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From
•>>December 2006
Charles L. Edelstein answers a
few questions about this month's emerging research front in
the field of Clinical Medicine.
Clinical Medicine
Article: Rapamycin markedly slows disease progression in a rat model of polycystic kidney disease
Authors: Tao, YX;Kim, J;Schrier,
RW;Edelstein, CL
J AMER SOC NEPHROL, 16 (1): 46-51 JAN 2005
Univ Colorado, Sch Med, Div Renal Dis & Hypertens, Ctr Hlth Sci, Box C281,4200 E 9th Ave, Denver, CO 80262 USA.
Univ Colorado, Sch Med, Div Renal Dis & Hypertens, Ctr Hlth Sci, Denver, CO 80262 USA.
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Why do you think your paper is
highly cited?
Our
paper is highly cited as it is the first study to demonstrate
a potential therapeutic role for rapamycin (and mTOR
inhibition) in polycystic kidney disease (PKD). Polycystic
means multiple cysts. These cysts grow and multiply over time,
also causing the mass of the kidney to increase. Ultimately,
the diseased kidney shuts down, causing end-stage renal
disease for which dialysis and transplantation are the only
forms of treatment.
Could you summarize the significance of your paper in
laymen’s terms?
PKD is the commonest hereditary life-threatening disease in
the USA. It is more common than cystic fibrosis, muscular
dystrophy, hemophilia, Down syndrome, and sickle cell anemia—combined.
It probably involves more than 600,000 Americans and an
estimated 12.5 million people worldwide—regardless of sex,
age, race, or ethnic origin. As it is such a common disease
and may ultimately lead to end-stage kidney disease and the
need for dialysis and kidney transplantation, there is a large
movement to find a cure for PKD. Rapamycin is a relatively
safe drug and is already FDA-approved for use in
transplantation immunosuppression and certain cancers.
Charles L. Edelstein, M.D., Ph.D., F.A.H.A.
Professor of Medicine
Director, Renal Hypertension Clinic
University of Colorado Health Sciences Center
Denver, CO, USA
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