Preserving kidney function in patients with diabetic kidney disease

Preserving kidney function in patients with diabetic kidney disease

Download PDF Copy Reviewed by Emily Henderson, B.Sc. Mar 13 2020 Diabetic kidney disease (DKD), which affects between 20 to 40 percent of people with diabetes , is a serious complication that can ultimately lead to end-stage kidney disease--a life-threatening condition that requires either dialysis or kidney transplant. Now, as part of an effort to reduce the rate of patients with DKD who develop kidney failure, a team of researchers in the Perelman School of Medicine at the University of Pennsylvania (PSOM) are spearheading an industry-academic collaboration to better understand the development and progression of the disease and advance research efforts aimed at preserving kidney function in these patients. Investigators at more than 20 institutions nationwide will participate in the Transformative Research in Diabetic Nephrology (TRIDENT) study. The study, which is supported by about $5 million in grants, aims to identify a combination of clinical (blood, urine and kidney tissue), molecular (genetic, epigenetic, genomic) or histopathologic features that characterize people who have DKD and rapid kidney function decline. The lack of effective therapeutics for DKD reflects our poor understanding of the disease pathogenesis. During the past 20 years, the rate of patients with DKD who develop end-stage kidney disease has remained largely unchanged. Through this collaboration, we hope to gain a better understanding of DKD pathogenesis and, ultimately, support the development of safe and effective therapies that preserve kidney function in these patients." Katalin Susztak, MD, PhD, study's principal investigator, professor of Medicine in Renal-Electrolyte and Hypertension and Genetics in the PSOM DKD, or diabetic nephropathy, affects the kidneys ability to remove waste products and extra fluid from the body. The condition can lead to a variety of complications, including irreversible damage to the kidneys, heart and blood vessel disease, and damaged nerves. Recent advances in medicine and technology have helped patients with DKD better control their blood sugar and blood pressure levels, leading to a significant reduction in amputations and heart-disease complications. However, there are no therapies to stop or reverse the damage to the kidneys' filtering system--all currently available therapies aim to slow the disease progression. Related Stories



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