Adenine levels in urine identified as a predictive and causative biomarker for diabetic kidney disease

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Study Identifies Urine Adenine as Predictive Biomarker for Kidney Failure in Diabetes Patients

Researchers from The University of Texas Health Science Center at San Antonio have made a groundbreaking discovery that could revolutionize the way kidney failure is diagnosed and treated in patients with diabetes. Their study, published in the Journal of Clinical Investigation, found that elevated levels of adenine in urine can predict and even cause progressive kidney failure in diabetic patients.

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This finding is significant because current markers for kidney disease, such as protein in urine, may not always be present in patients with diabetes. As a result, many patients may not realize they are at risk until the disease has progressed significantly. The study identified adenine as a new causative marker for kidney failure, allowing for earlier diagnosis and intervention.

The researchers also discovered a small molecule that can block the production of adenine in the body, reducing kidney adenine levels in mice with type 2 diabetes. This therapeutic drug showed promising results in protecting against diabetic kidney disease without affecting blood sugar levels.

The study involved over 1,200 patients with diabetes from diverse populations, confirming the association between high urine adenine levels and an increased risk of kidney failure. The researchers used advanced techniques to map the distribution of adenine and other metabolites in kidney tissues, providing valuable insights into the mechanisms of kidney injury in diabetic patients.

Lead researcher Dr. Kumar Sharma emphasized the importance of early detection and treatment for diabetic kidney disease, as the current treatments only delay the progression of the disease. By targeting adenine and kidney scarring with new therapies, the researchers hope to prevent or slow down the development of kidney failure in diabetic patients.

This groundbreaking research has the potential to change the way diabetic kidney disease is managed, offering hope for improved outcomes and quality of life for millions of patients with diabetes.

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