Symmetric dimethylarginine: a novel renal biomarker

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dc.contributor.author Guess, Sarah Crilly
dc.date.accessioned 2016-04-27T14:09:44Z
dc.date.available 2016-04-27T14:09:44Z
dc.date.issued 2016-05-01 en_US
dc.identifier.uri http://hdl.handle.net/2097/32690
dc.description.abstract Chronic kidney disease (CKD) is a potentially life-threatening disease that reportedly affects 10% of dogs and 30% of cats over the age of 15. There is no cure available for CKD, but medical management is available for patients with this disease. Research has focused on earlier detection of CKD with the goal of instituting medical management and monitoring as early in the disease course as possible. Symmetric dimethylarginine (SDMA) has recently emerged as a novel renal excretory biomarker that may aid in early detection of CKD in cats and dogs. SDMA is non-protein bound and is freely filtered by the glomerulus, is not secreted or reabsorbed, and has greater than 90% excretion by the kidneys, making it a potential target for measurement of glomerular filtration rate (GFR). Previous studies have demonstrated a close parallel between SDMA and serum creatinine (sCr), which is the currently favored serum biomarker for assessment of GFR. Research has also demonstrated a correlation between SDMA and GFR. Serum concentrations of SDMA increase above normal when GFR is decreased by 25-40%; much earlier than the 75% decrease in GFR typically required for sCr to increase above its reference interval. The studies reported here demonstrate a potential use for the SDMA:sCr ratio as a predictor of volume responsive azotemia. Furthermore, longitudinal assessment of older dogs and cats for early detection of CKD showed that SDMA was a more sensitive indicator of CKD than sCr. The evaluation of SDMA reported in this thesis presents a novel perspective on SDMA and its use clinically. en_US
dc.description.sponsorship Idexx Laboratories en_US
dc.language.iso en_US en_US
dc.publisher Kansas State University en
dc.subject Symmetric Dimethylarginine en_US
dc.subject Chronic Kidney Disease en_US
dc.subject Renal Excretory Biomarker en_US
dc.subject Veterinary en_US
dc.title Symmetric dimethylarginine: a novel renal biomarker en_US
dc.type Thesis en_US
dc.description.degree Master of Science en_US
dc.description.level Masters en_US
dc.description.department Biomedical Sciences en_US
dc.description.advisor Gregory F. Grauer en_US
dc.date.published 2016 en_US
dc.date.graduationmonth May en_US


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