Moreover, while NfL correlates with disease activity and long-term prognosis, it has not yet been validated as a surrogate endpoint in clinical trials, limiting its utility in regulatory routes
doi: 10.3390/livers2010003 37
Clinical Markers for Treatment Effectiveness We watch for signs of success by checking clinical markers
Multiple mechanisms contribute to this close relationship, including 18,19 : Endothelial dysfunction Volume overload and salt retention Overactivity of the sympathetic (fight-or-flight) nervous system Adverse changes in the hormonal regulation of blood pressure Dysfunction of the renin-angiotensin-aldosterone system Ultimately, in people with CKD and diabetes, kidney tissue and blood vessels are much more sensitive to pressure damage than those with uncomplicated mild-to-moderate high blood pressure
Differential gene expression between hypervirulent and carrier strains affects numerous genes, many of which are involved in meningococcal metabolism, highlighting its importance in meningococcal disease, while other genes encode virulence determinants or proteins involved in genome stability and gene regulation ( Table 2 )