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Journal of The American Society of Nephrology最新文献

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mRNA Modification and Mechanisms of Kidney Fibrosis. mRNA 的改变和肾脏纤维化的机制。
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-21 DOI: 10.1681/ASN.0000000000000474
Midori Sakashita, Reiko Inagi
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引用次数: 0
Navigating Renin-Angiotensin System Inhibitors in Patients with Declines in eGFR. 引导 eGFR 下降患者使用肾素-血管紧张素系统抑制剂。
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-13 DOI: 10.1681/ASN.0000000000000470
Rachel Shulman, Jordana B Cohen
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引用次数: 0
Integrity of the Glomerular Filtration Barrier: The Impact of Adhesion G-Protein-Coupled Receptor F5 on Glomerular Endothelial Cells. 肾小球滤过屏障的完整性:粘附 G 蛋白偶联受体 F5 对肾小球内皮细胞的影响
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-29 DOI: 10.1681/ASN.0000000000000479
Ubong S Ekperikpe, Ilse S Daehn
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引用次数: 0
Patient, Nurse, and Physician Perspectives on Personalized, Incremental Hemodialysis. 患者、护士和医生对个性化增量血液透析的看法。
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-12 DOI: 10.1681/ASN.0000000000000467
Glenda V Roberts, Nichole M Jefferson, Rossella Picillo, Massimo Torreggiani, Giorgina B Piccoli, David A Jaques, Vandana D Niyyar, Janice Lea, Maud Hercé, Isabelle Heude, Julie Rouleau, Aurélie Livet, Fabienne Ribot, Célia Pernet, Paul T Conway, Mariana Murea
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引用次数: 0
Natural History and Clinicopathological Associations of TRPC6-Associated Podocytopathy. TRPC6相关荚膜细胞病的自然史和临床病理关联
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 DOI: 10.1681/ASN.0000000501
Benjamin Wooden, Andrew Beenken, Elena Martinelli, Ken Saida, Andrea L Knob, Juntao Ke, Isabella Pisani, Gina Jin, Brandon Lane, Adele Mitrotti, Elizabeth Colby, Tze Y Lim, Francesca Guglielmi, Amy J Osborne, Dina F Ahram, Chen Wang, Farid Armand, Francesca Zanoni, Andrew S Bomback, Marco Delsante, Gerald B Appel, Massimo R A Ferrari, Jeremiah Martino, Sunil Sahdeo, David Breckenridge, Slavé Petrovski, Dirk S Paul, Gentzon Hall, Riccardo Magistroni, Corrado Murtas, Sandro Feriozzi, Teresa Rampino, Pasquale Esposito, Margaret E Helmuth, Matthew G Sampson, Matthias Kretzler, Krzysztof Kiryluk, Shirlee Shril, Loreto Gesualdo, Umberto Maggiore, Enrico Fiaccadori, Rasheed Gbadegesin, Dominick Santoriello, Vivette D D'Agati, Moin A Saleem, Ali G Gharavi, Friedhelm Hildebrandt, Martin R Pollak, David B Goldstein, Simone Sanna-Cherchi

Background: Understanding the genetic basis of human diseases has become integral to drug development and precision medicine. Recent advancements have enabled the identification of molecular pathways driving diseases, leading to targeted treatment strategies. The increasing investment in rare diseases by the biotech industry underscores the importance of genetic evidence in drug discovery and approval processes. Here we studied a monogenic Mendelian kidney disease, TRPC6-associated podocytopathy (TRPC6-AP), to present its natural history, genetic spectrum, and clinicopathological associations in a large cohort of patients with causal variants in TRPC6, in order to help define the specific features of disease and further facilitate drug development and clinical trials design.

Methods: the study involved 64 individuals from 39 families with TRPC6 causal missense variants. Clinical data, including age of onset, laboratory results, response to treatment, kidney biopsy findings, and genetic information, were collected from multiple centers nationally and internationally. Exome or targeted sequencing was performed and variant classification was based on strict criteria. Structural and functional analyses of TRPC6 variants were conducted to understand their impact on protein function. In depth re-analysis of light and electron microscopy specimens for 9 available kidney biopsies was conducted to identify pathological features and correlates of TRPC6-AP.

Results: Large-scale sequencing data did not support causality for TRPC6 protein-truncating variants. We identified 21 unique TRPC6 missense variants, clustering in three distinct regions of the protein, and with different effects on TRPC6 3D protein structure. Kidney biopsy analysis revealed FSGS patterns of injury in most cases, along with distinctive podocyte features including diffuse foot process effacement and swollen cell bodies. The majority of patients presented in adolescence or early adulthood but with ample variation (average 22, SD ± 14 years), with frequent progression to kidney failure but with variability in time between presentation and ESKD.

