The role of kidney biopsy in deciphering diabetic versus non-diabetic origin of kidney disease among patients with type 2 diabetes mellitus and nephrotic range proteinuria: A retrospective study DOI Creative Commons

Efstratios Kardalas,

Aggeliki Paikopoulou,

Dimitra A. Vassiliadi

и другие.

Metabolism Open, Год журнала: 2024, Номер 23, С. 100313 - 100313

Опубликована: Авг. 28, 2024

Diabetes mellitus (DM) is tightly associated with the increased prevalence of diabetic kidney disease (DKD). Nonetheless, severe renal function impairment and/or nephrotic range-proteinuria could also result from non-diabetic (non-DRD) among patients DM. The 'Gold standard' for differential diagnosis between DKD and non-DRD biopsy, although no real consensus exists. Thus, this study intends to associate clinical biochemical profile DM histopathological data biopsy.In addition, we aimed evaluate role especially when other causes, than DM, are highly suspected disease.

Язык: Английский

Obesity-Related Chronic Kidney Disease: From Diagnosis to Treatment DOI Creative Commons
Elena Avgoustou,

Ilektra Tzivaki,

Γεωργία Διαμαντοπούλου

и другие.

Diagnostics, Год журнала: 2025, Номер 15(2), С. 169 - 169

Опубликована: Янв. 14, 2025

Obesity has emerged as a global epidemic with far-reaching health complications, including its role an independent risk factor for chronic kidney disease (CKD). Increasing evidence suggests that obesity contributes to CKD through multiple mechanisms, inflammation, hemodynamic alterations, insulin resistance, and lipid accumulation. These processes can culminate in histopathological changes collectively referred obesity-related glomerulopathy (ORG). This review aims provide comprehensive overview of the current knowledge regarding prevalence, clinical manifestations, pathophysiology ORG. Furthermore, we emphasize importance identifying key biomarkers facilitate early detection Finally, explore emerging therapeutic strategies offer promise mitigating this growing crisis.

Язык: Английский

Процитировано

1

Elevated GFI1 in Alveolar Macrophages Suppresses ACOD1 Expression and Exacerbates Lipopolysaccharide‐Induced Lung Injury in Obesity DOI Creative Commons
Jingyue Ma,

Yichan Ao,

Zhen Yue

и другие.

Advanced Science, Год журнала: 2025, Номер unknown

Опубликована: Фев. 8, 2025

To investigate the mechanisms behind worsening of acute lung injury (ALI) in obesity, transcriptomic sequencing is performed, and significantly reduced mRNA levels Aconitate Decarboxylase 1 (ACOD1) tissue high-fat diet (HFD) mice are found. Clinical samples collected, an ALI model established HFD mice, both human mouse analyzed, revealing a significant decrease ACOD1 expression alveolar macrophages obesity. Further vivo vitro experiments show that knockdown worsens injury, inflammation, oxidative stress, while overexpression alleviates these effects. Moreover, nuclear factor erythroid 2-related 2 (Nrf2) inhibition diminishes protective effects exacerbated by Additionally, context growth independent (GFI1) protein elevated macrophages, its leads to upregulated expression. Therefore, this study suggests downregulation key likely driven GFI1 upregulation.

Язык: Английский

Процитировано

0

The Many Facets of PPAR-γ Agonism in Obesity and Associated Comorbidities: Benefits, Risks, Challenges, and Future Directions DOI
Dimitris Kounatidis, Natalia G. Vallianou, Eleni Rebelos

и другие.

Current Obesity Reports, Год журнала: 2025, Номер 14(1)

Опубликована: Фев. 12, 2025

Язык: Английский

Процитировано

0

Beneath the Surface: The Emerging Role of Ultra-Processed Foods in Obesity-Related Cancer DOI Creative Commons
Ioanna A. Anastasiou, Dimitris Kounatidis, Natalia G. Vallianou

и другие.

Current Oncology Reports, Год журнала: 2025, Номер unknown

Опубликована: Фев. 27, 2025

Abstract Purposeof Review Ultra-processed foods (UPFs) are becoming more and important in daily diets around the world; some cases, they can account for as much 60% of energy intake. Epidemiological evidence suggests that this shift toward high levels food processing may be partially responsible global obesity epidemic rise prevalence chronic diseases. Recent Findings Few prospective studies have examined relationship between UPF consumption cancer outcomes. According to currently available information, UPFs increase risk due their obesogenic properties exposure substances cause cancer, such certain additives pollution from product processing. The complex involves factors immune dysregulation, altered adipokine sex hormone levels, abnormal fatty acid metabolism, extracellular matrix remodeling, inflammation. Addressing associated with could involve a multifaceted approach, including consumer behavior modification programs robust public health regulations aimed at enhancing environments. Improved knowledge potential dual negative impacts on environment is one priority areas we identify future research policy implications. Various approaches used prevent cancers consumption, change stricter needed improve environment. Summary This review examines first time role obesity, exploring underlying biological mechanisms identifying key action, environmental impact UPFs.

