Nephrotic syndrome unfavorable course correlates with downregulation of podocyte vascular endothelial growth factor receptor (VEGFR)-2

Idiopathic nephrotic syndrome (INS) in children is most commonly caused by primary glomerulopathies. Morphological lesions observed in INS might be secondary to inflammatory factors of mainly extra-renal origin. The vascular endothelial growth factor (VEGF) family is regarded as playing a crucial ro...

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Veröffentlicht in:Folia histochemica et cytobiologica 2011-01, Vol.49 (3), p.472-478
Hauptverfasser: Ostalska-Nowicka, Danuta, Malinska, Agnieszka, Zabel, Maciej, Witkiewicz, Wojciech, Nowicki, Michal
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container_title Folia histochemica et cytobiologica
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creator Ostalska-Nowicka, Danuta
Malinska, Agnieszka
Zabel, Maciej
Witkiewicz, Wojciech
Nowicki, Michal
description Idiopathic nephrotic syndrome (INS) in children is most commonly caused by primary glomerulopathies. Morphological lesions observed in INS might be secondary to inflammatory factors of mainly extra-renal origin. The vascular endothelial growth factor (VEGF) family is regarded as playing a crucial role in this pathomechanism. The aim of the present work was to analyze the possible relation between VEGF-C and VEGF receptor (VEGFR)-2 expressions at electron microscopy level in different INS cases. The study group comprised 18 children with minimal change disease (MCD), 30 patients diagnosed with diffuse mesangial proliferation (DMP) and 11 subjects with focal segmental glomerulosclerosis (FSGS). An indirect immunohistochemical assay employing monoclonal anti-VEGF-C and anti-VEGFR-2 antibodies was applied in the study. The immunohistochemical expression of VEGF-C within podocyte cytoplasm was significantly increased in DMP subjects who were resistant to steroids and in all FSGS patients compared to MCD children and controls (p 〈 0.05). VEGF-C over-expression in these cases was followed by downregulation of VEGFR-2. Nephrotic syndrome progression correlates with the downregulation of podocyte VEGFR-2. For this reason, decreased VEGFR-2 expression in the podocyte processes of children with idiopathic nephrotic syndrome might be regarded as a potent factor of unfavorable prognosis.
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subjects Adolescent
Antibodies
Child
Child, Preschool
Children
Cytoplasm
Disease Progression
Down-Regulation
Electron microscopy
Female
Growth factors
Humans
Immunohistochemistry
Inflammation
Kidney diseases
Male
Monoclonal antibodies
Nephrotic syndrome
Nephrotic Syndrome - pathology
Nephrotic Syndrome - physiopathology
Overexpression
Podocytes - metabolism
Podocytes - ultrastructure
Protein Isoforms - metabolism
Receptors
Signal Transduction - physiology
Steroid hormones
Vascular endothelial growth factor
Vascular Endothelial Growth Factor C - metabolism
Vascular Endothelial Growth Factor Receptor-2 - metabolism
Vascular endothelial growth factor receptors
title Nephrotic syndrome unfavorable course correlates with downregulation of podocyte vascular endothelial growth factor receptor (VEGFR)-2
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