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摘要:
The availability of disease-modifying drugs for the management of autosomal dominant polycystic kidney disease(ADPKD)has accelerated the need to accurately predict renal prognosis and/or treatment response in this condition.Arginine vasopressin(AVP)is a critical determinant of postnatal kidney cyst growth in ADPKD.Copeptin(the C-terminal glycoprotein of the precursor AVP peptide)is an accurate surrogate marker of AVP release that is stable and easily measured by immunoassay.Cohort studies show that serum copeptin is correlated with disease severity in ADPKD,and predicts future renal events[decline in renal function and increase in total kidney volume(TKV)].However,serum copeptin is strongly correlated with creatinine,and its additional value as a prognostic biomarker over estimated glomerular filtration rate and TKV is not certain.It has also been suggested that copeptin could be a predictive biomarker to select ADPKD patients who are most likely to benefit from AVP-modifying therapies,but prospective data to validate this assumption are required.In this regard,long-term randomised clinical trials evaluating the effect of prescribed water intake on renal cyst growth may contribute to addressing this hypothesis.In conclusion,although serum copeptin is aligned with the basic pathogenesis of ADPKD,further rigorous studies are needed to define if it will contribute to enabling the delivery of personalised care in ADPKD.
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篇名 Is serum copeptin a modifiable biomarker in autosomal dominant polycystic kidney disease?
来源期刊 世界肾病学杂志:英文版 学科 医学
关键词 POLYCYSTIC KIDNEY DISEASE COPEPTIN BIOMARKER
年,卷(期) 2018,(2) 所属期刊栏目
研究方向 页码范围 51-57
页数 7页 分类号 R
字数 语种
DOI
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研究主题发展历程
节点文献
POLYCYSTIC
KIDNEY
DISEASE
COPEPTIN
BIOMARKER
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研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界肾病学杂志:英文版
不定期
2220-6124
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
35
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0
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0
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