Genome-wide association scientific studies (GWAS) are women population based collaborative studies seeking it is partially patterns that would reveal common complex phenotypes.
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Genome-wide association scientif ic studies (GWAS)
are women population based collaborative studies
seeking it is partially patterns that would reveal
common complex phenotypes. T hese large kids given
us a insight into the it is partially risk prof ile related to
patients with regarding such as chronic renal disease
and bluthochdruck. Frequently the it is partially markers
described as hazard genotypes are only nucleotide
polymorphisms (SNPs) that lie throughout regions of
the genome yet to be related a f unctional role. Trudu
et al in Flora and f auna Medicine this month construe
a beautif ul set of studies that explain the ways risk
variants when CKD and bluthochdruck f ound by GWAS ef f ect blood pressure adjustment at the molecular
quantity.
Quite a f ew GWAS have reviewed risk SNPs into the promoter region related to UMOD ( 1 , 2 , 5 , 4 , two
, 6 , 7 ). T he UMOD gene codes f or uromodulin or Tamm-Horsf all proteins, which is secreted and into the
urine by debris of the thick climbing loop of Henle (TAL). Uromodulin has been demonstrated to reduce
UT Is and regulate NKCC2 and ROMK , the two advantages channels responsible f or NaCl transport in
the SEMEJANT E. Furthermore, UMOD changement cause dominantly learned CKD (MCKD2). Susceptibility
variants f ound in those UMOD gene are high f requency in the singular population and juger a 20% rose risk
of CKD associated with 15% risk of bluthochdruck.
T his paper attempted to uncover the organic mechanism that would reveal the increased CKD and
hypertension throughout patients with these hazard genotypes. T hey seen specif ically at the two lead
variants discovered in the UMOD patrocinador region. Brief ly, throughout human nephrectomy trial samples
(removed due to RCC), those with the risk genotypes had higher uromodulin expression than those with
the help of non-risk genotypes. T hese kinds of products conf irmed this monopole of UMOD patrocinador
risk variants associated with higher urinary uromodulin in large population-based cohort (SKIPOGH). For
mouse-models, mice over-expressing UMOD had greater blood pressures and better LVH than management
and had more interstitial pathology (despite biological renal f unction) and additionally controls. T hen they
showed that rats over-expressing UMOD held more active NKCC2 (f urosemide sensitive channels) than
controls. Give showed that the greater BP in UMOD over-expressing mice can be dropped to normal levels
by f urosemide (all mice held comparable levels of ENaC and NCC). Signif icantly more work was completed
f urther elucidate those mechanism of NKCC2 phosphorylation by UMOD. Finally the f reelance writers bring
their of your attention back to humans. T hese kinds of products used a never-treated human hypertensive
cohort (MI_HPT ) and stratif ied them according to all the risk variant genotypes (rs4293393). Patients
homozygous f or the risk genotype had statistically f air higher baseline diastolic BP. Some of these calme
underwent f urosemide lab tests. Patients with the homozygous risk allele any higher natriuretic speeds and
diastolic BP drop than many people (both statistically signif icant). To summarize the f reelance writers
conclusions; patients with the help of risk alleles into the UMOD promotor held greater risk of
bluthochdruck and CKD. Majority of these patients made whole lot uromodulin. Uromodulin enhance NKCC2
activity theref ore salt sensitive bluthochdruck. Also, UMOD over-expression increases interstitial renal
damage and thus the actual risk of CKD. Majority of these risk genotypes when disease are at hi-f requency
in all ethnicities proved. T he authors declare that selective pressure when disease related changes in
UMOD is related to the APOL1 stories. T he protective a result of uromodulin on Bu?ys and ability to make
you blood pressure may have cable to its selective over-expression.
It paper demonstrates those mutual importance of considerable studies such as GWAS and studies related
2. to rare monogenetic regarding such as Bartter associated with Gitelman syndromes. It paper is a prof itable
contender of a top listing this year having truly translational list of studies combining f resh basic science
with the help of clinical studies.
I also demand to give a shout to stories on novel targets f or ADPKD and the new AHA Cholesterol
guidelines .
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