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 #
2P50DK096418-06
Application #
9380385
Study Section
Special Emphasis Panel (ZDK1)
Program Officer
Kirkali, Ziya
Project Start
2017-09-15
Project End
2022-08-31
Budget Start
2017-09-15
Budget End
2018-08-31
Support Year
6
Fiscal Year
2017
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
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
Valiente-Alandi, Iñigo; Potter, Sarah J; Salvador, Ane M et al. (2018) Inhibiting Fibronectin Attenuates Fibrosis and Improves Cardiac Function in a Model of Heart Failure. Circulation 138:1236-1252
Jotwani, Vasantha; Katz, Ronit; Ix, Joachim H et al. (2018) Urinary Biomarkers of Kidney Tubular Damage and Risk of Cardiovascular Disease and Mortality in Elders. Am J Kidney Dis 72:205-213
Drake, Keri A; Adam, Mike; Mahoney, Robert et al. (2018) Disruption of Hox9,10,11 function results in cellular level lineage infidelity in the kidney. Sci Rep 8:6306
Forster, Catherine S; Jackson, Elizabeth; Ma, Qing et al. (2018) Predictive ability of NGAL in identifying urinary tract infection in children with neurogenic bladders. Pediatr Nephrol 33:1365-1374
Magella, Bliss; Mahoney, Robert; Adam, Mike et al. (2018) Reduced Abd-B Hox function during kidney development results in lineage infidelity. Dev Biol 438:84-93
Potter, S Steven (2018) Single-cell RNA sequencing for the study of development, physiology and disease. Nat Rev Nephrol 14:479-492
Greenberg, Jason H; Devarajan, Prasad; Thiessen-Philbrook, Heather R et al. (2018) Kidney injury biomarkers 5 years after AKI due to pediatric cardiac surgery. Pediatr Nephrol 33:1069-1077
Benoit, Stefanie Woolridge; Devarajan, Prasad (2018) Acute kidney injury: emerging pharmacotherapies in current clinical trials. Pediatr Nephrol 33:779-787

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