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Mechanism of ferroptosis in acute kidney injury
ZHOU Taotao, GUO Zhaoan
Chinese Journal of Nephrology, Dialysis & Transplantation    2021, 30 (4): 362-367.   DOI: 10.3969/j.issn.1006298X.2021.04.013
Abstract478)      PDF (2442KB)(6287)      
Acute kidney injury (AKI)has a rapid onset, but there is no early and sensitive indicator for dynamic monitoring of kidney function. Studies have found ferroptosis occured in various AKI models, and specific proteins and genes involved in ferroptosis are expected to be predictors of the occurrence and development of AKI. Ferroptosis is closely related to the metabolism of iron, amino acids and lipids, and it participates in development of AKI through pathological processes such as inflammation, endoplasmic reticulum stress and autophagy. Studies have confirmed that many kinds of drugs targeting on ferroptosis have achieved good efficacy in the treatment of AKI. This article reviews the mechanism of ferroptosis involved in development of AKI and the latest research progress of drugs for treatment of ferroptosis.

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Pathogenic genes in specific systemic lupus erythematosus
PENG Jiahui, ZHANG Changming, LIU Zhihong
Chinese Journal of Nephrology, Dialysis & Transplantation    2021, 30 (5): 451-458.   DOI: 10.3969/j.jssn.1006-298X2021.5.012
Abstract475)      PDF (1271KB)(6043)      
Systemic lupus erythematosus (SLE) is an autoimmune disease with complex pathogenesis and diverse clinical manifestations. In recent years, as theoretical and technological innovations in the postgenomic era, specifically advances in gene detection techniques, over 30 diseasecausing genes for SLE have been identified and the concept of “Monogenic lupus” has been proposed. This review will focus on the pathogenesis, clinical manifestations and genetic diagnosis of these genes, so as to raise awareness of the genetic contribution to SLE and advance further research.

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Advances in pathogenesis, diagnosis and treatment of systemic light chain amyloidosis
HONG Yi, ZHANG Yuanyuan, LI Zhen, HUANG Xianghua
Chinese Journal of Nephrology, Dialysis & Transplantation    2023, 32 (2): 156-162.   DOI: 10.3969/j.issn.1006-298X.2023.02.012
Abstract686)      PDF (1174KB)(4506)      
Systemic light chain (AL) amyloidosis is a rare plasma cell disease that often causes dysfunction of important organs such as heart and kidney. In recent years, some progress has been made in the field of molecular mechanism of AL amyloidosis, which helps us further understand structural characteristics of amyloid fibrils in AL amyloidosis and pathological mechanism of heart and kidney damage; In addition, there has been some advances in diagnosis and treatment of AL amyloidosis, which is of great significance for improving clinical practice of AL amyloidosis. This article will review recent progress in pathogenesis, diagnosis and treatment of AL amyloidosis.

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A novel contributor to renal fibrosis---microvascular pericyte
ZHONG Yongzhong|CHEN Dacheng|ZENG Caihong
Chinese Journal of Nephrology, Dialysis & Transplantation    2015, 24 (4): 360-364.  
Abstract744)      PDF (977KB)(4436)      

【Abstract】 In the kidney, microvascular pericytes are extensively branched, collagen-producing cells in close contact with endothelial cells. These cells contribute to the stability of microvascular in physiological condition. After continuous renal injury, the pericytes detach from the basement of capillaries and transform to scar-forming myofibroblasts. Inhibit pericyte-myofibroblasts transforming improve the renal fibrosis and peritubular capillary rarefaction. Additionally, the pericyte may be the major erythropoietin-producing cell in the kidney. In the patients of chronic kidney disease, transforming to myofibroblast make the pericyte effectiveless in producing the erythropoietin although the marked anemia. The research about the pericyte in kidney has made great process in recent years. Learning about the function of pericyte help us to understand the mechanism of renal fibrosis. Furthermore, the therapy targeting the pericyte may be helpful in preventing the progress of renal fibrosis.

