Induction of renal tubular cell apoptosis in focal segmental glomerulosclerosis

Roles of proteinuria and Fas-dependent pathways

Elif Erkan, Clotilde D. Garcia, Larry T. Patterson, Jaya Mishra, Mark M. Mitsnefes, Frederick J. Kaskel, Prasad Devarajan

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

The hypothesis that apoptosis represents a proximate mechanism by which tubule cells are damaged in FSGS was tested. Thirty kidney biopsy specimens from children with idiopathic early FSGS were studied retrospectively. Unexpected, apoptosis was evident in both proximal and distal tubule cells. There was a significant correlation between the degree of proteinuria and the number of apoptotic cells. Fas protein was detected predominantly in the tubule cells that underwent apoptosis. When compared with patients with other chronic proteinuric states, those with FSGS displayed a proliferation/apoptosis ratio in favor of proliferation in the glomerulus but dramatically in favor of apoptosis in the tubules. When both proteinuria and apoptosis were included in a stepwise logistic regression procedure, only apoptosis was found to predict independently the development of ESRD. Prolonged incubation of cultured Madin-Darby canine kidney (distal/collecting) cells with albumin also resulted in a dose- and duration-dependent induction of apoptosis and activation of the Fas pathway, lending support to the novel finding of distal tubule cell apoptosis in patients with FSGS. The results indicate that an elevated tubule cell apoptosis rate at the time of initial biopsy represents an independent predictor of progression to ESRD in patients with early FSGS.

Original languageEnglish (US)
Pages (from-to)398-407
Number of pages10
JournalJournal of the American Society of Nephrology
Volume16
Issue number2
DOIs
StatePublished - 2005

Fingerprint

Focal Segmental Glomerulosclerosis
Proteinuria
Apoptosis
Kidney
Chronic Kidney Failure
Biopsy
Canidae
Albumins
Cell Count
Logistic Models

ASJC Scopus subject areas

  • Nephrology

Cite this

Induction of renal tubular cell apoptosis in focal segmental glomerulosclerosis : Roles of proteinuria and Fas-dependent pathways. / Erkan, Elif; Garcia, Clotilde D.; Patterson, Larry T.; Mishra, Jaya; Mitsnefes, Mark M.; Kaskel, Frederick J.; Devarajan, Prasad.

In: Journal of the American Society of Nephrology, Vol. 16, No. 2, 2005, p. 398-407.

Research output: Contribution to journalArticle

Erkan, Elif ; Garcia, Clotilde D. ; Patterson, Larry T. ; Mishra, Jaya ; Mitsnefes, Mark M. ; Kaskel, Frederick J. ; Devarajan, Prasad. / Induction of renal tubular cell apoptosis in focal segmental glomerulosclerosis : Roles of proteinuria and Fas-dependent pathways. In: Journal of the American Society of Nephrology. 2005 ; Vol. 16, No. 2. pp. 398-407.
@article{18ce7cdf94db4ddbb6972d2976770272,
title = "Induction of renal tubular cell apoptosis in focal segmental glomerulosclerosis: Roles of proteinuria and Fas-dependent pathways",
abstract = "The hypothesis that apoptosis represents a proximate mechanism by which tubule cells are damaged in FSGS was tested. Thirty kidney biopsy specimens from children with idiopathic early FSGS were studied retrospectively. Unexpected, apoptosis was evident in both proximal and distal tubule cells. There was a significant correlation between the degree of proteinuria and the number of apoptotic cells. Fas protein was detected predominantly in the tubule cells that underwent apoptosis. When compared with patients with other chronic proteinuric states, those with FSGS displayed a proliferation/apoptosis ratio in favor of proliferation in the glomerulus but dramatically in favor of apoptosis in the tubules. When both proteinuria and apoptosis were included in a stepwise logistic regression procedure, only apoptosis was found to predict independently the development of ESRD. Prolonged incubation of cultured Madin-Darby canine kidney (distal/collecting) cells with albumin also resulted in a dose- and duration-dependent induction of apoptosis and activation of the Fas pathway, lending support to the novel finding of distal tubule cell apoptosis in patients with FSGS. The results indicate that an elevated tubule cell apoptosis rate at the time of initial biopsy represents an independent predictor of progression to ESRD in patients with early FSGS.",
author = "Elif Erkan and Garcia, {Clotilde D.} and Patterson, {Larry T.} and Jaya Mishra and Mitsnefes, {Mark M.} and Kaskel, {Frederick J.} and Prasad Devarajan",
year = "2005",
doi = "10.1681/ASN.2003100861",
language = "English (US)",
volume = "16",
pages = "398--407",
journal = "Journal of the American Society of Nephrology : JASN",
issn = "1046-6673",
publisher = "American Society of Nephrology",
number = "2",

