Burton CJ, Walls J, Harris KPJ
Tubular MCP-1 production, a mechanism for proteinuria- induced interstitial inflammation
33rd Congress of the Eur Dial Transplant Assoc
Nephrol Dial Transplant (Jun) 11:A56 1996

Recently an increasing interest has been focused on the role of tubular cells in the pathogenesis of interstitial damage. These cells have always been considered the main target of the deleterious effects of proteinuria.

In this work, Burton et al demonstrate a link between the interaction of proteinuria with tubular cells and the development of interstitial inflammation. Indeed, they show, in an interesting in vitro system, that the exposure of the apical surface of tubular cells to serum proteins results in the secretion of MCP-1 at the apical and basolateral level. The release of this chemokine in the peritubular space would explain the influx of macrophage into the interstitium and the consequent interstitial damage in proteinuric renal diseases. (Loreto Gesualdo, M.D., University of Bari, Italy)

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33rd Congress of the Eur Dial Transplant Assoc
Proteinuria/Hematuria : Mechanisms of renal injury
Nephrotic Syndrome : Pathogenesis, complications, RVT