دورية أكاديمية

Monogenic Causes of Proteinuria in Children

التفاصيل البيبلوغرافية
العنوان: Monogenic Causes of Proteinuria in Children
المؤلفون: Onur Cil, Farzana Perwad
المصدر: Frontiers in Medicine, Vol 5 (2018)
بيانات النشر: Frontiers Media S.A., 2018.
سنة النشر: 2018
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: nephrotic syndrome, children, proteinuria, steroid, immunosuppression, genetics, Medicine (General), R5-920
الوصف: Glomerular disease is a common cause for proteinuria and chronic kidney disease leading to end-stage renal disease requiring dialysis or kidney transplantation in children. Nephrotic syndrome in children is diagnosed by the presence of a triad of proteinuria, hypoalbuminemia, and edema. Minimal change disease is the most common histopathological finding in children and adolescents with nephrotic syndrome. Focal segmental sclerosis is also found in children and is the most common pathological finding in patients with monogenic causes of nephrotic syndrome. Current classification system for nephrotic syndrome is based on response to steroid therapy as a majority of patients develop steroid sensitive nephrotic syndrome regardless of histopathological diagnosis or the presence of genetic mutations. Recent studies investigating the genetics of nephrotic syndrome have shed light on the pathophysiology and mechanisms of proteinuria in nephrotic syndrome. Gene mutations have been identified in several subcellular compartments of the glomerular podocyte and play a critical role in mitochondrial function, actin cytoskeleton dynamics, cell–matrix interactions, slit diaphragm, and podocyte integrity. A subset of genetic mutations are known to cause nephrotic syndrome that is responsive to immunosuppressive therapy but clinical data are limited with respect to renal prognosis and disease progression in a majority of patients. To date, more than 50 genes have been identified as causative factors in nephrotic syndrome in children and adults. As genetic testing becomes more prevalent and affordable, we expect rapid advances in our understanding of mechanisms of proteinuria and genetic diagnosis will help direct future therapy for individual patients.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-858X
Relation: http://journal.frontiersin.org/article/10.3389/fmed.2018.00055/full; https://doaj.org/toc/2296-858X
DOI: 10.3389/fmed.2018.00055
URL الوصول: https://doaj.org/article/e47a1d041bf94a68b5941c472beef27f
رقم الأكسشن: edsdoj.47a1d041bf94a68b5941c472beef27f
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2296858X
DOI:10.3389/fmed.2018.00055