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Human parietal epithelial cells as Trojan horses in albumin overload.

Sci Rep

January 2025

Kidney Histomorphology and Molecular Biology Laboratory, Nephrology Unit, Department of Medicine - DIMED, University of Padua, Via Giustiniani 2, 35128, Padua, Italy.

Parietal Epithelial Cells (PECs) activation and proliferation are common to several distinct forms of glomerulopathies. Due to several stimuli, PECs can change to a progenitor (CD24 and CD133/2) or a pro-sclerotic (CD44) phenotype. In addition, PECs, which are constantly exposed to filtered albumin, are known to be involved in albumin internalization, but how this mechanism occurs is unknown.

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Background: In children, C3 glomerulopathy (C3G) is a heterogeneous disease characterized by diverse clinicopathological profiles and kidney outcomes. However, diagnostic work-up in resource-limited settings is challenging because of the unavailability of complement assays and limited access to electron microscopy or genetic testing.

Purpose: This study aimed to describe the clinicopathological features and response to immunosuppression and evaluate renal outcomes among children with C3G in a resource-limited setting.

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Article Synopsis
  • A study in Romania reviewed 1,254 adults with biopsy-proven glomerulopathies (GP) from 2008 to 2017 to assess changes in frequency and causes for kidney biopsies (KB).
  • The research found that while nephrotic syndrome was a common reason for KB, its occurrence decreased significantly over the decade, with older patients showing more advanced kidney damage and chronic kidney function decline.
  • Additionally, there was a notable increase in cases of diabetic nephropathy and crescentic glomerulonephritis, suggesting changes in diagnostic practices rather than an actual rise in GP prevalence among older adults.
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IgA vasculitis in adult HIV patients is rare and not well understood. Data on treatment of IgA vasculitis associated with HIV is sparse and limited to case reports. Highly active antiretroviral therapy (HAART) is the mainstay therapy for inducing remission.

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  • * Recent research focuses on how these cells interact with the kidney structure and respond to damage, offering potential for new treatment methods.
  • * The review discusses the role of these cells in both healing mechanisms and the development of various kidney disorders, suggesting they can either worsen or improve conditions depending on the context.
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