doi:10.1093/ndt/gfl452
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Identifying genes for diabetic nephropathycurrent difficulties and future directions
Nephrology Research Group, Queen's University, Belfast, UK
Correspondence and offprint requests to: Bryan Conway, Department of Nephrology, Belfast City Hospital, Belfast BT9 7AB, UK. Email: BryanConway@ntlworld.com
Keywords: candidate gene analysis; diabetic nephropathy; genetic susceptibility; genome-wide screens; single nucleotide polymorphism
| The first 150 words of the full text of this article appear below. |
| Introduction |
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Diabetic nephropathy is the leading cause of end-stage renal disease in the Western world [1], placing considerable demands on health care resources and causing significant morbidity and mortality for individuals with diabetes. Improvements in glycaemic and blood pressure control, together with the introduction of inhibitors of the reninangiotensin system, have delayed the development and progression of nephropathy [2]. However, a substantial proportion of diabetic patients still develop nephropathy despite apparently good glycaemic control [3]. This suggests that additional, as yet unidentified, pathogenic mechanisms are likely to exist and that novel alternative therapeutic strategies could significantly retard progression to nephropathy in susceptible diabetic individuals.
| Evidence for a genetic predisposition to diabetic nephropathy |
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There is growing evidence that genetic background determines the risk of nephropathy in patients with diabetes. Familial clustering of nephropathy is well-documented [46], and significant concordance, both for the degree of proteinuria [7] and for the severity
| The complexity of common disease |
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| Candidate gene studies |
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| Linkage studies |
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| Recent advances |
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| Future directions |
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| Conclusion |
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