BONE MORPHOGENETIC PROTEIN-7 – EARLY MARKER OF DIABETIC NEPHROPATHY
Keywords:
Bone morphogenetic protein-7, diabetes mellitus, diabetic nephropathy, glomerular filtration rate, chronic kidney diseaseAbstract
Diabetic nephropathy is kidney damage in diabetes mellitus, manifested by nodular and diffuse glomerulosclerosis and in the terminal stage, chronic renal failure [37]. Diabetic nephropathy is one of the most severe complications of diabetes mellitus, leading to disability and death due to end-stage renal failure [34, 35]. According to statistics, diabetic nephropathy occurs in 20.1% of people with type 1 diabetes mellitus and 6.3% of people with type 2 diabetes mellitus [31]. However, the main pathophysiological mechanisms of the development of diabetic nephropathy are the same in both types of diabetes and are not specific [37]. Moreover, diabetic nephropathy is in third place on the list of causes of death in patients with type 2 diabetes mellitus, after cancer and cardiovascular diseases [31]. In addition, in 50-75% of patients with diabetes mellitus, the cause of death is diabetic nephropathy [13, 33, 40]. The United States spends $1.9 billion annually on treating people with type 1 diabetes, while the cost for people with type 2 diabetes is $15 billion. According to statistics provided by the United States Kidney Donor Data System, almost 520,240 people required dialysis in 2010, half of whom had type 2 diabetes [37].
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