PMID- 29654297 OWN - NLM STAT- MEDLINE DCOM- 20190819 LR - 20230411 IS - 1759-507X (Electronic) IS - 1759-5061 (Linking) VI - 14 IP - 6 DP - 2018 Jun TI - CKD in diabetes: diabetic kidney disease versus nondiabetic kidney disease. PG - 361-377 LID - 10.1038/s41581-018-0001-y [doi] AB - The increasing global prevalence of type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) has prompted research efforts to tackle the growing epidemic of diabetic kidney disease (DKD; also known as diabetic nephropathy). The limited success of much of this research might in part be due to the fact that not all patients diagnosed with DKD have renal dysfunction as a consequence of their diabetes mellitus. Patients who present with CKD and diabetes mellitus (type 1 or type 2) can have true DKD (wherein CKD is a direct consequence of their diabetes status), nondiabetic kidney disease (NDKD) coincident with diabetes mellitus, or a combination of both DKD and NDKD. Preclinical studies using models that more accurately mimic these three entities might improve the ability of animal models to predict clinical trial outcomes. Moreover, improved insights into the pathomechanisms that are shared by these entities - including sodium-glucose cotransporter 2 (SGLT2) and renin-angiotensin system-driven glomerular hyperfiltration and tubular hyper-reabsorption - as well as those that are unique to individual entities might lead to the identification of new treatment targets. Acknowledging that the clinical entity of CKD plus diabetes mellitus encompasses NDKD as well as DKD could help solve some of the urgent unmet medical needs of patients affected by these conditions. FAU - Anders, Hans-Joachim AU - Anders HJ AUID- ORCID: 0000-0003-2434-2956 AD - Division of Nephrology, Medizinische Klinik and Poliklinik IV, Klinikum der LMU Munchen - Innenstadt, Munchen, Germany. hjanders@med.uni-muenchen.de. FAU - Huber, Tobias B AU - Huber TB AD - III. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Isermann, Berend AU - Isermann B AD - Institute of Clinical Chemistry and Pathobiochemistry, Otto von Guericke University Magdeburg, Magdeburg, Germany. FAU - Schiffer, Mario AU - Schiffer M AD - Department of Nephrology, Hannover Medical School, Hannover, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Nat Rev Nephrol JT - Nature reviews. Nephrology JID - 101500081 RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) MH - Animals MH - Biopsy MH - Cardiovascular Diseases/diagnosis/*physiopathology/prevention & control MH - Diabetes Mellitus/*physiopathology MH - Diabetic Nephropathies/diagnosis/*physiopathology/prevention & control MH - Disease Models, Animal MH - Disease Progression MH - Primary Prevention MH - Renin-Angiotensin System MH - Sodium-Glucose Transporter 2 EDAT- 2018/04/15 06:00 MHDA- 2019/08/20 06:00 CRDT- 2018/04/15 06:00 PHST- 2018/04/15 06:00 [pubmed] PHST- 2019/08/20 06:00 [medline] PHST- 2018/04/15 06:00 [entrez] AID - 10.1038/s41581-018-0001-y [pii] AID - 10.1038/s41581-018-0001-y [doi] PST - ppublish SO - Nat Rev Nephrol. 2018 Jun;14(6):361-377. doi: 10.1038/s41581-018-0001-y.