Conclusions: This study provides insights into the genetic spectrum, clinicopathological associations, and natural history of TRPC6-AP.

背景:了解人类疾病的遗传基础已成为药物开发和精准医疗不可或缺的一部分。最近的研究进展使人们能够确定驱动疾病的分子通路,从而制定有针对性的治疗策略。生物技术行业对罕见病的投资不断增加,这凸显了基因证据在药物发现和审批过程中的重要性。在此,我们研究了一种单基因孟德尔肾病--TRPC6相关荚膜细胞病(TRPC6-AP),在一大批TRPC6因果变异患者中展示其自然史、遗传谱和临床病理关联,以帮助明确疾病的具体特征,进一步促进药物开发和临床试验设计。从国内外多个中心收集了临床数据,包括发病年龄、实验室结果、治疗反应、肾活检结果和遗传信息。进行了外显子组或靶向测序,并根据严格的标准进行了变异分类。对 TRPC6 变体进行了结构和功能分析,以了解它们对蛋白质功能的影响。对 9 例肾脏活检的光镜和电子显微镜标本进行了深入的再分析,以确定 TRPC6-AP 的病理特征和相关性:大规模测序数据不支持TRPC6蛋白截断变异的因果关系。我们发现了21个独特的TRPC6错义变异,它们聚集在蛋白质的三个不同区域,对TRPC6三维蛋白质结构有不同的影响。肾活检分析表明,大多数病例都存在 FSGS 损伤模式,荚膜细胞特征明显,包括弥漫性足突脱出和细胞体肿胀。大多数患者在青春期或成年早期发病,但变化很大(平均 22 岁,SD ± 14 岁),经常发展为肾衰竭,但发病与 ESKD 之间的时间存在差异:本研究有助于深入了解 TRPC6-AP 的遗传谱、临床病理关联和自然史。
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引用次数: 0
Effects of Zibotentan Alone and in Combination with Dapagliflozin on Fluid Retention in Patients with CKD. 齐博坦单药及与达帕格列净联合用药对慢性肾脏病患者体液潴留的影响
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-07-12 DOI: 10.1681/ASN.0000000000000436
J David Smeijer, Victor S Wasehuus, Neeraj Dhaun, José Luis Górriz, Maria José Soler, Magnus Åstrand, Anne-Kristina Mercier, Peter J Greasley, Phil Ambery, Hiddo J L Heerspink
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引用次数: 0
Utility of Urinary CD4+ T-Cell Count in Detecting ANCA-Associated Vasculitis Renal Relapse. 尿液 CD4+ T 细胞计数在检测 ANCA 相关性血管炎肾复发中的作用
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-06-06 DOI: 10.1681/ASN.0000000000000407
Romain Brousse, Idris Boudhabhay, Jean-Paul Duong Van Huyen, Alexandre Karras
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引用次数: 0
Estimated Effect of Restarting Renin-Angiotensin System Inhibitors after Discontinuation on Kidney Outcomes and Mortality. 停用肾素-血管紧张素系统抑制剂后重新开始使用对肾脏预后和死亡率的影响估计。
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 10.1681/ASN.0000000000000425
Koki Hattori, Yusuke Sakaguchi, Tatsufumi Oka, Yuta Asahina, Takayuki Kawaoka, Yohei Doi, Nobuhiro Hashimoto, Yasuo Kusunoki, Satoko Yamamoto, Masafumi Yamato, Ryohei Yamamoto, Isao Matsui, Masayuki Mizui, Jun-Ya Kaimori, Yoshitaka Isaka
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引用次数: 0
Potassium-Alkali-Enriched Diet, Hypertension, and Proteinuria following Uninephrectomy. 高钾高碱饮食、高血压和单肾切除术后的蛋白尿
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-06-24 DOI: 10.1681/ASN.0000000000000420
Donna L Ralph, Darren Ha, Hillmin Lei, Taylor S Priver, Scotti D Smith, Brandon E McFarlin, Seth Schwindt, Drishti Pandya, Hermann Koepsell, Nuria M Pastor-Soler, Aurelie Edwards, Alicia A McDonough
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引用次数: 0
Endothelin Receptor Antagonists Plus Sodium-Glucose Cotransporter 2 Inhibitors: Poster Child for a New ERA of Combination Therapies? 内皮素受体拮抗剂加葡萄糖钠转运体 2 抑制剂:联合疗法新纪元的 "海报儿童"?
IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2024-10-01 Epub Date: 2024-09-04 DOI: 10.1681/ASN.0000000000000487
Christine P Limonte, Ian H de Boer
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引用次数: 0
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Journal of The American Society of Nephrology
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