Early renal and vascular changes in ADPKD patients with low-grade albumin excretion and normal renal function
Author(s) -
Pablo Javier Azurmendi,
Adriana Fraga,
Felicita Galan,
C. Kotliar,
Elvira Arrizurieta,
M. G. Valdez,
Pedro Forcada,
Joanna Stefan,
Rodolfo S. Martín
Publication year - 2009
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfp136
Subject(s) - medicine , microalbuminuria , renal function , autosomal dominant polycystic kidney disease , creatinine , endocrinology , urology , excretion , proteinuria , urine , albuminuria , kidney disease , kidney , intima media thickness , albumin , carotid arteries
Autosomal dominant polycystic kidney disease (ADPKD) shows an increase in both urine monocyte chemoattractant protein-1 (MCP-1) and carotid intima-media thickness (CIMT) before changes in serum creatinine concentration. Although microalbuminuria is an index of disease progression, data on whether renal alterations and vascular remodelling are already present at normal or minimally increased levels of urine albumin excretion in early stages of the disease are lacking.
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