4.4 Review

Immune-mediated entities of (primary) focal segmental glomerulosclerosis

Journal

CELL AND TISSUE RESEARCH
Volume 385, Issue 2, Pages 423-434

Publisher

SPRINGER
DOI: 10.1007/s00441-021-03454-3

Keywords

Primary focal segmental glomerulosclerosis; Podocyte; Immune cell; Immune epithelial interaction; Soluble factor

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Funding

  1. German Research Foundation [CRC 1192]

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Researchers summarized the current knowledge of immune effector cells, secreted soluble factors, and podocyte response in immune-mediated (primary) FSGS.
Focal segmental glomerulosclerosis (FSGS) represents a glomerular scar formation downstream of various different mechanisms leading to podocytopathy and podocyte loss. Recently, significant advances were made in understanding genetic factors, podocyte intrinsic mechanisms, and adaptive mechanisms causing FSGS. However, while most cases of nephrotic FSGS are being treated with immunosuppressants, the underlying immune dysregulation, involved immune cells, and soluble factors are only incompletely understood. Thus, we here summarize the current knowledge of proposed immune effector cells, secreted soluble factors, and podocyte response in immune-mediated (primary) FSGS.

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