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266834

Clinical Significance of Urine Podocyte Messenger Ribonucleic Acids in Idiopathic Nephrotic Syndrome and Lupus Nephritis Patients

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Last updated: 24 Dec 2024

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Abstract

Introduction:  Podocytes are specific epithelial cells that surround the outside of the glomeruli's basement membrane (GBM). They play a significant role in glomerular function. This study aimed to detect the presence of podocyte in idiopathic nephrotic syndrome and lupus nephritis patients, and to correlate them with the proteinuria levels. Methods: Patients were divided to three groups (patients with idiopathic nephrotic syndrome, patients with lupus nephritis and, healthy controls. Quantification of podocyte mRNA proteins in urinary sediment by real time PCR was performed to all groups. Results: For those who had nephrotic syndrome showed significant increase in the alpha actin 4 value (p= 0.001) and significant decrease in the value of synaptopodin and podoclyxin in relation to controls (p= 0.001). The level of urinary expression of mRNA of podocytes correlated positively to renal function tests and estimated glomerular filtration rate between nephrotic and control groups. The reverse occurred with proteinuria. A significant rise in the alpha actin 4 value, podocin and synaptopodin in comparison with control (p= 0.001). Podocalyxin was decreased significantly (p=0.021). There was a statistically significant difference, when comparing renal function tests and estimated glomerular filtration rate between LN and control group. Also, an increase in the value of podocin in active group relative to control and non-active groups (p= 0.001 and p= 0.007, respectively). Conclusion: Significant increase in level of mRNA of alpha actin in nephrotic syndrome, while mRNA podocin, synaptopodin and alpha actin were increased in LN, with podocin could mark increased activity of the disease.  

DOI

10.21608/ejhm.2022.266834

Keywords

Synaptopodin, Podocalyxin, α actin-4, podocin, Idiopathic nephrotic syndrome, Lupus nephritis

Authors

First Name

Amir Mohamed

Last Name

Elokely

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Orcid

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First Name

Emam

Last Name

Waked

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First Name

Mohamed

Last Name

A Shemis

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First Name

Sameh Abdel Azeem

Last Name

Soliman

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First Name

Malak

Last Name

Nabil

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Email

nabil.malak59@yahoo.com

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First Name

Manar

Last Name

Raafat

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First Name

Anas

Last Name

Hassan

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-10-23

Publish Date

2022-10-01

Page Start

6,016

Page End

6,023

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_266834.html

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https://ejhm.journals.ekb.eg/service?article_code=266834

Order

296

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Clinical Significance of Urine Podocyte Messenger Ribonucleic Acids in Idiopathic Nephrotic Syndrome and Lupus Nephritis Patients

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Article

Created At

22 Jan 2023