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The Gut-Kidney Axis and Effect on GFR. 肠肾轴及其对GFR的影响。
IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-17 DOI: 10.1681/ASN.0000000935
Nordin M J Hanssen, Daniël H van Raalte
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引用次数: 0
Novel Biomarkers in CKD. CKD的新生物标志物。
IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2026-01-01 Epub Date: 2025-09-05 DOI: 10.1681/ASN.0000000846
Bo Liang, Fu-Rong Li, Liang Liu, Jing-Hong Zhao
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引用次数: 0
Toward the Clinical Translation of Adipose-Derived Mesenchymal Stem Cells: Small Molecule Regulation of Thrombomodulin Enhances Therapeutic Efficacy. 脂肪源性间充质干细胞的临床转化:血栓调节素的小分子调控提高了治疗效果。
IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI: 10.1681/ASN.0000000965
Ian Michael Rogers, Anupama Bhadwal
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引用次数: 0
The Quest for a Urea Sorbent: From Frustration, to Failure, to the KidneyX Prize. 尿素吸附剂的探索:从挫折到失败,再到肾脏奖。
IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2026-01-01 Epub Date: 2025-06-13 DOI: 10.1681/ASN.0000000791
Stephen Richard Ash
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引用次数: 0
Recognizing Impact of SGLT2 Inhibitor Therapy on Quality of Life for Patients Living with CKD. 认识SGLT2抑制剂治疗对CKD患者生活质量的影响。
IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI: 10.1681/ASN.0000000952
Kerri L Cavanaugh, Devika Nair
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引用次数: 0
Molecular Signatures as Guide to Kidney Prognosis in ANCA-Associated Vasculitis. 分子特征对anca相关性血管炎肾脏预后的指导作用。
IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-25 DOI: 10.1681/ASN.0000000944
Nina Visočnik, Andreas Kronbichler
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引用次数: 0
Modulation of the APOM/S1PR4 Pathway Reduces Podocyte Lipid Overload in Alport Syndrome via Distinct Autophagy and Efflux Mechanisms. APOM/S1PR4通路的调节通过不同的自噬和外排机制减少Alport综合征足细胞脂质过载
IF 13.6 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2025-12-31 DOI: 10.1681/asn.0000000996
Matthew Tolerico,Arianna Insenga,Judith Molina,Arianna Carrazco,Rachel Njeim,Alexis Sloan,Anthony Griswold,Makoto Kurano,Armando Mendez,Robin Nathans,Robin Bolek,Sandrine Ettou,Stephen Berasi,Alessia Fornoni,Sandra Merscher
BACKGROUNDRenal lipid dysmetabolism contributes to glomerular disease progression, including Alport Syndrome. We recently identified alterations in the apolipoprotein M/sphingosine-1-phosphate/sphingosine-1-phosphate receptor 4 signaling axis in glomeruli from patients with glomerular disease.METHODSWe utilized Col4a3 knockout mice and immortalized podocytes derived from these mice as a mouse model of Alport Syndrome. Mice and podocytes were treated with recombinant apolipoprotein M or the sphingosine-1-phosphate receptor 4 specific antagonist, CYM50358.RESULTSCol4a3-/- glomeruli and podocytes exhibited reduced apolipoprotein M and increased sphingosine-1-phosphate receptor 4 expression and increased sphingosoine-1-phosphate levels, mirroring findings in patients with glomerular disease. Treatment with apolipoprotein M or CYM50358 reduced albuminuria, BUN, and plasma creatinine, and ameliorated glomerulosclerosis, tubulointerstitial fibrosis, podocyte loss and foot process effacement. Both treatments reduced triglyceride and cholesterol accumulation in glomeruli and podocytes. RNA-seq analysis of Col4a3-/- revealed that sphingosine-1-phosphate receptor 4 antagonism upregulated lysosomal and autophagy-related genes. Western blot analysis confirmed increased LC3-II/LC3-I ratios and decreased p62, indicating enhanced autophagic flux. Treated podocytes showed increased lysosome numbers and co-localization with lipid droplets. In contrast, apolipoprotein M had no effect on autophagy but promoted cholesterol efflux. Furthermore, knockdown of APOM or overexpression of S1PR4 was sufficient to cause podocyte cell death.CONCLUSIONSWe found that the apolipoprotein M/sphingosine-1-phosphate axis was dysregulated in Col4a3-/- podocytes. Targeting this pathway through apolipoprotein M supplementation or sphingosine-1-phosphate receptor 4 antagonism improved kidney function and reduced lipid accumulation by enhancing either cholesterol efflux or autophagy, respectively.
