Circulating Factor Associated with Increased Glomerular Permeability to Albumin in Recurrent Focal Segmental Glomerulosclerosis

Focal segmental glomerulosclerosis develops and progresses to renal failure in some patients who have idiopathic nephrotic syndrome that is resistant to treatment with corticosteroids and cytotoxic drugs. 1 – 3 After transplantation, up to 40 percent of such patients have recurrences. 4 – 9 The glom...

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Veröffentlicht in:The New England journal of medicine 1996-04, Vol.334 (14), p.878-883
Hauptverfasser: Savin, Virginia J, Sharma, Mukut, Sharma, Ram, McCarthy, Ellen T, Swan, Suzanne K, Ellis, Eileen, Lovell, Helen, Warady, Bradley, Gunwar, Sripad, Chonko, Arnold M, Artero, Mary, Vincenti, Flavio
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container_end_page 883
container_issue 14
container_start_page 878
container_title The New England journal of medicine
container_volume 334
creator Savin, Virginia J
Sharma, Mukut
Sharma, Ram
McCarthy, Ellen T
Swan, Suzanne K
Ellis, Eileen
Lovell, Helen
Warady, Bradley
Gunwar, Sripad
Chonko, Arnold M
Artero, Mary
Vincenti, Flavio
description Focal segmental glomerulosclerosis develops and progresses to renal failure in some patients who have idiopathic nephrotic syndrome that is resistant to treatment with corticosteroids and cytotoxic drugs. 1 – 3 After transplantation, up to 40 percent of such patients have recurrences. 4 – 9 The glomerular abnormalities in patients with established disease include focal and segmental glomerulosclerosis and hyalinosis, although fusion of epithelial-cell foot processes may be the only abnormality early in the course of the disease. 10 It has been proposed that because some patients with recurrent focal segmental glomerulosclerosis have a response to treatment with plasmapheresis, 11 – 16 there may be a circulating factor . . .
doi_str_mv 10.1056/NEJM199604043341402
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subjects Adult
Albumins - pharmacokinetics
Animals
Biological and medical sciences
Disease
Female
Glomerulosclerosis, Focal Segmental - blood
Glomerulosclerosis, Focal Segmental - metabolism
Glomerulosclerosis, Focal Segmental - therapy
Humans
Investigative techniques of renal and urinary tract function
Investigative techniques, diagnostic techniques (general aspects)
Kidney Diseases - blood
Kidney Glomerulus - metabolism
Kidney Transplantation
Kidneys
Male
Medical sciences
Microscopy
Permeability
Plasmapheresis
Rats
Rats, Sprague-Dawley
Recurrence
Reference Values
Rodents
title Circulating Factor Associated with Increased Glomerular Permeability to Albumin in Recurrent Focal Segmental Glomerulosclerosis
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