About: Partial remission with cyclosporine A in a patient with nephrotic syndrome due to NPHS2 mutation     Goto   Sponge   NotDistinct   Permalink

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Description
  • Autosomal recessive steroid-resistant nephrotic syndrome (NS) is a rare, genetically determined nephropathy caused mainly by a mutation in the NPHS2 gene. This type of NS is usually resistant to other immunosuppressive therapy as well, but a few cases of cyclosporine A-induced partial remission of inherited NS have been reported. We present a boy that developed NS at the age of 18 months. There was no decrease of proteinuria on standard prednisolone therapy, and a diagnosis of steroid-resistant NS was established. However, the proteinuria decreased significantly following the initiation of cyclosporine A therapy (from 1280 to 380 mg/m(2) per day) without any negative effects on renal function (stable glomerular filtration rate 130-150 ml/min per 1.73 m(2)). The molecular genetic test revealed a homozygous R138Q mutation in the NPHS2 gene. Our case demonstrates that cyclosporine A can induce partial remission in patients with genetic forms of NS without influencing the glomerular filtration rate.
  • Autosomal recessive steroid-resistant nephrotic syndrome (NS) is a rare, genetically determined nephropathy caused mainly by a mutation in the NPHS2 gene. This type of NS is usually resistant to other immunosuppressive therapy as well, but a few cases of cyclosporine A-induced partial remission of inherited NS have been reported. We present a boy that developed NS at the age of 18 months. There was no decrease of proteinuria on standard prednisolone therapy, and a diagnosis of steroid-resistant NS was established. However, the proteinuria decreased significantly following the initiation of cyclosporine A therapy (from 1280 to 380 mg/m(2) per day) without any negative effects on renal function (stable glomerular filtration rate 130-150 ml/min per 1.73 m(2)). The molecular genetic test revealed a homozygous R138Q mutation in the NPHS2 gene. Our case demonstrates that cyclosporine A can induce partial remission in patients with genetic forms of NS without influencing the glomerular filtration rate. (en)
Title
  • Partial remission with cyclosporine A in a patient with nephrotic syndrome due to NPHS2 mutation
  • Partial remission with cyclosporine A in a patient with nephrotic syndrome due to NPHS2 mutation (en)
skos:prefLabel
  • Partial remission with cyclosporine A in a patient with nephrotic syndrome due to NPHS2 mutation
  • Partial remission with cyclosporine A in a patient with nephrotic syndrome due to NPHS2 mutation (en)
skos:notation
  • RIV/00216208:11130/09:5321!RIV10-MZ0-11130___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • Z(MSM0021620819), Z(MZ0FNM2005)
http://linked.open...iv/cisloPeriodika
  • 10
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 332740
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11130/09:5321
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Actin cytoskeleton; Cyclosporine; NPHS2 gene; Proteinuria; Steroid-resistant nephrotic syndrome; alport-syndrome; wt1 (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [95820521C734]
http://linked.open...i/riv/nazevZdroje
  • Pediatric Nephrology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 24
http://linked.open...iv/tvurceVysledku
  • Cinek, Ondřej
  • Janda, Jan
  • Seeman, Tomáš
  • Malina, Michal
http://linked.open...ain/vavai/riv/wos
  • 000269312900021
http://linked.open...n/vavai/riv/zamer
issn
  • 0931-041X
number of pages
http://localhost/t...ganizacniJednotka
  • 11130
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