Язык: Английский

Процитировано

0

Total Hip Arthroplasty in Post-Bariatric Surgery Patients: Increased Risks and Economic Burden? DOI Open Access
Yaron Berkovich, Lynn Rosenberg,

Linor Fournier

и другие.

Healthcare, Год журнала: 2025, Номер 13(8), С. 887 - 887

Опубликована: Апрель 12, 2025

Background: THA is a widely performed surgical procedure that improves mobility and quality of life in patients with hip joint diseases. The increasing prevalence obesity has led to rise the number undergoing following bariatric surgery. This study investigates trends among history surgery, comparing demographics, hospitalization metrics, post-operative complications, overall outcomes those without such history. Methods: Using NIS database (2016–2019), we analyzed cohort 1,496,809 patients, including 20,429 Propensity score matching was employed control for confounding factors, resulting matched each group. Statistical analyses compared demographic characteristics, comorbidities, outcomes, significance threshold p < 0.05. Results: proportion prior surgery increased significantly between 2016 2019 (p 0.01). Compared these were younger (60.3 vs. 66.0 years, 0.01) predominantly female (75.0% 55.5%, After PSM, had shorter hospital stay (2.17 2.37 days, = 0.027) but incurred higher charges ($63,631 $62,883, Post-operative complications this group, risks dislocation (RR 4.0, 95% CI: 3.4–4.8, 0.01), site infection 2.0, 1.8–2.4, pneumonia 2.5, 2.1–2.8, intraoperative fracture 1.6, 1.3–2.0, Conclusions: rising post-bariatric highlights need optimized perioperative care. Despite stays, face complication risks, requiring tailored management. Further research should explore alternative weight management strategies improve outcomes.

Язык: Английский

Процитировано

0

Kidney Damage in Pediatric Obesity: Insights from an Emerging Perspective DOI Open Access
Gabriele Forcina,

Margherita Luciano,

Vittoria Frattolillo

и другие.

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(23), С. 7025 - 7025

Опубликована: Ноя. 21, 2024

The role of obesity as a risk factor for chronic kidney disease (CKD) in adulthood has been well established. Over the last years, damage (KD) emerged significant consequence since childhood. Indeed, complex interplay metabolic factors, including insulin resistance (IR), hypertension, oxidative stress, adipose tissue dysfunction, and systemic inflammation, might affect renal hemodynamics, contributing to CKD development over time at-risk young patients. As prevalence pediatric continues rise globally, understanding implications health terms early intervention is paramount importance. Careful monitoring function within multidisciplinary approach children with crucial detecting KD, allowing timely lifestyle modifications treatment. In this framework, continued research essential further elucidate mechanisms linking KD explore not only effective preventive strategies but also long-term impact on obesity. Given intimate link milieu obesity, we aimed provide comprehensive insightful overview its by reviewing most recent literature field.

Язык: Английский

Процитировано

2

From Adipose to Ailing Kidneys: The Role of Lipid Metabolism in Obesity-Related Chronic Kidney Disease DOI Creative Commons
Wenchao Xu, Yuting Zhu, Siyuan Wang

и другие.

Antioxidants, Год журнала: 2024, Номер 13(12), С. 1540 - 1540

Опубликована: Дек. 16, 2024

Obesity has emerged as a significant public health crisis, closely linked to the pathogenesis and progression of chronic kidney disease (CKD). This review explores intricate relationship between obesity-induced lipid metabolism disorders renal health. We discuss how excessive free fatty acids (FFAs) lead accumulation in tissues, resulting cellular lipotoxicity, oxidative stress, inflammation, ultimately contributing injury. Key molecular mechanisms, including roles transcriptional regulators like PPARs SREBP-1, are examined for their implications dysregulation. The also highlights impact glomerular tubular overload on pathology, emphasizing podocytes cells maintaining function. Various therapeutic strategies targeting metabolism, pharmacological agents such statins SGLT2 inhibitors, well lifestyle modifications, discussed potential mitigate CKD obese individuals. Future research directions suggested better understand mechanisms linking develop personalized approaches. Ultimately, addressing obesity-related may enhance improve outcomes individuals suffering from CKD.

Язык: Английский

Процитировано

1

The role of kidney biopsy in deciphering diabetic versus non-diabetic origin of kidney disease among patients with type 2 diabetes mellitus and nephrotic range proteinuria: A retrospective study DOI Creative Commons

Efstratios Kardalas,

Aggeliki Paikopoulou,

Dimitra A. Vassiliadi

и другие.

Metabolism Open, Год журнала: 2024, Номер 23, С. 100313 - 100313

Опубликована: Авг. 28, 2024

Diabetes mellitus (DM) is tightly associated with the increased prevalence of diabetic kidney disease (DKD). Nonetheless, severe renal function impairment and/or nephrotic range-proteinuria could also result from non-diabetic (non-DRD) among patients DM. The 'Gold standard' for differential diagnosis between DKD and non-DRD biopsy, although no real consensus exists. Thus, this study intends to associate clinical biochemical profile DM histopathological data biopsy.In addition, we aimed evaluate role especially when other causes, than DM, are highly suspected disease.

Язык: Английский

Процитировано

0