Abstract
The rising global epidemic of diabetic nephropathy (DN) will likely lead to increase in the prevalence of cardiovascular morbidity and mortality posing a serious burden for public health care. Despite greater understanding of the etiology of diabetes and the development of novel treatment strategies to control blood glucose levels, the prevalence and incidence rate of DN is increasing especially in minority populations including Mexican–Americans. Mexican–Americans with type 2 diabetes (T2DM) are three times more likely to develop microalbuminuria, and four times more likely to develop clinical proteinuria compared to non-Hispanic whites. Furthermore, Mexican–Americans have a sixfold increased risk of developing renal failure secondary to T2DM compared to Caucasians. Prevention and better treatment of DN should be a high priority for both health-care organizations and society at large. Pathogenesis of DN is multi-factorial. Familial clustering of DN-related traits in MAs show that DN and related traits are heritable and that genes play a susceptibility role. While, there has been some progress in identifying genes which when mutated influence an individual’s risk, major gene(s) responsible for DN are yet to be identified. Knowledge of the genetic causes of DN is essential for elucidation of its mechanisms, and for adequate classification, prognosis, and treatment. Self-identification and collaboration among researchers with suitable genomic and clinical data for meta-analyses in Mexican–Americans is critical for progress in replicating/identifying DN risk genes in this population. This paper reviews the approaches and recent efforts made to identify genetic variants contributing to risk for DN and related phenotypes in the Mexican–American population.
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Acknowledgments
This study was supported by Grant-in-Aid from the American Heart Association, Carl W. Gottschalk Research Scholar award from the American Society of Nephrology, Norman S. Coplan award from the Satellite Healthcare, San Antonio Area Foundation, and Diabetes Action Research and Education Foundation. This work was also supported by the grants from the National Institute of Diabetes, Digestive and Kidney Diseases (5U01DK085524), VA-Merit Review and the National Center for Research Resources contracts UL1 RR025767 and KL2 RR025766 for the Institute for Integration of Medicine and Science. This work was also supported in part by the National Center for Advancing Translational Science through UCLA CTSI Grant UL1TR000124 and by the National Institute of Diabetes, Digestive, and Kidney Diseases Grants R01 DK071185 and U01 DK57249.
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Thameem, F., Kawalit, I.A., Adler, S.G. et al. Susceptibility gene search for nephropathy and related traits in Mexican–Americans. Mol Biol Rep 40, 5769–5779 (2013). https://doi.org/10.1007/s11033-013-2680-6
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DOI: https://doi.org/10.1007/s11033-013-2680-6