Pathogenesis of nonimmune glomeralopathies

Christopher Kwoh, M. Brendan Shannon, Jeffrey H. Miner, Audrey Shaw

Research output: Contribution to journalReview articlepeer-review

52 Scopus citations

Abstract

Nonimmune glomerulopathies are an area of significant research. This review discusses the development of focal segmental glomerulosclerosis, with particular attention to the role of the podocyte in the initiation of glomerulosclerosis and the contribution to glomerulosclerosis from capillary hypertension and soluble factors such as transforming growth factor beta, platelet-derived growth factor, vascular e1dothelial growth factor, and angiotensin. The effects of these factors on endothelial and mesangial cells are also discussed. In addition, we review our current understanding of the slit diaphragm (a specialized cell junction found in the kidney), slit diaphragm-associated proteins (including nephrin, podocin, α-actinin-4, CD2-associated protein, and transient receptor potential channel 6), and the role of these proteins in glomerular disease. We also discuss the most recent research on the pathogenesis of collapsing glomerulosclerosis, human immunodeficiency virus associated nephropathy, Denys-Drash, diabetic nephropathy, Alport syndrome, and other diseases related to the interaction between the podocyte and the glomerular basement membrane.

Original languageEnglish
Pages (from-to)349-374
Number of pages26
JournalAnnual Review of Pathology
Volume1
DOIs
StatePublished - Jan 1 2006

Keywords

  • Alport syndrome
  • Glomerular basement membrane
  • Glomerulosclerosis
  • Podocyte
  • Slit diaphragm

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