肾脂质代谢异常有助于肾小球疾病的进展,包括Alport综合征。我们最近发现肾小球疾病患者肾小球中载脂蛋白M/鞘氨醇-1-磷酸/鞘氨醇-1-磷酸受体4信号轴的改变。方法利用Col4a3基因敲除小鼠和这些小鼠获得的永生化足细胞作为Alport综合征小鼠模型。小鼠和足细胞分别用重组载脂蛋白M或鞘氨醇-1-磷酸受体4特异性拮抗剂CYM50358处理。结果col4a3 -/-肾小球和足细胞表现出载脂蛋白M降低、鞘氨醇-1-磷酸受体4表达升高和鞘氨醇-1-磷酸水平升高,这与肾小球疾病患者的发现相一致。用载脂蛋白M或CYM50358治疗可降低蛋白尿、尿素氮和血浆肌酐,改善肾小球硬化、小管间质纤维化、足细胞丢失和足突消退。两种治疗都降低了肾小球和足细胞中甘油三酯和胆固醇的积累。Col4a3-/-的RNA-seq分析显示鞘氨醇-1-磷酸受体4拮抗剂上调溶酶体和自噬相关基因。Western blot分析证实LC3-II/LC3-I比值升高,p62降低,表明自噬通量增强。处理后的足细胞溶酶体数量增加,与脂滴共定位。相比之下,载脂蛋白M对自噬没有影响,但促进胆固醇外排。此外,APOM的敲低或S1PR4的过表达足以导致足细胞死亡。结论Col4a3-/-足细胞载脂蛋白M/鞘氨醇-1-磷酸轴表达异常。通过补充载脂蛋白M或拮抗鞘氨醇-1-磷酸受体4分别通过增强胆固醇外排或自噬来改善肾功能和减少脂质积累。
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引用次数: 0
Systemic Phosphate Elevations Induce FGF23 Production in Skeletal Muscle to Reduce Renal Phosphate Reabsorption in Mice. 全身磷酸盐水平升高诱导小鼠骨骼肌生成FGF23以减少肾脏磷酸盐重吸收
IF 13.6 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2025-12-30 DOI: 10.1681/asn.0000000963
Kylie Heitman,Qing Li,Abul Fajol,Matthew Denniff,Dungeng Peng,S Madison Thomas,Brian Czaya,Christopher Yanucil,David Westbrook,Syed Wasiuddin,Glenn C Rowe,Abolfazl Zarjou,Orlando M Gutierrez,Kenneth E White,Jorge L Gamboa,Emma L Watson,Matthew S Alexander,Christian Faul
BACKGROUNDFibroblast growth factor 23 (FGF23) is a hormone that reduces the renal reabsorption of phosphate in response to systemic phosphate elevations. In chronic kidney disease (CKD), serum levels of phosphate and FGF23 reach levels that can harm various tissues. While the bone acts as the main production site for FGF23, bone-specific gene deletion studies in mice suggest the existence of other FGF23 sources. Here, we determine if skeletal muscle produces FGF23 in response to phosphate elevations.METHODSWe studied four mouse models with phosphate elevations, two with CKD (global Col4a3 deletion and adenine-rich diet) and two without CKD (genetic klotho deficiency and high-phosphate diet). Furthermore, we generated a new mouse line with skeletal muscle-specific Fgf23 deletion (KO), which received an adenine-rich or high-phosphate diet. We measured skeletal muscle FGF23 by qRT-PCR, ELISA, and immunohistochemistry as well as serum levels of phosphate, FGF23, and parathyroid hormone (PTH). We determined FGF23 mRNA levels in muscle biopsies from CKD patients, and we studied the effects of phosphate and PTH elevations on FGF23 expression in cultured myotubes isolated from mice and CKD patients. Finally, we studied the effects of acute phosphate loading on urine phosphate levels in Fgf23 KO mice.RESULTSAll four mouse models with phosphate and PTH elevations showed FGF23 expression in skeletal muscle tissue on mRNA and protein level. Phosphate, but not PTH, induced FGF23 expression in cultured myotubes. Furthermore, CKD patients with higher serum phosphate levels expressed more FGF23 in skeletal muscle. Fgf23 KO mice had elevated serum phosphate levels when administered a high-phosphate diet and decreased urine phosphate levels following acute phosphate loading.CONCLUSIONSPhosphate elevations induced FGF23 expression in skeletal muscle, independent of the absence or presence of CKD. Skeletal muscle-derived FGF23 reduced renal phosphate reabsorption.