}

TY - JOUR

T1 - Induction of renal tubular cell apoptosis in focal segmental glomerulosclerosis

T2 - Roles of proteinuria and Fas-dependent pathways

AU - Erkan, Elif

AU - Garcia, Clotilde D.

AU - Patterson, Larry T.

AU - Mishra, Jaya

AU - Mitsnefes, Mark M.

AU - Kaskel, Frederick J.

AU - Devarajan, Prasad

PY - 2005

Y1 - 2005

N2 - The hypothesis that apoptosis represents a proximate mechanism by which tubule cells are damaged in FSGS was tested. Thirty kidney biopsy specimens from children with idiopathic early FSGS were studied retrospectively. Unexpected, apoptosis was evident in both proximal and distal tubule cells. There was a significant correlation between the degree of proteinuria and the number of apoptotic cells. Fas protein was detected predominantly in the tubule cells that underwent apoptosis. When compared with patients with other chronic proteinuric states, those with FSGS displayed a proliferation/apoptosis ratio in favor of proliferation in the glomerulus but dramatically in favor of apoptosis in the tubules. When both proteinuria and apoptosis were included in a stepwise logistic regression procedure, only apoptosis was found to predict independently the development of ESRD. Prolonged incubation of cultured Madin-Darby canine kidney (distal/collecting) cells with albumin also resulted in a dose- and duration-dependent induction of apoptosis and activation of the Fas pathway, lending support to the novel finding of distal tubule cell apoptosis in patients with FSGS. The results indicate that an elevated tubule cell apoptosis rate at the time of initial biopsy represents an independent predictor of progression to ESRD in patients with early FSGS.

AB - The hypothesis that apoptosis represents a proximate mechanism by which tubule cells are damaged in FSGS was tested. Thirty kidney biopsy specimens from children with idiopathic early FSGS were studied retrospectively. Unexpected, apoptosis was evident in both proximal and distal tubule cells. There was a significant correlation between the degree of proteinuria and the number of apoptotic cells. Fas protein was detected predominantly in the tubule cells that underwent apoptosis. When compared with patients with other chronic proteinuric states, those with FSGS displayed a proliferation/apoptosis ratio in favor of proliferation in the glomerulus but dramatically in favor of apoptosis in the tubules. When both proteinuria and apoptosis were included in a stepwise logistic regression procedure, only apoptosis was found to predict independently the development of ESRD. Prolonged incubation of cultured Madin-Darby canine kidney (distal/collecting) cells with albumin also resulted in a dose- and duration-dependent induction of apoptosis and activation of the Fas pathway, lending support to the novel finding of distal tubule cell apoptosis in patients with FSGS. The results indicate that an elevated tubule cell apoptosis rate at the time of initial biopsy represents an independent predictor of progression to ESRD in patients with early FSGS.

UR - http://www.scopus.com/inward/record.url?scp=20544433886&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=20544433886&partnerID=8YFLogxK

U2 - 10.1681/ASN.2003100861

DO - 10.1681/ASN.2003100861

M3 - Article

VL - 16

SP - 398

EP - 407

JO - Journal of the American Society of Nephrology : JASN

JF - Journal of the American Society of Nephrology : JASN

SN - 1046-6673

IS - 2

ER -