Document Detail


Localization of extracellular matrix components in congenital nephrotic syndromes.
MedLine Citation:
PMID:  7794706     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
While renal tissue from one fetus and a newborn with congenital nephrotic syndrome, Finnish type (FCNS), showed a normal basement membrane (BM) localization and composition, in another type of congenital nephrotic syndrome, diffuse mesangial sclerosis (DMS), most glomeruli demonstrated a completely disorganized matrix. In the latter, hyalinized glomerular segments were composed of irregular deposits of interstitial collagens I, III, V, and extensive deposits of heparin sulphate proteoglycan (HSPG), while collagen IV and laminin were completely absent in those areas. Apart from these sclerosed glomerular areas, normal capillarly loops revealed a matrix composition that was comparable to normal glomeruli. The additional immunolocalization of various extracellular matrix components during the development of normal human glomeruli revealed some significant age-dependent changes both in the localization of interstitial collagens and BM components: interstitial collagens I and III disappeared after the first S-shaped indentations appeared, while the interstitial collagen V remained along the glomerular BM and within the mesangium. The BM components showed no significant qualitative changes, but quantitative changes, with a post-natal relative decrease in the collagen IV and laminin content when compared with the level of BM-associated HSPG. Our results provide circumstantial evidence that the composition of the extracellular matrix (and in particular of the BM) shows age-dependent quantitative changes which may be associated with functional adaptation processes of the developing kidney. The observed matrix composition in the two different congenital nephrotic syndromes suggests various pathomechanisms which may be located either in the molecular structure of the negatively charged molecules (e.g. abnormal sulphatation of HSPG in FCNS) or in the dysregulated synthesis of various matrix components (DMS).
Authors:
A G Nerlich; I Wiest; E D Schleicher
Related Documents :
8182716 - Microcephaly and congenital nephrotic syndrome owing to diffuse mesangial sclerosis: an...
10202626 - The idiopathic nephrotic syndrome.
20886026 - Pulmonary embolism revealing idiopathic membranous glomerulonephritis.
1153046 - Influence of regional factors in the distribution of the histologic patterns of glomeru...
20578406 - Morgagni hernia with down syndrome: a rare association.
2596506 - A case of cardio-facio-cutaneous syndrome.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric nephrology (Berlin, Germany)     Volume:  9     ISSN:  0931-041X     ISO Abbreviation:  Pediatr. Nephrol.     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-08-03     Completed Date:  1995-08-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8708728     Medline TA:  Pediatr Nephrol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  145-53     Citation Subset:  IM    
Affiliation:
Pathologisches Institut der Universität, München, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Extracellular Matrix / pathology*
Fetus / pathology
Glomerular Mesangium / pathology
Humans
Infant
Infant, Newborn
Middle Aged
Nephrotic Syndrome / congenital*,  pathology*
Sclerosis / pathology

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


Previous Document:  Non-nephrotic children with membranoproliferative glomerulonephritis: are steroids indicated?
Next Document:  Glomerular hyperfiltration increases the risk of developing microalbuminuria in diabetic children.