Vascular Homeostasis Determines Therapeutic Effectiveness in Early Stage of Diabetic Nephropathy

来源 :2011年第一届内分泌与代谢大会 | 被引量 : 0次 | 上传用户:shuimeihua
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  Due to the insensitiveness of the available diagnostic markers such as serum creatinine or microalbuminuria determination, which would not screen early stage of diabetic ncphropathy (chronic kidney disease stages 1-2; creatinine clearance 60-119 ml/min/1.73m-2), treatment of diabetic nephropathy is usually initiated at late stage (chronic kidney disease stages 3-5; creatinine clearance under 60 ml/min/1.73m2).Such treatment fails to restore renal perfusion and function due to the defective mechanism of vascular repair namely vascular endothelial growth factor (VEGF), VEGF receptor1, VEGF receptor-2, angiopoietin-2, and impaired nitric oxide production.
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