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| Name | Class |
|---|---|
| University Hospital Center Osijek | UNKNOWN |
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Oxidative stress and endoplasmic reticulum (ER) stress play a key role in tubular damage in both acute kidney injury and chronic kidney disease (CKD). Oxidative stress in the kidneys promotes renal vascular remodeling and increases preglomerular resistance. These are key elements in hypertension, acute and chronic kidney injury, as well as diabetic nephropathy. Chronic renal hypoxia is highlighted as the final common pathway to end-stage renal disease (ESRD). MicroRNA molecules (miRNA) also play an important role in these processes. MicroRNAs (miRNAs) are regulators of gene expression and play a role in the progression of renal ischemia-reperfusion injury. Although the pathophysiological contribution of microRNAs (miRNAs) to kidney damage has also been highlighted, the effect of miRNAs on kidney damage under conditions of oxidative and ER stress remains understudied.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chronic kidney disease group | Patients with stage 3-5 CKD (eGFR CKD-EPI <60 mL/min/1.73 m2) | ||
| Healthy controls | Healthy normotensive patients (eGFR CKD-EPI >90 mL/min/1.73 m2, BP <140/90 mmHg) | ||
| Hypertensive Group | Hypertensive patients without CKD (eGFR CKD-EPI >90 mL/min/1.73 m2, BP >140/90 mmHg) |
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| Measure | Description | Time Frame |
|---|---|---|
| Systemic microvascular function | Skin microvascular reactivity assessed by Laser Doppler flowmetry (post-occlusive reactive hyperemia, iontophoresis of acetylcholine and sodium nitroprusside) - measured in perfusion units (PU) | Day 1 |
| Serum level of antixidant enzymesprotein concentration of SOD, CAT and glutathione-peroxidase | Serum protein concentration of superoxide disimutase (SOD), catalase (CAT) and glutathione-peroxidase (GPx). | Day 1 |
| Detecton of miRNA of interest | The database for miRNA will be searched, and the miRNA of interest will be selected, determined and detected. | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Body fluid compartments | Total body water (L), extracellular water (L), intracellular water (L) and plasma fluid volume (L) will be assessed using non-invasive bioimpedance analysis (BIA). | at one time point |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with CKD and healthy controls, i.e. patients with hypertension without kidney damage (eGFR CKD-EPI > 90 mL/min/1.73 m2). Subjects and controls will be age- and gender-matched. Inclusion criteria for patients with CKD: the study will include patients having chronic kidney disease of the 3rd - 5th degree (eGFR CKD-EPI< 60 mL/min/1.73 m2).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ines Drenjančević, MD, PhD | Contact | +38531512800 | ines.drenjancevic@mefos.hr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine Osijek | Osijek | 31000 | Croatia |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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serum, peripheral blood mononuclear cells (PBMCs)
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |