Progression of chronic renal failure in focal segmental glomerulosclerosis: consequence of podocyte damage or of tubulointerstitial fibrosis?

被引:24
作者
Kriz, W [1 ]
机构
[1] Inst Anat & Zellbiol 1, D-69120 Heidelberg, Germany
关键词
pathway to nephron degeneration; protein leakage as an effector of progression; atubular glomeruli; beneficial effects of ACE inhibitors;
D O I
10.1007/s00467-003-1172-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The decline in renal function in chronic renal failure is based on the progressive loss of viable nephrons. The pathways to nephron loss in conjunction with chronic renal disease generally start in the glomerulus, extending onto the tubulointerstitium via the urinary pole. Pathways to nephron degeneration starting focally in the tubulointerstitium have yet to be described. The deleterious effects of protein leakage on progression appear to be a result of podocyte damage, the beneficial effects of ACE inhibitors a result of podocyte protection.
引用
收藏
页码:617 / 622
页数:6
相关论文
共 53 条
[1]   Proximal tubular cells promote fibrogenesis by TGF-β1-mediated induction of peritubular myofibroblasts [J].
Abbate, M ;
Zoja, C ;
Rottoli, D ;
Corna, D ;
Tomasoni, S ;
Remuzzi, G .
KIDNEY INTERNATIONAL, 2002, 61 (06) :2066-2077
[2]   Proteinuria as a mediator of tubulointerstitial injury [J].
Abbate, M ;
Remuzzi, G .
KIDNEY & BLOOD PRESSURE RESEARCH, 1999, 22 (1-2) :37-46
[3]  
Anderson Sharon, 1995, P1553
[4]   Antibody-induced albuminuria and accelerated focal glomerulosclerosis in the Thy-1.1 transgenic mouse [J].
Assmann, KJM ;
van Son, JPHF ;
Dïjkman, HBPM ;
Mentzel, S ;
Wetzels, JFM .
KIDNEY INTERNATIONAL, 2002, 62 (01) :116-126
[5]   Combined effects of an angiotensin converting enzyme inhibitor and a calcium antagonist on renal injury [J].
Bakris, GL ;
Griffin, KA ;
Picken, MM ;
Bidani, AK .
JOURNAL OF HYPERTENSION, 1997, 15 (10) :1181-1185
[6]   How glomerular extracapillary proliferation might lead to loss of renal function: Light microscopic and immunohistochemical investigation [J].
Bertani, T ;
Mazzucco, G ;
Monga, G .
NEPHRON, 2002, 91 (01) :74-78
[7]   ULTRASTRUCTURAL-LOCALIZATION OF ANIONIC AND CATIONIC FERRITIN IN THE RAT GLOMERULAR BASEMENT-MEMBRANE IN PROTEIN-OVERLOAD PROTEINURIA [J].
BLISS, DJ ;
BREWER, DB .
JOURNAL OF PATHOLOGY, 1984, 143 (01) :57-68
[8]   CORRELATIONS BETWEEN RELATIVE INTERSTITIAL VOLUME OF RENAL CORTEX AND SERUM CREATININE CONCENTRATION IN MINIMAL CHANGES WITH NEPHROTIC SYNDROME AND IN FOCAL SCLEROSING GLOMERULONEPHRITIS [J].
BOHLE, A ;
GLOMB, D ;
GRUND, KE ;
MACKENSEN, S .
VIRCHOWS ARCHIV A-PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY, 1977, 376 (03) :221-232
[9]   The role of proteinuria in the progression of chronic renal failure [J].
Burton, C ;
Harris, KPG .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1996, 27 (06) :765-775
[10]   AGE-RELATED GLOMERULAR SCLEROSIS - BASE-LINE VALUES IN HONG-KONG [J].
CHAN, KW ;
LEUNG, CY ;
CHAN, CW .
PATHOLOGY, 1990, 22 (04) :177-180