Role of Mesangial-Podocytic-Tubular Cross-Talk in IgA Nephropathy.

Abstract:

:IgA nephropathy (IgAN), a common primary glomerulonephritis worldwide, is associated with a substantial risk of progression to end-stage renal failure. The disease runs a highly variable clinical course with frequent involvement of tubulointerstitial damage. A subgroup of IgAN with proximal tubular epithelial cells (PTECs) and tubulointerstitial damage often is associated with rapid progression to end-stage renal failure. Human mesangial cell-derived mediators lead to podocyte and tubulointerstitial injury via mesangial-podocytic-tubular cross-talk. Although mesangial-podocytic communication plays a pathogenic role in podocytic injury, the implication of a podocyte-PTEC cross-talk pathway in the progression of tubulointerstitial injury in IgAN should not be underscored. We review the role of mesangial-podocytic-tubular cross-talk in the progression of IgAN. We discuss how podocytopathy in IgAN promotes subsequent PTEC dysfunction and whether tubulointerstitial injury affects the propagation of podocytic injury in IgAN. A thorough understanding of the cross-talk mechanisms among mesangial cells, podocytes, and PTECs may lead to better design of potential therapeutic options for IgAN.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Leung JCK,Lai KN,Tang SCW

doi

10.1016/j.semnephrol.2018.05.018

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

485-495

issue

5

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(18)30080-9

journal_volume

38

pub_type

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