Can Scientists Predict Chronic Kidney Disease Progression with Biological Signals?

Synopsis
Key Takeaways
- Elevated KIM-1 levels indicate higher risks of mortality and kidney failure.
- Study involved 5,465 patients across 16 UK nephrology centers.
- New biomarkers provide insight into biological changes driving CKD.
- Potential for personalized treatment strategies based on individual risks.
- Research published in the American Journal of Nephrology.
New Delhi, Aug 15 (NationPress) A straightforward blood or urine examination may significantly enhance our ability to forecast the progression of chronic kidney disease, as revealed by a recent study conducted on Friday. This research pinpointed crucial biological indicators of the disease.
The researchers from The University of Manchester discovered that elevated levels of Kidney Injury Molecule-1 (KIM-1)—a specific marker indicating kidney damage found in both blood and urine—correlate with increased risks of mortality and kidney failure.
In the previous month, the team evaluated 21 biomarkers in blood and urine that reflect essential processes associated with kidney disease, inflammation, and cardiovascular conditions.
Unlike standard tests frequently employed in kidney clinics, these markers illuminate the biological transformations that fundamentally drive chronic kidney disease (CKD).
This groundbreaking discovery unlocks new avenues for treatment strategies aimed at addressing the disease at its core.
“The trajectory of chronic kidney disease varies greatly among individuals, making it challenging to ascertain which patients will deteriorate to kidney failure or beyond,” stated lead author Dr. Thomas McDonnell from the university.
“Our findings suggest the potential for simple blood or urine tests that could more accurately predict the level of risk—crucial intelligence for both healthcare providers and patients.
“We believe that these models, which are more closely aligned with the fundamental biological changes occurring in chronic kidney disease, could facilitate a more personalized approach to patient care,” McDonnell added.
The study, published in the American Journal of Nephrology, involved analyzing the blood and urine of adults with non-dialysis chronic kidney disease from 16 nephrology centers throughout the UK.
The team examined blood and urine KIM-1 in 2,581 patients for the KIM-1 study. They also investigated 21 markers of kidney damage (identified by the researchers last month), fibrosis, inflammation, and cardiovascular disease in a separate cohort of 2,884 patients.
Employing statistical analysis, the researchers assessed the biological signals associated with kidney failure and mortality, developing risk prediction models.
“This discovery could assist doctors in pinpointing high-risk patients, enabling them to implement more aggressive interventions, earlier specialist referrals, and timely treatment therapies,” McDonnell remarked, noting that “identifying low-risk patients would help prevent unnecessary treatments.”