Document Detail


Lipoprotein glomerulopathy-like disease in a patient with type III hyperlipoproteinemia due to apolipoprotein E2 (Arg158 Cys)/3 heterozygosity.
MedLine Citation:
PMID:  17593519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 77-year-old woman developed nephrotic syndrome associated with type III hyperlipoproteinemia (III HLP) and increased apolipoprotein E (apo E). Apo E analysis disclosed E2/E3 heterozygosity in phenotypic and genotypic expressions, without any other mutations. A renal biopsy showed intraluminal and subendothelial thrombus-like deposits in the dilated capillary loops of the glomerulus that stained positive for lipids and apo E. Electron microscopy revealed tiny granular particles in the capillary lumina, as well as between the glomerular basement membrane and the endothelial cells. It was therefore concluded that III HLP associated with apo E2/E3 heterozygosity could induce lipoprotein glomerulopathy-like disease and nephrotic syndrome.
Authors:
Miho Karube; Kimimasa Nakabayashi; Yasunori Fujioka; Ken Yoshihara; Akira Yamada; Akira Matsunaga; Takao Saito
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2007-06-28
Journal Detail:
Title:  Clinical and experimental nephrology     Volume:  11     ISSN:  1342-1751     ISO Abbreviation:  Clin. Exp. Nephrol.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-26     Completed Date:  2007-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9709923     Medline TA:  Clin Exp Nephrol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  174-9     Citation Subset:  IM    
Affiliation:
Division of Nephrology and Rheumatology, First Department of Internal Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-0061, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Apolipoprotein E2 / genetics*,  metabolism
Female
Gene Expression Regulation
Heterozygote*
Humans
Hyperlipoproteinemia Type III / complications*,  genetics
Kidney Glomerulus / metabolism,  pathology
Nephrotic Syndrome / diagnosis,  genetics*
Chemical
Reg. No./Substance:
0/Apolipoprotein E2

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


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