Patients with IgA nephropathy exhibit high systemic PDGF-DD levels
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Patients with IgA nephropathy exhibit high systemic PDGF-DD levels. / Boor, Peter; Eitner, Frank; Cohen, Clemens D; Lindenmeyer, Maja T; Mertens, Peter R; Ostendorf, Tammo; Floege, Jürgen; ERCB-Consortium.
In: NEPHROL DIAL TRANSPL, Vol. 24, No. 9, 09.2009, p. 2755-62.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Patients with IgA nephropathy exhibit high systemic PDGF-DD levels
AU - Boor, Peter
AU - Eitner, Frank
AU - Cohen, Clemens D
AU - Lindenmeyer, Maja T
AU - Mertens, Peter R
AU - Ostendorf, Tammo
AU - Floege, Jürgen
AU - ERCB-Consortium
PY - 2009/9
Y1 - 2009/9
N2 - BACKGROUND: Platelet-derived growth factor (PDGF) is a central mediator of mesangioproliferative glomerulonephritis (GN). In experimental mesangioproliferative GN, PDGF-DD serum levels, unlike PDGF-BB, increased up to 1000-fold.METHODS: We assessed disease activity in 72 patients with GN, established a novel PDGF-D ELISA and then determined their PDGF-DD levels. In parallel, we studied renal PDGF-DD mRNA expression by RT-PCR.RESULTS: PDGF-DD serum levels in patients with IgA nephropathy (IgAN) were significantly higher (1.67 +/- 0.45 ng/ml) and in patients with lupus nephritis significantly lower (0.66 +/- 0.86 ng/ml) compared to healthy controls (1.17 +/- 0.46 ng/ml), while patients with focal segmental glomerulosclerosis, membranous GN and ANCA-positive vasculitis did not differ from controls. The subgroup of IgAN patients with elevated PDGF-DD levels (27% of samples) did not differ in their clinical features from those with normal PDGF-DD levels. In IgAN patients with repetitive PDGF-DD determinations, most exhibited only minor fluctuations of serum levels over time. Intrarenal PDGF-DD mRNA expression did not differ between controls and patients, suggesting an extrarenal source of the elevated PDGF-DD in IgAN.CONCLUSIONS: Serum PDGF-DD levels were specifically elevated in patients with IgAN, in particular in those with early disease, i.e. preserved renal function. Our data support the rationale for anti-PDGF-DD therapy in mesangioproliferative GN.
AB - BACKGROUND: Platelet-derived growth factor (PDGF) is a central mediator of mesangioproliferative glomerulonephritis (GN). In experimental mesangioproliferative GN, PDGF-DD serum levels, unlike PDGF-BB, increased up to 1000-fold.METHODS: We assessed disease activity in 72 patients with GN, established a novel PDGF-D ELISA and then determined their PDGF-DD levels. In parallel, we studied renal PDGF-DD mRNA expression by RT-PCR.RESULTS: PDGF-DD serum levels in patients with IgA nephropathy (IgAN) were significantly higher (1.67 +/- 0.45 ng/ml) and in patients with lupus nephritis significantly lower (0.66 +/- 0.86 ng/ml) compared to healthy controls (1.17 +/- 0.46 ng/ml), while patients with focal segmental glomerulosclerosis, membranous GN and ANCA-positive vasculitis did not differ from controls. The subgroup of IgAN patients with elevated PDGF-DD levels (27% of samples) did not differ in their clinical features from those with normal PDGF-DD levels. In IgAN patients with repetitive PDGF-DD determinations, most exhibited only minor fluctuations of serum levels over time. Intrarenal PDGF-DD mRNA expression did not differ between controls and patients, suggesting an extrarenal source of the elevated PDGF-DD in IgAN.CONCLUSIONS: Serum PDGF-DD levels were specifically elevated in patients with IgAN, in particular in those with early disease, i.e. preserved renal function. Our data support the rationale for anti-PDGF-DD therapy in mesangioproliferative GN.
KW - Adolescent
KW - Adult
KW - Aged
KW - Antibodies, Antineutrophil Cytoplasmic
KW - Becaplermin
KW - Biomarkers
KW - Case-Control Studies
KW - Enzyme-Linked Immunosorbent Assay
KW - Female
KW - Glomerulonephritis, IGA
KW - Glomerulonephritis, Membranoproliferative
KW - Glomerulonephritis, Membranous
KW - Glomerulosclerosis, Focal Segmental
KW - Humans
KW - Kidney
KW - Lupus Nephritis
KW - Male
KW - Middle Aged
KW - Platelet-Derived Growth Factor
KW - Proteinuria
KW - Proto-Oncogene Proteins c-sis
KW - RNA, Messenger
KW - Vasculitis
KW - Young Adult
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1093/ndt/gfp152
DO - 10.1093/ndt/gfp152
M3 - SCORING: Journal article
C2 - 19357108
VL - 24
SP - 2755
EP - 2762
JO - NEPHROL DIAL TRANSPL
JF - NEPHROL DIAL TRANSPL
SN - 0931-0509
IS - 9
ER -