Autosomal Dominant Polycystic Kidney Disease
Conditions
Keywords
Oxidative Stress, Mitochondria injury and function, NADPH oxidase 4
Brief summary
To determine the value of NOX4, markers of mitochondria injury and function, and oxidative stress as real-time biomarkers to assess disease severity in patients with early autosomal dominant polycystic kidney disease (ADPKD).
Detailed description
This will be a cross sectional study and will include male and female, young (15-40-years) well characterized patients with early (eGFR\>70mL/min/1.73m2) ADPKD. Patients with different classes of disease severity will be selected using the ADPKD imaging classification. The study will include 60 class-1 (A-E) patients (N=12 per each sub-class).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* ADPKD (based on Ravine et al. criteria) * Class 1 A-E according to imaging classification * Male and female subjects 15 - 40 years of age * Estimated GFR\> 70 mL/min/1.73 m2 (CKD-EPI) * Ability to provide written, informed consent
Exclusion criteria
* Class 2 according to imaging classification * Concomitant systemic disease affecting the kidney * Diabetes mellitus * Predicted urine protein excretion in \>1 g/24 hrs * Use of antioxidants i.e. vitamins, Nrf2 activators * Abnormal urinalysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NOX4 levels | Baseline | Determination of NOX4 levels from urine and plasma samples |
| mtDNA copy number | Baseline | Determination of mtDNA copy number from urine and plasma samples |
| Tricarboxylic Acid (TCA) cycle metabolites | Baseline | Determination of TCA cycle metabolite concentration from urine and plasma samples |
| REDOX status | Baseline | Determination of REDOX from urine and plasma samples |
| Total kidney volume (TKV) | Baseline | Determined by MRI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Estimated Glomerular Filtration Rate (eGFR) | Baseline | Estimated by CKD-epi equation |
Countries
United States