Recent Advances in Kidney Disease in Children

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 1641

Special Issue Editors


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Guest Editor
Department of Pediatric Nephrology, University of Health Sciences Izmir Faculty of Medicine, Konak/Izmir, Turkey
Interests: CAKUT; urinary tract infection

Special Issue Information

Dear Colleagues,

The scientific research on kidney disease boomed in the second half of the last century and was mostly concentrated on the treatment of end-stage renal disease. The progress in knowledge of the immune system, renal physiology, pathology, genetics, and metabolism has allowed for improvements in the treatment of kidney diseases. The future goal of the research in nephrology is the prevention of kidney disease. Children offer a formidable opportunity for research in kidney diseases; congenital and hereditary nephropathies may be studied in the early stages, when acquired nephropathies are not complicated by other diseases. In this Special Issue, we welcome studies aiming to understand the genetic and molecular basis and the mechanisms responsible for the production and progression of renal damage. Studies on congenital and hereditary nephropathies in children will be accepted, as well as clinical research on recent developments in the diagnosis and treatment of glomerulopathies, tubular disorders, and renovascular hypertension in children.

Dr. Silvio Maringhini
Dr. Demet Alaygut
Guest Editors

Manuscript Submission Information

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Keywords

  • kidney disease
  • genetics of kidney disease
  • prevention of kidney disease
  • pediatric nephrology

Published Papers (2 papers)

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Research

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12 pages, 771 KiB  
Article
Plasma and Urinary Platelet Factor 4 as Biomarkers for Cardiovascular Risk in Children with Chronic Kidney Disease
by Chien-Ning Hsu, Wei-Ting Liao, Wei-Ling Chen, Guo-Ping Chang-Chien, Sufan Lin and You-Lin Tain
Biomedicines 2023, 11(12), 3318; https://doi.org/10.3390/biomedicines11123318 - 15 Dec 2023
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Abstract
Children suffering from chronic kidney disease (CKD) have a high risk of cardiovascular disease (CVD). The early detection and diagnosis of subclinical CVD in pediatric CKD can reduce mortality later in life. Plasma factor 4 (PF4) is a chemokine released by activated platelets. [...] Read more.
Children suffering from chronic kidney disease (CKD) have a high risk of cardiovascular disease (CVD). The early detection and diagnosis of subclinical CVD in pediatric CKD can reduce mortality later in life. Plasma factor 4 (PF4) is a chemokine released by activated platelets. We examined whether or not PF4 in the plasma and urine, its kidney function normalized ratio, and fractional excretion have differential associations with CVD risk markers in 139 youths aged 3 to 18 years old with CKD stages G1–G4. Significant negative correlations were observed between plasma PF4 and cardiovascular surrogate markers, such as the left ventricular mass index (LVMI), carotid intima–media thickness (cIMT), and pulse wave velocity (PWV). The plasma PF4/creatinine (Cr) ratio was lower in CKD children with a high daytime BP and 24 h BP, high BP load, and nocturnal non-dipping status. After adjusting for confounders, the plasma PF4 and plasma PF4/Cr ratio still independently predicted an abnormal ABPM profile. In addition, both the plasma PF4 and plasma PF4/Cr ratio presented a negative correlation with the L-arginine and asymmetric dimethylarginine ratio. These findings provide convincing evidence supporting the link between PF4 and CVD markers in pediatric CKD. Our study highlights the importance of further research to assess the performance of PF4-related biomarkers in predicting CVD events and CKD progression in children with CKD. Full article
(This article belongs to the Special Issue Recent Advances in Kidney Disease in Children)
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12 pages, 230 KiB  
Review
Pediatric Lower Urinary Tract Dysfunction: A Comprehensive Exploration of Clinical Implications and Diagnostic Strategies
by Matjaž Kopač
Biomedicines 2024, 12(5), 945; https://doi.org/10.3390/biomedicines12050945 - 24 Apr 2024
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Abstract
Lower urinary tract dysfunction is clinically important because it may cause urinary tract infections, mainly due to accumulation of residual urine, and adversely affect renal function. In addition, it may cause urinary incontinence, strongly affecting the child’s quality of life. The function of [...] Read more.
Lower urinary tract dysfunction is clinically important because it may cause urinary tract infections, mainly due to accumulation of residual urine, and adversely affect renal function. In addition, it may cause urinary incontinence, strongly affecting the child’s quality of life. The function of the lower urinary tract is closely associated with function of the bowel because constipation is commonly present with bladder dysfunction. The interplay between the lower urinary tract and bowel function, coupled with common conditions such as detrusor overactivity and voiding dysfunction, requires a nuanced diagnostic approach. Detrusor overactivity, a benign but socially harmful condition, is the principal cause of daytime urinary incontinence in childhood. It needs to be differentiated from more serious conditions such as neurogenic bladder dysfunction or urethral obstruction. Voiding dysfunction, a habitual sphincter contraction during voiding, is common in children with detrusor overactivity and may be self limiting but may also result in residual urine and urinary tract infections. It may resemble, in severe cases, neurogenic bladder dysfunction, most often caused by spinal dysraphism, which very often leads to recurrent urinary tract infections and high intravesical pressures, jeopardizing renal function. A voiding diary is crucial in the initial evaluation of lower urinary tract function in children. Full article
(This article belongs to the Special Issue Recent Advances in Kidney Disease in Children)
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