Proteinuria is a cardinal sign of kidney disease, a prognosticmarker, and an independent risk factor for cardiovascular disease.It is the earliest sign of renal complications of diabetes,obesity, and the metabolic syndrome. Therapy to reduce or preventproteinuria is therefore highly desirable. Several advances1,2,3,4,5have helped to refine the targets for such therapy, and —as the recent study by Faul and colleagues1 shows — theseadvances have delivered some surprises.
Proteinuria occurs when the permeability of the glomerular capillarywall is increased. This increase may occur because of inflammatoryinjury in systemic autoimmune diseases such as lupus . . . [Full Text of this Article]
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From the Academic Renal Unit, University of Bristol and Southmead Hospital — both in Bristol, United Kingdom.
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