{"id":1090,"date":"2017-05-23T22:37:17","date_gmt":"2017-05-23T22:37:17","guid":{"rendered":"http:\/\/depts.washington.edu\/cfrtc\/?p=1090"},"modified":"2021-04-20T17:20:46","modified_gmt":"2021-04-21T00:20:46","slug":"pilot-12-paragas","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/cfrtc\/pilot-12-paragas\/","title":{"rendered":"Pilot 12 &#8211; Paragas"},"content":{"rendered":"<p>[et_pb_section fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221;][et_pb_fullwidth_slider admin_label=&#8221;Fullwidth Slider&#8221; show_arrows=&#8221;on&#8221; show_pagination=&#8221;on&#8221; auto=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; module_id=&#8221;interior&#8221;][et_pb_slide background_image=&#8221;https:\/\/depts.washington.edu\/cfrtc\/wp-content\/uploads\/2014\/12\/microscope11.jpg&#8221; background_color=&#8221;#ffffff&#8221; alignment=&#8221;center&#8221; background_layout=&#8221;dark&#8221; \/][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section][et_pb_row][et_pb_column type=&#8221;1_4&#8243;][et_pb_sidebar admin_label=&#8221;Pilots Sidebar&#8221; orientation=&#8221;left&#8221; area=&#8221;et_pb_widget_area_7&#8243; background_layout=&#8221;light&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Pilot 12: Identification of Biomarkers for Cystic Fibrosis Associated Nephrotoxicity<\/h1>\n<p><strong>P.I.:<\/strong> <a href=\"https:\/\/nephrology.uw.edu\/faculty\/neal-paragas-phd\">Neal Paragas, PhD<\/a><br \/> Research Assistant Professor,<br \/> Medicine (Nephrology)<\/p>\n<p>There are currently no biomarkers in use that guide the safe use of the powerful and effective therapeutics used in cystic fibrosis (CF). A significant lesion remains in the identification of acute kidney injury, the initiation and progression of kidney disease prior to elevation of standard clinical indicators such as serum creatinine. This project plans to reveal the timing of the novel kidney injury biomarker neutrophil gelatinase associated lipocalin (NGAL) and map the cell specific expression of other novel renal injury biomarkers in response to known nephrotoxic therapeutics used to treat related cystic fibrosis illnesses. Early identification of nephrotoxic stress which ultimately leads to dysregulation and activation of injury pathways will inform the clinician in therapeutic dosing strategies and identify which therapeutics to use because of heterogeneous sensitivities. To illuminate this process of hidden renal injury to the commonly used aminoglycoside antibiotic gentamicin: (i) use a non-invasive animal model to test the dose responsiveness and sensitivity of the NGAL-reporter mouse; (ii) use of a tissue specific RNA-isolation system to identify pathways and novel secreted molecules for biomarker development. Additionally, this system will also significantly reduce animal usage and time of experimentation because it utilizes optical imaging and RNA-isolation technologies that inherently require less animal usage. Ultimately, defining early stages of nephrotoxic stress in CF patients is of great significance to the millions of children who suffer from CF related diseases and require a lifetime of exposure to potentially nephrotoxic therapies.<\/p>\n<p>\u00a0<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pilot 12: Identification of Biomarkers for Cystic Fibrosis Associated Nephrotoxicity<\/p>\n<p>P.I.:  \tNeal Paragas, PhD<br \/>\n\tResearch Assistant Professor,<br \/>\n\tMedicine (Nephrology)<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>P.I.: <a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/steven-e-kahn-m-b-ch-b\/\" target=\"_blank\">Steven Kahn, MB, ChB<\/a><br \/> Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p><a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/kristina-utzschneider-m-d\/\" target=\"_blank\">Kristina Utzschneider, MD<\/a><br \/> Associate Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p>With the increased life expectancy of patients with cystic fibrosis (CF), other co-morbidities have become apparent in these patients. One of these is abnormal glucose metabolism, where CF-related diabetes (CFRD) is common. More recently, another abnormality of glucose metabolism has been recognized; namely late hypoglycemia following oral glucose loading. In this study, we propose to test the hypothesis that the post-glucose load hypoglycemia observed in patients with CF results from a deficient counterregulatory hormone response and\/or an insulin response that is exaggerated and delayed. This increased insulin response could be the result of an exaggerated incretin hormone response or altered gastric emptying. To address this hypothesis, we will perform a 3-hour oral glucose tolerance test during which we will measure counterregulatory, islet and incretin hormone responses and determine the rate of gastric emptying using acetaminophen. To determine whether patients with CF and late hypoglycemia also have episodes of hypoglycemia during daily living that includes mixed meals, we will use a continuous glucose monitoring system (CGMS) to examine 24-hour glucose profiles for 3 days. All these measures will be compared between patients with CF who develop late hypoglycemia, CF patients who do not develop hypoglycemia, and age and body mass index-matched healthy controls. The findings from this study will provide important new information regarding the mechanism(s) responsible for the late hypoglycemia observed in patients with CF and the data could be used as the basis for future grant applications. The ultimate goal is to gain insight into the condition of late hypoglycemia in order to better manage patients with CF.<\/p>","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[12],"tags":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1090"}],"collection":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/comments?post=1090"}],"version-history":[{"count":7,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1090\/revisions"}],"predecessor-version":[{"id":1092,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1090\/revisions\/1092"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/media?parent=1090"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/categories?post=1090"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/tags?post=1090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}