Document Detail


Expression of nephrin, podocin and a-actinine-4 in renal tissue of patients with proteinuria
MedLine Citation:
PMID:  19936002     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Slit diaphragm and/or podocyte's cytoskeleton alterations are related to proteinuria and nephrotic syndrome. In our population, focal and segmental glomerulosclerosis causing nephrotic syndrome is the more frequent biopsy demonstrated glomerulopathy. Our aim was search for alterations in some slit diaphragm-associated proteins in patients with nephrotic range proteinuria. METHODS: Renal tissue from 40 patients with nephrotic range proteinuria, 10 patients with non-nephrotic proteinuria, 3 with isolated hematuria, and 10 samples of normal renal tissue (deceased donors) were studied, by indirect immunofluorescence, for expression of nephrin, podocin, and alpha-actinin-4. RESULTS: Expression of these proteins was lineal, homogeneous, in the glomerular capillary walls in normal renal tissue and in patients with isolated hematuria. In nephrotic proteinuria this normal appearance was altered and immunostaining showed a fine granular appearance. In 18 cases (45%) of patients with nephrotic proteinuria and 3 cases (30%) of patients with non-nephrotic proteinuria there was loss of at least one of these proteins (p = 0.49). These alterations were found in the diverse glomerulopathies more frequently causing nephrotic syndrome. CONCLUSIONS: In nephrotic range proteinuria redistribution or loss of expression of slit diaphragm-associated proteins is very frequent. In many of our cases this fact could be more a consequence than a cause of proteinuria. These alterations can be also evidenced in patients with non-nephrotic proteinuria.
Authors:
L F Arias; B E Vieco; A A Arteta
Publication Detail:
Type:  English Abstract; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nefrolog??a : publicaci??n oficial de la Sociedad Espa??ola Nefrologia     Volume:  29     ISSN:  0211-6995     ISO Abbreviation:  Nefrologia     Publication Date:  2009  
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301215     Medline TA:  Nefrologia     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  569-75     Citation Subset:  IM    
Affiliation:
Departamento de Patolog??a, Universidad de Antioquia, Medell??n, Colombia. luisfer_uda@yahoo.com
Vernacular Title:
Expresi??n de nefrina, podocina y alpha-actinina-4 en tejido renal de pacientes con proteinuria.
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MeSH Terms
Descriptor/Qualifier:
Actinin / analysis,  biosynthesis*
Adolescent
Adult
Aged
Aged, 80 and over
Biopsy
Child
Child, Preschool
Female
Humans
Infant
Intracellular Signaling Peptides and Proteins / analysis
Kidney / chemistry,  metabolism*,  pathology
Male
Membrane Proteins / analysis,  biosynthesis*
Middle Aged
Proteinuria / metabolism*
Young Adult
Chemical
Reg. No./Substance:
0/ACTN4 protein, human; 0/Intracellular Signaling Peptides and Proteins; 0/Membrane Proteins; 0/NPHS2 protein; 0/nephrin; 11003-00-2/Actinin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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