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Zebrafish models in study of diabetes mellitus
ZHU Yan, QIN Weisong
Chinese Journal of Nephrology, Dialysis & Transplantation    2021, 30 (1): 59-63.   DOI: 10.3969/j.issn.1006298X.2021.01.013
Abstract364)      PDF (835KB)(3427)      
Diabetes mellitus is a group of metabolic diseases characteized by hyperghycemia.With the economic development and lifestyle changes,the prevalence of diabetes has gradually increased,and it has become an increasingly serious public health problem in most regions of the world.Presenting a heterogeneous etiology,the pathogenic mechanisms of diabetes is still unclear and effective therapeutic methods need to be explored.Studies in animal models are contributing to  understanding of the pathogenic mechanism of diabetes and development of drugs.Zebrafish is superior to other model systems,rapidly emerging as promising model organism for functional studies of human disease,including inducedproximity models and genetically modified models with spontaneous diabetes.This article reviews the progresses of current researches using diabetic zebrafish models.

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Standardized management and operation of biobank
SHE Qinying,ZHENG Chunxia
Chinese Journal of Nephrology, Dialysis & Transplantation    DOI: 10.3969/j.issn.1006-298X.2019.05.020
Introduction of human biobank and biological material management specification
YIN Ru, TANG Rong, ZHENG Chunxia
Chinese Journal of Nephrology, Dialysis & Transplantation    2023, 32 (4): 348-352.   DOI: 10.3969/j.issn.1006-298X.2023.04.011
Abstract187)      PDF (790KB)(2275)      
This article introduces 4 national standards for the infrastructure construction and operation management of the biobank, GB/T 39766-2021Management specification for human biobank, GB/T 39767-2021 Management specification for human biomaterial, GB/T40364-2021 Fundamental terminology for human biobank and GB/T 39768-2021 Classification and coding for human biomaterial.We systematically describe the standardized organizational structure, personnel management, environmental facilities, reagents and consumables, information systems, sample management, etc. Through the 4 standards, we can strengthen the constructional standard of biobank, promote the standardization of management and operation, so as to offer samples of high quality to down-stream scientific research.

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Pathophysiology of sepsis-associated acute kidney injury
LI Xiaoru, LI Shijun
Chinese Journal of Nephrology, Dialysis & Transplantation    2023, 32 (4): 383-387.   DOI: 10.3969/j.issn.1006-298X.2023.04.018
Abstract220)      PDF (1073KB)(2190)      
Sepsis is one of the most common causes of acute kidney injury (AKI) in clnical. Sepsis-associated AKI (SA-AKI) is difficult to detect in the early stage, and has a high mortality rate and poor prognosis. Its pathogenesis is complicated, with multiple factors involved,and its clinical phenotypes,disease progression, and treatment response are all potentially heterogeneous. Currently, there is no definite and effective means of intervention. This review summarized the pathophysiology of SAAKI, in order to provide a reference for further research.

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Light chain proximal tubulopathy
YANG Xi,GAO Erzhi,XIE Honglang
Chinese Journal of Nephrology, Dialysis & Transplantation    DOI: 10.3969/j.issn.1006-298X.2020.01.019
Biomarkers of vascular calcification in patients with chronic kidney disease
JIAO Yongyi, ZHANG Xiaoliang
Chinese Journal of Nephrology, Dialysis & Transplantation    2022, 31 (1): 73-77.   DOI: 10.3969/j.issn.1006-298X.2022.01.015
Abstract488)      PDF (775KB)(2191)      
Vascular calcification is one of the most common complications and the main factor affecting prognosis of patients with chronic kidney disease. Early diagnosis, accurate evaluation and timely intervention on vascular calcification are crucial to improve prognosis of vascular calcification patients. A number of studies on serum biomarkers of vascular calcification were performed and got hopeful results. The current manuscript will review some biomarkers, such as matrix GlaProtein(MGP),osteocalcin(OC),pyrophosphate(PPi),osteoprotegerin(OPG),fibroblast growth factor23(FGF23),klotho protein, calciprotein particle(CCP),sclerostin and dickkopf1 (Dkk1), in order to provide significance for diagnosis and treatment of vascular calcification in patients with chronic kidney disease.

