Program Director/Principal Investigator (Last, First, Middle): Devarajan, Prasad PROJECT SUMMARY (See instructions): In response to RFA-DK-16-032, our overall goal is to renew the highly successful CCHMC PCEN, which in the past 4 years has yielded 88 peer-reviewed manuscripts, 15 new grants funded, and 8 new patent applications with 4 final patents issued. The overarching theme of the CCHMC PCEN is to conduct innovative and high-impact bench-to-bedside studies on three critical but underserved pediatric kidney diseases. For the renewal, we are retaining acute kidney injury and lupus nephritis as focus areas from the current PCEN, and adding a new focus area of kidney fibrosis.
The specific aims i nclude: (1) to attract outstanding expertise into the study of critical but underserved pediatric kidney diseases, (2) to foster multidisciplinary approaches to the study of critical but underserved pediatric kidney diseases, (3) to provide high-resource Biomedical Research Cores to support the study of critical but underserved pediatric kidney diseases, and (4) to support novel exploratory pilot studies that will form the basis for future investigator- initiated applications. Three Primary Research Projects are proposed in each of the three focus areas, from recognized teams of interdisciplinary investigators with a portfolio of about 100 federal grants. Also included are high-resource Gene Expression, Proteomics, Biomarker, and Administrative Cores with PIs of international repute to support the study of the three focus areas. Evidence for the critical need for the proposed Cores to complete the objectives of the proposed Primary and Pilot research grants is provided. The four proposed Pilot and Feasibility Projects represent multidisciplinary studies from highly promising young investigators who have been strategically paired with senior investigators to mentor their career development via independent investigator-initiated applications. Evidence for strong support from institutional leadership, institutional CTSA, and the Nephrology T32 Training Grant is provided. The PCEN includes a Research Base of 15 investigators, and an overall direct cost request of $750,000 annually. Other strengths include the CCHMC Pediatric Nephrology Division, with tremendous breadth and depth of clinical volume, resources, and research funding, and with a proven track record ofcollaborations in the three focus areas. the application. Do not use suffixes such as 4a, 4b.

Public Health Relevance

Pediatric kidney diseases due to acute kidney injury, kidney fibrosis, and lupus nephritis contribute to an enormous major impact on the U.S. public health and a major financial burden. The Pediatric Center of Excellence in Nephrology at CCHMC will bring together experts from multiple facets of science and medicine to focus their energies on these three disease states to change their dismal outcomes.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Specialized Center (P50)
Project #
5P50DK096418-09
Application #
10018852
Study Section
Special Emphasis Panel (ZDK1)
Program Officer
Kirkali, Ziya
Project Start
2017-09-15
Project End
2022-08-31
Budget Start
2020-09-01
Budget End
2021-08-31
Support Year
9
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Cincinnati Children's Hospital Medical Center
Department
Type
DUNS #
071284913
City
Cincinnati
State
OH
Country
United States
Zip Code
45229
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Chihanga, Tafadzwa; Ma, Qing; Nicholson, Jenna D et al. (2018) NMR spectroscopy and electron microscopy identification of metabolic and ultrastructural changes to the kidney following ischemia-reperfusion injury. Am J Physiol Renal Physiol 314:F154-F166
Greenberg, Jason H; Zappitelli, Michael; Jia, Yaqi et al. (2018) Biomarkers of AKI Progression after Pediatric Cardiac Surgery. J Am Soc Nephrol 29:1549-1556
Volovelsky, Oded; Gist, Katja M; Terrell, Tara C et al. (2018) Early postoperative measurement of fibroblast growth factor 23 predicts severe acute kidney injury in infants after cardiac surgery?. Clin Nephrol 90:165-171
Gist, Katja M; Cooper, David S; Wrona, Julia et al. (2018) Acute Kidney Injury Biomarkers Predict an Increase in Serum Milrinone Concentration Earlier Than Serum Creatinine-Defined Acute Kidney Injury in Infants After Cardiac Surgery. Ther Drug Monit 40:186-194
Bennett, Michael R; Pyles, Olivia; Ma, Qing et al. (2018) Preoperative levels of urinary uromodulin predict acute kidney injury after pediatric cardiopulmonary bypass surgery. Pediatr Nephrol 33:521-526
Albert, Christian; Albert, Annemarie; Bellomo, Rinaldo et al. (2018) Urinary neutrophil gelatinase-associated lipocalin-guided risk assessment for major adverse kidney events after open-heart surgery. Biomark Med 12:975-985
Basu, Rajit K; Kaddourah, Ahmad; Goldstein, Stuart L et al. (2018) Assessment of a renal angina index for prediction of severe acute kidney injury in critically ill children: a multicentre, multinational, prospective observational study. Lancet Child Adolesc Health 2:112-120
Jotwani, Vasantha; Scherzer, Rebecca; Glidden, David V et al. (2018) Pre-exposure Prophylaxis With Tenofovir Disoproxil Fumarate/Emtricitabine and Kidney Tubular Dysfunction in HIV-Uninfected Individuals. J Acquir Immune Defic Syndr 78:169-174

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