a 2009

Progression of diabetic nephropathy vs. cross-talk between genetic variability in the RAAS system and its pharmacologic blockade: Results of 7-years observational pharmacogenetic study

KAŇKOVÁ, Kateřina, Soňa ŠTĚPÁNKOVÁ, Lukáš PÁCAL, Marcela PONGRÁCOVÁ, Jan MUŽÍK et. al.

Basic information

Original name

Progression of diabetic nephropathy vs. cross-talk between genetic variability in the RAAS system and its pharmacologic blockade: Results of 7-years observational pharmacogenetic study

Name in Czech

Progression of diabetic nephropathy vs. cross-talk between genetic variability in the RAAS system and its pharmacologic blockade: Results of 7-years observational pharmacogenetic study

Authors

KAŇKOVÁ, Kateřina, Soňa ŠTĚPÁNKOVÁ, Lukáš PÁCAL, Marcela PONGRÁCOVÁ, Jan MUŽÍK and Jiří JARKOVSKÝ

Edition

IDF 2009 Montreal, 2009

Other information

Language

English

Type of outcome

Konferenční abstrakt

Field of Study

30202 Endocrinology and metabolism

Country of publisher

Canada

Confidentiality degree

není předmětem státního či obchodního tajemství

Organization unit

Faculty of Medicine

Keywords in English

renin-angiotensin system

Tags

International impact, Reviewed
Změněno: 19/3/2010 12:51, prof. MUDr. Kateřina Kaňková, Ph.D.

Abstract

V originále

There are multiple determinants of progression of diabetic nephropathy (DN) such as metabolic and blood pressure control, albumin/proteinuria and genetics. One of the crucial pathogenic mechanisms is the over-activation of renin - angiotensin - aldosterone system (RAAS). We hypothesized that certain functional variants in the RAAS represent significant independent risk factors influencing the DN progression in subjects. Additionally, therapeutic benefit, predominantly based on the RAAS blockade - ACEIs and angiotensin receptor blockers (ARBs), might also be influenced by genetic variability within the RAAS components. Using clinical data collated during prospective follow-up of the cohort of diabetics with DN and advanced multivariate stat. methods we quantified the pathogenic contribution of main DN risk factors: (i) cumulative glycemia, blood pressure and proteinuria, (ii) other metabolic factors such as body weight and lipids in relation to the DN pharmacotherapy (i.e. cumulative received dose of ACEIs and ARBs and carrier state of selected candidate (pharmaco)genetic variants.

In Czech

There are multiple determinants of progression of diabetic nephropathy (DN) such as metabolic and blood pressure control, albumin/proteinuria and genetics. One of the crucial pathogenic mechanisms is the over-activation of renin - angiotensin - aldosterone system (RAAS). We hypothesized that certain functional variants in the RAAS represent significant independent risk factors influencing the DN progression in subjects. Additionally, therapeutic benefit, predominantly based on the RAAS blockade - ACEIs and angiotensin receptor blockers (ARBs), might also be influenced by genetic variability within the RAAS components. Using clinical data collated during prospective follow-up of the cohort of diabetics with DN and advanced multivariate stat. methods we quantified the pathogenic contribution of main DN risk factors: (i) cumulative glycemia, blood pressure and proteinuria, (ii) other metabolic factors such as body weight and lipids in relation to the DN pharmacotherapy (i.e. cumulative received dose of ACEIs and ARBs and carrier state of selected candidate (pharmaco)genetic variants.

Links

NR9443, research and development project
Name: Genetická variabilita enzymů pentózového cyklu jako faktor modulující nástup a progresi diabetické nefropatie
Investor: Ministry of Health of the CR, Genetic variability of pentose phosphate pathway as a modulating factor of the onset and progression of diabetic nephropathy