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Publication : Parietal epithelial cells participate in the formation of sclerotic lesions in focal segmental glomerulosclerosis.

First Author  Smeets B Year  2011
Journal  J Am Soc Nephrol Volume  22
Issue  7 Pages  1262-74
PubMed ID  21719782 Mgi Jnum  J:294751
Mgi Id  MGI:6451341 Doi  10.1681/ASN.2010090970
Citation  Smeets B, et al. (2011) Parietal epithelial cells participate in the formation of sclerotic lesions in focal segmental glomerulosclerosis. J Am Soc Nephrol 22(7):1262-74
abstractText  The pathogenesis of the development of sclerotic lesions in focal segmental glomerulosclerosis (FSGS) remains unknown. Here, we selectively tagged podocytes or parietal epithelial cells (PECs) to determine whether PECs contribute to sclerosis. In three distinct models of FSGS (5/6-nephrectomy + DOCA-salt; the murine transgenic chronic Thy1.1 model; or the MWF rat) and in human biopsies, the primary injury to induce FSGS associated with focal activation of PECs and the formation of cellular adhesions to the capillary tuft. From this entry site, activated PECs invaded the affected segment of the glomerular tuft and deposited extracellular matrix. Within the affected segment, podocytes were lost and mesangial sclerosis developed within the endocapillary compartment. In conclusion, these results demonstrate that PECs contribute to the development and progression of the sclerotic lesions that define FSGS, but this pathogenesis may be relevant to all etiologies of glomerulosclerosis.
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