成纤维细胞生长因子23 (FGF23)是一种激素,可减少肾脏对磷酸盐的重吸收,以应对全身磷酸盐升高。在慢性肾脏疾病(CKD)中,血清中磷酸盐和FGF23的水平达到可损害多种组织的水平。虽然骨骼是FGF23的主要产生部位,但对小鼠骨骼特异性基因缺失的研究表明,存在其他FGF23来源。在这里,我们确定骨骼肌是否在磷酸盐升高时产生FGF23。方法研究了4只磷酸盐升高小鼠模型,2只CKD小鼠模型(Col4a3缺失和富含腺嘌呤饮食),2只非CKD小鼠模型(遗传性klotho缺乏症和高磷酸盐饮食)。此外,我们培育了一种具有骨骼肌特异性Fgf23缺失(KO)的新小鼠系,给予富含腺嘌呤或高磷酸盐的饮食。我们通过qRT-PCR、ELISA和免疫组织化学检测骨骼肌FGF23以及血清中磷酸盐、FGF23和甲状旁腺激素(PTH)的水平。我们在CKD患者的肌肉活检中检测了FGF23 mRNA水平,并研究了磷酸盐和甲状旁腺激素升高对小鼠和CKD患者分离的培养肌管中FGF23表达的影响。最后,我们研究了急性磷酸盐负荷对Fgf23 KO小鼠尿磷酸盐水平的影响。结果磷酸和甲状旁腺激素升高小鼠骨骼肌组织中FGF23 mRNA和蛋白水平均有表达。在培养的肌管中,磷酸盐诱导FGF23表达,而非PTH。此外,血清磷酸盐水平较高的CKD患者骨骼肌中表达更多的FGF23。当给予高磷酸盐饮食时,Fgf23 KO小鼠血清磷酸盐水平升高,急性磷酸盐负荷后尿磷酸盐水平降低。结论:磷酸盐升高可诱导骨骼肌中FGF23的表达,与CKD是否存在无关。骨骼肌来源的FGF23减少肾脏磷酸盐重吸收。
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引用次数: 0
Probing Molecular Mechanisms of Proximal Tubular Resilience and Repair. 探索近端小管恢复和修复的分子机制。
IF 13.6 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2025-12-30 DOI: 10.1681/asn.0000000994
Sanjeev Kumar
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引用次数: 0
Fungal DNA in Circulation: A Sleuth's Clue to Predict Cardiovascular Risk for Hemodialysis Patients. 血液循环中的真菌DNA:预测血液透析患者心血管风险的侦探线索。
IF 13.6 1区 医学 Q1 UROLOGY & NEPHROLOGY Pub Date : 2025-12-29 DOI: 10.1681/asn.0000000993
Nishank Jain,Parth Dhamelia,John M Arthur
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引用次数: 0
期刊
Journal of The American Society of Nephrology
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