シライ ヨウコ   Shirai Youko
  白井 陽子
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Morphologic Analysis of Urinary Podocytes in Focal Segmental Glomerulosclerosis.
掲載誌名 正式名:Kidney360
略  称:Kidney360
ISSNコード:26417650/26417650
掲載区分国外
巻・号・頁 2(3),pp.477-486
著者・共著者 Shirai Yoko, Miura Kenichiro, Yokoyama Takashi, Horita Shigeru, Nakayama Hideki, Seino Hiroshi, Ando Taro, Shiratori Atsutoshi, Yabuuchi Tomoo, Kaneko Naoto, Ishiwa Sho, Ishizuka Kiyonobu, Hara Masanori, Hattori Motoshi
担当区分 筆頭著者
発行年月 2021/03
概要 Background:The development of glomerulosclerosis in FSGS is associated with a reduction in podocyte number in the glomerular capillary tufts. Although it has been reported that the number of urinary podocytes in FSGS exceeds that of minimal-change nephrotic syndrome, the nature of events that promote podocyte detachment in FSGS remains elusive.Methods:In this study, we provide detailed, morphologic analysis of the urinary podocytes found in FSGS by examining the size of the urinary podocytes from patients with FSGS, minimal-change nephrotic syndrome, and GN. In addition, in urinary podocytes from patients with FSGS and minimal-change nephrotic syndrome, we analyzed podocyte hypertrophy and mitotic catastrophe using immunostaining of p21 and phospho-ribosomal protein S6.Results:The size of the urinary podocytes was strikingly larger in samples obtained from patients with FSGS compared with those with minimal-change nephrotic syndrome and GN (P=0.008). Urinary podocytes from patients with FSGS had a higher frequency of positive immunostaining for p21 (P<0.001) and phospho-ribosomal protein S6 (P=0.02) than those from patients with minimal-change nephrotic syndrome. Characteristic features of mitotic catastrophe were more commonly observed in FSGS than in minimal-change nephrotic syndrome urinary samples (P=0.001).Conclusions:We posit that the significant increase in the size of urinary podocytes in FSGS, compared with those in minimal-change nephrotic syndrome, may be explained by hypertrophy and mitotic catastrophe.
DOI 10.34067/KID.0005612020
PMID 35369007