Genomics in Diabetic Kidney Disease: A 2024 Update

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-04 DOI:10.2174/0113892029300247240325080421

Stefanos Roumeliotis, Maria Divani, Eleni Stamellou, Vassilios Liakopoulos

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引用次数: 0

Abstract

: Diabetic Kidney Disease (DKD) remains the leading cause of Chronic and End Stage Kidney Disease (ESKD) worldwide, with an increasing epidemiological burden. However, still, the disease awareness remains low, early diagnosis is difficult, and therapeutic management is ineffective. These might be attributed to the fact that DKD is a highly heterogeneous disease, with disparities and variability in clinical presentation and progression patterns. Besides environmental risk factors, genetic studies have emerged as a novel and promising tool in the field of DKD. Three decades ago, family studies first reported that inherited genetic factors might confer significant risk to DKD development and progression. During the past decade, genome-wide association studies (GWASs) screening the whole genome in large and multi-ethnic population-based cohorts identified genetic risk variants associated with traits defining DKD in both type 1 and 2 diabetes. Herein, we aim to summarize the existing data regarding the progress in the field of genomics in DKD, present how the revolution of GWAS expanded our understanding of pathophysiologic disease mechanisms and finally, suggest potential future directions.

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糖尿病肾病的基因组学：2024 年更新

:糖尿病肾病（DKD）仍然是全球慢性肾病和终末期肾病（ESKD）的主要病因，其流行病学负担日益加重。然而，人们对该疾病的认识仍然不足，早期诊断困难，治疗效果不佳。这可能是由于 DKD 是一种高度异质性疾病，其临床表现和进展模式存在差异和变异。除环境风险因素外，遗传学研究已成为 DKD 领域一种新的和有前途的工具。三十年前，家族研究首次报道了遗传因素可能对 DKD 的发生和发展具有重大风险。在过去的十年中，全基因组关联研究（GWAS）在大型多种族人群队列中进行了全基因组筛查，发现了与 1 型和 2 型糖尿病 DKD 特征相关的遗传风险变异。在此，我们旨在总结有关 DKD 基因组学领域进展的现有数据，介绍 GWAS 革命如何扩展了我们对疾病病理生理学机制的理解，最后提出潜在的未来发展方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.