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- Title
Podocyte Loss in Human Hypertensive Nephrosclerosis.
- Authors
Gang Wang; Lai, Fernand Mac-Moune; Bonnie Ching-Ha Kwan; Ka-Bik Lai; Kai-Ming Chow; Philip Kam-Tao Li; Cheuk-Chun Szeto
- Abstract
BackgroundPodocyte injury probably plays important roles in the pathogenesis of hypertensive nephropathy, but human data are limited. We studied glomerular podocyte count and intrarenal expression of podocyte-associated molecules in patients with hypertensive nephrosclerosis.MethodsWe studied 41 consecutive patients with biopsy-proven hypertensive nephropathy, 10 cadaveric kidney donors, and 9 healthy subjects. Intrarenal and urinary mRNA expression of podocyte-associated molecules was quantified and podocyte number was determined by stereological method.ResultsIntrarenal mRNA expression levels of nephrin, podocin, and synaptopodin were lower, and urinary mRNA expression levels were higher in patients with hypertensive nephropathy than controls. Glomerular podocyte number was significantly lower in patients with hypertensive nephrosclerosis than kidney donors (545 ± 237 vs. 773 ± 296 per glomeruli, P < 0.02). Podocyte density and intrarenal gene expression of podocyte-associated molecules significantly correlated with estimated glomerular filtration rate (GFR) and inversely correlated with blood pressure and the degree of renal fibrosis. Intrarenal gene expression of nephrin significantly correlated with change in renal function decline.ConclusionThis study demonstrates a decrease in podocyte number and intrarenal gene expression of podocyte-associated molecules in patients with hypertensive nephrosclerosis. We observed correlations between glomerular podocyte density and intrarenal expression of podocyte-associated molecules with renal function and the degree of renal fibrosis, suggesting podocyte loss may play an important role in the pathogenesis of hypertensive nephrosclerosis.American Journal of Hypertension 2009; doi:10.1038/ajh.2008.360American Journal of Hypertension (2009); 22, 3, 300–306. doi:10.1038/ajh.2008.360
- Subjects
NEPHROSCLEROSIS; HYPERTENSION; KIDNEY diseases; GENE expression; MESSENGER RNA; PATIENTS
- Publication
American Journal of Hypertension, 2009, Vol 22, Issue 3, p300
- ISSN
0895-7061
- Publication type
Article
- DOI
10.1038/ajh.2008.360