Journal of the American Society of Nephrology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 28, 2025
Department
of
Nephrology
and
Hypertension,
Hannover
Medical
School,
Hannover,
Germany
Correspondence:
Prof.
Dr.
med.
Kai
M.
Schmidt-Ott,
email:
[email
protected]
See
related
article,
"Adamts1
Cyst
Expansion
in
Polycystic
Kidney
Disease,"
on
pages
XXX–XXX.
Nature Communications,
Journal Year:
2022,
Volume and Issue:
13(1)
Published: Aug. 15, 2022
Autosomal
dominant
polycystic
kidney
disease
(ADPKD),
among
the
most
common
human
genetic
conditions
and
a
frequent
etiology
of
failure,
is
primarily
caused
by
heterozygous
PKD1
mutations.
Kidney
cyst
formation
occurs
when
dosage
falls
below
critical
threshold.
However,
no
framework
exists
to
harness
remaining
allele
or
reverse
decline.
Here,
we
show
that
mRNAs
produced
noninactivated
are
repressed
via
their
3'-UTR
miR-17
binding
element.
Eliminating
this
motif
(Pkd1
Cell Reports Medicine,
Journal Year:
2023,
Volume and Issue:
4(11), P. 101283 - 101283
Published: Nov. 1, 2023
Ketogenic
dietary
interventions
(KDIs)
are
beneficial
in
animal
models
of
autosomal-dominant
polycystic
kidney
disease
(ADPKD).
KETO-ADPKD,
an
exploratory,
randomized,
controlled
trial,
is
intended
to
provide
clinical
translation
these
findings
(NCT04680780).
Sixty-six
patients
were
randomized
a
KDI
arm
(ketogenic
diet
[KD]
or
water
fasting
[WF])
the
control
group.
Both
induce
significant
ketogenesis
on
basis
blood
and
breath
acetone
measurements.
Ninety-five
percent
(KD)
85%
(WF)
report
as
feasible.
KD
leads
reductions
body
fat
liver
volume.
Additionally,
associated
with
reduced
volume
(not
reaching
statistical
significance).
Interestingly,
group
exhibits
improved
function
at
end
treatment,
while
WF
groups
show
progressive
decline,
typical
ADPKD.
Safety-relevant
events
largely
mild,
expected
(initial
flu-like
symptoms
KD),
transient.
Safety
assessment
complemented
by
nuclear
magnetic
resonance
(NMR)
lipid
profile
analyses.
New England Journal of Medicine,
Journal Year:
2024,
Volume and Issue:
391(7), P. 627 - 639
Published: Aug. 14, 2024
The
author
discusses
the
diagnosis
and
management
of
CKD
genetic
origin
in
adults,
focusing
on
single-gene
variants
that
cause
or
confer
a
substantial
risk
progressive
CKD.