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  • 1
    In: American Journal of Nephrology, S. Karger AG, Vol. 32, No. 2 ( 2010), p. 156-162
    Abstract: 〈 i 〉 Background/Aims: 〈 /i 〉 Some studies suggest that polymorphisms in angiotensin-converting enzyme (ACE), angiotensinogen (AGT), angiotensin II type I receptor (AGTR1) and angiotensin II type II receptor (AGTR2) genes may contribute to renal function variation. 〈 i 〉 Methods: 〈 /i 〉 Genotyping for single nucleotide polymorphisms (SNPs) in these candidate genes was performed in 2,847 participants from four racial/ethnic groups (African American, Chinese, White and Hispanic) without known cardiovascular disease in the Multi-Ethnic Study of Atherosclerosis. SNP and haplotype analyses were performed to determine associations between genotypes and cross-sectional renal function measurements, including urine albumin excretion (UAE) and estimated glomerular filtration rate (eGFR) using serum creatinine and cystatin C. 〈 i 〉 Results: 〈 /i 〉 Twenty-four ACE SNPs, 10 AGT SNPs, 15 AGTR1 SNPs and 6 AGTR2 SNPs were typed successfully. After adjusting for ancestry, age and gender, 3 SNPs (AGT M235T, AGT rs2148582 and AGTR1 rs2131127) showed associations with an empiric p value 〈 0.05 with the same phenotype in multiple racial/ethnic groups, suggesting replication. The AGT M235T SNP has been shown previously to be associated with diabetic and hypertensive nephropathy. 〈 i 〉 Conclusions: 〈 /i 〉 These data suggest that genetic polymorphisms in the renin-angiotensin system are associated with renal phenotypes in the general population, but that many associations differ across racial/ethnic groups.
    Type of Medium: Online Resource
    ISSN: 0250-8095 , 1421-9670
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2010
    detail.hit.zdb_id: 1468523-1
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  • 2
    Online Resource
    Online Resource
    S. Karger AG ; 2002
    In:  American Journal of Nephrology Vol. 22, No. 1 ( 2002), p. 35-41
    In: American Journal of Nephrology, S. Karger AG, Vol. 22, No. 1 ( 2002), p. 35-41
    Abstract: The prevalence of nephropathy in black patients with type 2 diabetes mellitus is poorly defined. We performed a cross-sectional analysis of 98 unrelated and unselected black type 2 diabetic patients treated in indigent care internal medicine clinics to determine the prevalence of proteinuria and nephropathy. Serum creatinine, blood urea nitrogen, urine albumin and urine creatinine concentrations were measured. A Spearman’s rank correlation was computed to test for a relationship between diabetes duration and continuous outcomes. For binary outcomes, an odds ratio and 95% confidence interval were computed for a change of 10 years diabetes duration based on logistic regression. Cases were 61% female, and had mean (± SD) age 59.9 ± 12.5 years, diabetes duration 12.6 ± 9.4 years, body mass index 32.4 ± 9.3 kg/m 〈 sup 〉 2 〈 /sup 〉 , hemoglobin A1C (HbA1C) 9.2 ± 2.3%, and serum creatinine concentration 1.60 ± 1.1 mg/dl. For continuous variables, diabetes duration was positively associated with albuminuria (r = 0.31; p = 0.0017), serum creatinine (r = 0.36; p = 0.0003) and blood urea nitrogen concentration (r = 0.36; p = 0.0003). For binary variables, cases with longer diabetes duration were at increased risk for urinary albumin:creatinine 〉 300 µg/mg (p = 0.006), elevated serum creatinine concentration (≧1.4 mg/dl in women or ≧1.6 mg/dl in men; p = 0.045), elevated blood urea nitrogen concentration (≧20 mg/dl; p = 0.026), and clinical cerebrovascular disease (p = 0.028). HbA1C, body mass index, and blood pressure did not correlate with diabetes duration in this population. Among the cases, 33.7% had elevated serum creatinine concentration and 71.5% had abnormal levels of albuminuria (27.6% 〉 300 µg albumin/mg Cr and 43.9% 30–300 µg albumin/mg Cr). Abnormal proteinuria was seen in the majority of black patients with poorly controlled type 2 diabetes mellitus treated in indigent care clinics. This prevalence may be conservative, due to the widespread use of angiotensin-converting enzyme inhibitor therapy and exclusion of cases treated only by nephrologists. Approximately 70% of black patients with type 2 diabetes cared for in indigent care clinics have abnormal proteinuria and are at heightened risk for ESRD and death.
