Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29971205
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Kidney+Res+Clin+Pract
2018 ; 37
(2
): 106-111
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Pathology identifies glomerular treatment targets in diabetic nephropathy
#MMPMID29971205
Alpers CE
; Hudkins KL
Kidney Res Clin Pract
2018[Jun]; 37
(2
): 106-111
PMID29971205
show ga
The development of the glomerular injury in diabetic nephropathy involves
interactions between podocytes, endothelium, and the mesangium. Loss of podocytes
is an early and critical step in the development of diabetic nephropathy, and
analysis of structural lesions within the mesangium such as mesangiolysis
implicate the loss of podocytes as a key mediating event. The BTBR ob/ob mouse
has proved a useful tool to demonstrate that restoration of podocyte density,
once thought to be an absolute barrier to glomerular repair, can be achieved with
replacement of the hormone leptin that is constitutively absent in these mice.
Restoration of podocyte density is associated with reversal of the structural
lesions of morphologically advanced diabetic glomerular injury in this model.
This finding, in conjunction with the demonstration in human diabetic patients
with morphologically advanced diabetic nephropathy and with long-standing
functioning pancreatic transplants of ten years duration that their diabetic
nephropathy can be reversed, suggests that restoration of podocyte number and
density is an appropriate target for the development of new therapeutics for
diabetic nephropathy.