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Abstract Type 2 diabetes mellitus (T2DM) and hypertension are the common chronic diseases which mainly associated to the development and progression of end - stage renal disease (ESRD) leading to morbidity and mortality. A genetic susceptibility to ESRD may be relate d to T2DM and hypertension. Gene polymorphisms associated with the renin angiotensin aldosterone system (RAAS) were broadly inspected in patients with diabetic nephropathy (DN). All components of the systemic RAAS are also present in local (tissue) RAAS, and for example in the kidneys, the local effects accelerate the progression of renal disease .Data suggest that the activation of intrarenal angiotensinogen (AGT) production plays an important role in the development of DN. Urinary AGT was proposed as a p ossible early marker of DN, as it reflects intra - renal RAAS status in chronic glomerulonephritis |