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The role and mechanism of p300/CBP in renal fibrosis
WANG Yanzhe, WU Ming, YE Chaoyang
Chinese Journal of Nephrology, Dialysis & Transplantation    2022, 31 (5): 461-464.   DOI: 10.3969/j.issn.1006-298X.2022.05.013
Abstract682)      PDF (1474KB)(2023)      
TRenal fibrosis is the main pathological change of chronic kidney disease with various causes. It has been found that histone acetyltransferases (HATs) mediated epigenetic modification was tightly associated with the occurrence and development of renal fibrosis. The p300/CBP family consisting of the highly homologous adenovirus E1Aassociated 300 kDa protein (p300) and cAMP responsive element binding protein (CREB) binding protein (CBP) is one of the major members of the HATs families. This paper reviewed the structure, function, and the role of p300/CBP in renal fibrosis, attempting to provide new targets and ideas for the prevention and treatment of renal fibrosis.

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Vasa vasorum and venous neointimal hyperplasia in autologous arteriovenous fistulas
CHEN Qinlan, XU Dongmei, KONG Xianglei
Chinese Journal of Nephrology, Dialysis & Transplantation    2022, 31 (1): 90-94.   DOI: 10.3969/j.issn.1006-298X.2022.01.018
Abstract376)      PDF (1260KB)(2415)      
Autologous arteriovenous fistula (AVF) is the lifeline for hemodialysis patients with endstage renal disease, and AVF failures are most often caused by venous stenotic lesions. Neointimal hyperplasia (NIH) is the main pathological change of venous stenotic lesions in failed AVFs, though its precise mechanism remains unclear. Vasa vasorum refers to the network of microvessels which penetrates the tunica adventitia and media of large blood vessels, supplying them with oxygen and nutrients and removing metabolic waste. This paper reviews the possible mechanisms of vasa vasorum participating in development of NIH to provide new theoretical explanations and new therapeutic targets for prevention and treatment of AVF failures.

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Summary of China 2018 chronic kidney diseasemineral and bone disorder guideline
National Clinical Research Center of Kidney Diseases
Chinese Journal of Nephrology, Dialysis & Transplantation    2019, 28 (1): 52-57.   DOI: 10.3969/j.issn.1006-298X.2019.01.012
Abstract482)      PDF (877KB)(2209)      
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Thrombospondin type 1 domaincontaining 7A (THSD7A) and membranous nephropathy
ZHANG Changming,LIU Zhihong
Chinese Journal of Nephrology, Dialysis & Transplantation    2018, 27 (3): 255-259.   DOI: 10.3969/j.issn.1006-298X.2018.03.013
Abstract1163)      PDF (897KB)(2066)      

Membranous nephropathy (MN) is an organspecific autoimmune disease.Thrombospondin type 1 domaincontaining 7A (THSD7A) is a new firmly recognized target antigen of MN.THSD7A antibody can induce podocyte injury and proteinuria by binding to THSD7A antigen on the surface of  podocyte.Though the discovery of THSD7A was more recent,limited data has addressed the role of THSD7A antibody in diagnosis,prognosis and monitor  of MN.In addition,we can use the mice model to study the pathogenesis of THSD7Aassociated MN because of the high expression of THSD7A on both human and murine podocyte.This review focused on the main discoveries and current knowledge of THSD7A and MN.

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Mechanism and efficacy of rituximab in idiopathic focal segmental glomerulosclerosis
MIN Min, ZHANG Jiong, WANG Jinquan
Chinese Journal of Nephrology, Dialysis & Transplantation    2021, 30 (6): 575-580.   DOI: 10.3969/j.issn.1006-298X.2021.06.016
Abstract1040)      PDF (2998KB)(2331)      
Focal segmental glomerulosclerosis (FSGS) is a common glomerular disease leading to end stage renal disease, and podocyte injury is the main cause of it.The pathogenesis of podocyte injury in idiopathic FSGS is still unknown. Idiopathic FSGS is easy to relapse and the overall prognosis is poor,except for glucocorticoids and calcinurin inhibitors, there are still lack of effective treatments.Several literatures have reported that rituximab (RTX) can obtain beneficial effects in idiopathic FSGS. As a B cell depletion agent, how RTX plays a role in treatment of idiopathic FSGS, its immunological efficacy and cytoprotective mechanism are still being study. Therefore, based on the drug characteristics of RTX, this paper reviews the main clinical studies and related researches in the field of podocyte injury in recent years ,presenting the immunological mechanism and podocyte protective mechanism of RTX in the treatment of idiopathic FSGS.
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Diagnosis and treatment of lactic acidosis
XU Shutian,LI Shijun
Chinese Journal of Nephrology, Dialysis & Transplantation    2018, 27 (1): 79-83.   DOI: 10.3969/j.issn.1006-298X.2018.01.018
Abstract608)      PDF (899KB)(2443)      

