PMID- 22445478 OWN - NLM STAT- MEDLINE DCOM- 20120612 LR - 20221207 IS - 0301-0430 (Print) IS - 0301-0430 (Linking) VI - 77 IP - 4 DP - 2012 Apr TI - Diabetic nephropathy among Mexican Americans. PG - 332-44 AB - The incidence of diabetic nephropathy (DN) is growing rapidly worldwide as a consequence of the rising prevalence of Type 2 diabetes mellitus (T2DM). Among U.S. ethnic groups, Mexican Americans have a disproportionately high incidence and prevalence of DN and associated end-stage renal disease (ESRD). In communities bordering Mexico, as many as 90% of Mexican American patients with ESRD also suffer from T2DM compared to only 50% of non-Hispanic Whites (NHW). Both socio-economic factors and genetic predisposition appear to have a strong influence on this association. In addition, certain pathogenetic and clinical features of T2DM and DN are different in Mexican Americans compared to NHW, raising questions as to whether the diagnostic and treatment strategies that are standard practice in the NHW patient population may not be applicable in Mexican Americans. This article reviews the epidemiology of DN in Mexican Americans, describes the pathophysiology and associated risk factors, and identifies gaps in our knowledge and understanding that needs to be addressed by future investigations. FAU - Debnath, Subrata AU - Debnath S AD - Division of Nephrology, University of Texas Health Science Center, San Antonio, TX, USA. FAU - Thameem, Farook AU - Thameem F FAU - Alves, Tahira AU - Alves T FAU - Nolen, Jacqueline AU - Nolen J FAU - Al-Shahrouri, Hania AU - Al-Shahrouri H FAU - Bansal, Shweta AU - Bansal S FAU - Abboud, Hanna E AU - Abboud HE FAU - Fanti, Paolo AU - Fanti P LA - eng GR - R01 DK078971/DK/NIDDK NIH HHS/United States GR - DK-R01-078971/DK/NIDDK NIH HHS/United States GR - AT004490/AT/NCCIH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review PL - Germany TA - Clin Nephrol JT - Clinical nephrology JID - 0364441 SB - IM MH - Body Mass Index MH - Diabetes Mellitus, Type 2/complications/*epidemiology MH - Diabetic Nephropathies/complications/*epidemiology MH - Humans MH - Incidence MH - Kidney Failure, Chronic/complications/*epidemiology MH - Mexican Americans/*statistics & numerical data MH - Obesity/complications/*epidemiology MH - Poverty MH - Prevalence MH - Risk Factors MH - Texas/epidemiology MH - White People/statistics & numerical data PMC - PMC4407344 EDAT- 2012/03/27 06:00 MHDA- 2012/06/13 06:00 PMCR- 2012/04/01 CRDT- 2012/03/27 06:00 PHST- 2012/03/27 06:00 [entrez] PHST- 2012/03/27 06:00 [pubmed] PHST- 2012/06/13 06:00 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - 9441 [pii] AID - 10.5414/cn107487 [doi] PST - ppublish SO - Clin Nephrol. 2012 Apr;77(4):332-44. doi: 10.5414/cn107487.