    Type of Medium: Online Resource
    ISSN: 0250-8095 , 1421-9670
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2002
    detail.hit.zdb_id: 1468523-1
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  • 3
    Online Resource
    Online Resource
    S. Karger AG ; 1998
    In:  Nephron Vol. 80, No. 2 ( 1998), p. 244-246
    In: Nephron, S. Karger AG, Vol. 80, No. 2 ( 1998), p. 244-246
    Type of Medium: Online Resource
    ISSN: 1660-8151 , 2235-3186
    Language: English
    Publisher: S. Karger AG
    Publication Date: 1998
    detail.hit.zdb_id: 2810853-X
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  • 4
    In: Human Heredity, S. Karger AG, Vol. 60, No. 2 ( 2005), p. 63-72
    Abstract: 〈 i 〉 Objectives: 〈 /i 〉 Pulse pressure (PP) is a measure of large artery stiffness and has been shown to be an important predictor of cardiovascular morbidity and mortality. The aims of the present study were to investigate the heritability of PP in three studies, the Diabetes Heart Study (DHS), the Insulin Resistance Atherosclerosis Family Study (IRAS FS), and the NHLBI Family Heart Study (FHS), to estimate the residual heritability after inclusion of a common set of covariates, and to investigate the impact of pedigree structure on estimating heritability. 〈 i 〉 Methods and Results: 〈 /i 〉 DHS is primarily a sibling pair nuclear family study design, while both IRAS FS and FHS have large pedigrees. Heritability estimates of log-transformed PP were obtained using variance component models. After adjusting for age, gender, ethnicity/center, height, diabetes status, and mean arterial pressure (MAP), heritability estimates of PP were 0.40 ± 0.08 , 0.22 ± 0.05, and 0.19 ± 0.03 in DHS, IRAS FS, and FHS, respectively. The heritability estimate from DHS was significantly different from both IRAS FS and FHS (both p values 〈 0.05). A random re-sampling technique (modified bootstrap) was used to explore the heritability in the IRAS FS and FHS data when these pedigrees were trimmed to mimic the DHS pedigree structure. The re-sampling method (mimicking a sibling pair nuclear family design in all studies) yielded PP heritability estimates of 0.37, 0.34, and 0.27 in DHS, IRAS FS, and FHS, respectively. There was no significant difference among the heritability estimates from the three studies based on the re-sampling method. 〈 i 〉 Conclusion: 〈 /i 〉 We have shown that PP has a moderately heritable component in three different studies. These data illustrate the influence of pedigree structure can have on estimating heritability. Thoughtful comparisons of heritability estimates must consider study design factors such as pedigree structure.
    Type of Medium: Online Resource
    ISSN: 0001-5652 , 1423-0062
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2005
    detail.hit.zdb_id: 1482710-4
    SSG: 12
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  • 5
    Online Resource
    Online Resource
    S. Karger AG ; 1988
    In:  Nephron Vol. 50, No. 3 ( 1988), p. 182-186
    In: Nephron, S. Karger AG, Vol. 50, No. 3 ( 1988), p. 182-186
    Type of Medium: Online Resource
    ISSN: 1660-8151 , 2235-3186
    Language: English
    Publisher: S. Karger AG
    Publication Date: 1988
    detail.hit.zdb_id: 2810853-X
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  • 6
    Online Resource
    Online Resource
    S. Karger AG ; 2009
    In:  Hormone Research in Paediatrics Vol. 71, No. Suppl. 1 ( 2009), p. 17-23
    In: Hormone Research in Paediatrics, S. Karger AG, Vol. 71, No. Suppl. 1 ( 2009), p. 17-23
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Nearly 21 million people in the United States, or 7% of the population, are estimated to have diabetes. The incidence and prevalence of diabetes differ by ethnicity; however, both type 1 diabetes (T1D) and type 2 diabetes (T2D) occur in all groups. The etiology of diabetes is multifactorial, involving both genetic and environmental factors. Advances in technology, leading to the identification of over a dozen candidate genes, have accelerated the search for genetic factors contributing to the risk of diabetes. To date, surprisingly little data exist to suggest there are common genetic pathways leading to development of T1D and T2D. These common forms of diabetes have complex genetic (and environmental) risk factors, making prediction and prevention difficult. Nonetheless, detection of diabetes susceptibility genes may facilitate identification of novel pathways that can serve as therapeutic targets and lead to disease prevention.
    Type of Medium: Online Resource
    ISSN: 1663-2818 , 1663-2826
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 2540224-9
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