Lactic acidosis results from the accumulation of lactate and protons in the body fluids, and is often associated with poor clinical outcomes. Mortality is increased by a factor of nearly three times when lactic acidosis accompanies lowflow states or sepsis, and the higher the lactate level, the worse the outcome. Although hyperlactatemia is often attributed to tissue hypoxia, it can result from other mechanisms. Control of the triggering conditions is the only effective means of treatment. However, advances in understanding its pathogenesis could lead to new therapies. This paper overview the pathogenesis of lactic acidosis, as well as the diagnosis and management.

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Advance in DNAJ heat shock protein family member B9
YANG Xue, ZENG Caihong
Chinese Journal of Nephrology, Dialysis & Transplantation    2022, 31 (4): 368-372.   DOI: 10.3969/j.issn.1006298X.2022.04.015
Abstract358)      PDF (950KB)(1504)      
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Research progress of stimulator of interferon gene  pathway in diabetic nephropathy
ZHANG Xiaoyue, WANG Weiming
Chinese Journal of Nephrology, Dialysis & Transplantation    2023, 32 (2): 163-167.   DOI: 10.3969/j.issn.1006-298X.2023.02.013
Abstract246)      PDF (834KB)(1407)      
Diabetic nephropathy (DN) is one of the common microvascular complications of diabetes and the main cause of end-stage kidney injury. DN is an inflammatory and immune injury disease caused by metabolic factors, which is related to metabolic disorders,hemodynamic abnormalities, inflammation and other factors. The cyclin nucleotide adenine nucleotide synthase-interferon gene stimulator (cGAS-STING) pathway is a component of innate immunity. Stimulator of interferon gene (STING) is a kind of endoplasmic reticulum activating protein. It experiences dsDNA sensing (cGAS), intracellular signal transduction (STING, TBK1), immune response activation (IRF3, NF-κB), and participates in innate immune response and inflammatory response. Cgas-sting pathway plays an important role in infection, inflammation and tumor development, but its role in DN remains unclear. This article systematically summarizes the research progress of cGAS signaling pathway in the pathogenesis of DN in recent years.

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Alternative polyadenylation and diabetic nephropathy
ZHAO Tingting, LIU Zhihong
Chinese Journal of Nephrology, Dialysis & Transplantation    2023, 32 (5): 466-471.   DOI: 10.3969/j.issn.1006-298X.2023.05.014
Abstract272)      PDF (1328KB)(1382)      
Alternative polyadenylation (APA), as a crucial post-transcriptional regulatory mechanism, has been reported to generate distinct transcripts with variable 3′UTR lengths by selecting different polyadenylation sites (polyA sites, PAS) in 3′UTR. The cis-regulatory elements in pre-mRNA, corresponding trans-acting factors, as well as various enzymes and protein factors in the nucleus are involved in the regulation of APA. Many cis-regulatory elements, such as microRNA (miRNA) or RNA-binding protein (RBP) binding sites, are embedded in the 3′UTR sequence, therefore, the presence or absence of these cis-acting elements conferred by 3′UTR-APA has far-reaching effects on the stability, translation rate, nuclear export, cellular localization of target mRNAs, as well as proteins localization. APA-associated genetic variants have been proposed to affect diverse physiological and pathological processes. Here, we will systematically elaborate the regulatory mechanism of APA and its research progress in diabetic nephropathy.
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