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19 Results Found

  • Article
  • Open Access
2,333 Views
10 Pages

The Urine Light Chain/eGFR Quotient as a Tool to Rule out Cast Nephropathy in Myeloma-Associated Kidney Failure

  • David Klank,
  • Christian Löffler,
  • Julian Friedrich,
  • Martin Hoffmann,
  • Peter Paschka and
  • Raoul Bergner

Kidney involvement with resulting kidney failure leads to increased mortality in patients with multiple myeloma (MM). Cast nephropathy (CN), in particular, if left untreated, quickly leads to kidney failure requiring dialysis and has a very poor prog...

  • Article
  • Open Access
360 Views
12 Pages

The Role of Therapeutic Plasma Exchange in the Management of Myeloma-Related Cast Nephropathy: A 10-Year Real-World Cohort Study

  • Hasan Salur,
  • Unal Atas,
  • Nurcan Alhan,
  • Ece Vural,
  • Utku Iltar,
  • Orhan Kemal Yucel and
  • Ozan Salim

6 January 2026

Background: Renal impairment is a frequent and severe complication of multiple myeloma, most commonly caused by light-chain cast nephropathy. Therapeutic plasma exchange (TPE) has been proposed as an adjunctive approach to rapidly reduce circulating...

  • Article
  • Open Access
14 Citations
6,268 Views
17 Pages

Cholemic Nephropathy as Cause of Acute and Chronic Kidney Disease. Update on an Under-Diagnosed Disease

  • Francesca Tinti,
  • Ilaria Umbro,
  • Mariadomenica D’Alessandro,
  • Silvia Lai,
  • Manuela Merli,
  • Annalisa Noce,
  • Nicola Di Daniele,
  • Sandro Mazzaferro and
  • Anna Paola Mitterhofer

6 November 2021

Cholemic nephropathy (CN) is a recognized cause of acute kidney injury (AKI) in patients with severe hyperbilirubinemia (sHyb) and jaundice. Pathophysiological mechanisms of CN are not completely understood, but it seems caused both by direct toxicit...

  • Article
  • Open Access
518 Views
11 Pages

Kinetics of Serum-Free Light Chain Removal by High-Cutoff Hemodialysis in Patients with Multiple Myeloma and Acute Renal Failure

  • Wilma A. Veldman,
  • Debora J. Weerman,
  • Saskia Molog,
  • Adry Diepenbroek,
  • Wilfried W. H. Roeloffzen,
  • Coen A. Stegeman and
  • Casper F. M. Franssen

4 November 2025

Background and objectives: Cast nephropathy is the main cause of acute renal failure in patients with multiple myeloma. There are conflicting data on whether removal of serum free light chains (sFLCs) with a high-cutoff (HCO) dialyzer has a favorable...

  • Review
  • Open Access
180 Citations
28,923 Views
16 Pages

The Mechanism of Drug Nephrotoxicity and the Methods for Preventing Kidney Damage

  • Ewa Kwiatkowska,
  • Leszek Domański,
  • Violetta Dziedziejko,
  • Anna Kajdy,
  • Katarzyna Stefańska and
  • Sebastian Kwiatkowski

Acute kidney injury (AKI) is a global health challenge of vast proportions, as approx. 13.3% of people worldwide are affected annually. The pathophysiology of AKI is very complex, but its main causes are sepsis, ischemia, and nephrotoxicity. Nephroto...

  • Article
  • Open Access
3 Citations
3,873 Views
11 Pages

Multiple Myeloma and Kidney Impairment at Diagnosis: A Nephrological Perspective from an Eastern European Country

  • Gabriel Ștefan,
  • Simona Cinca,
  • Corina Chiriac,
  • Adrian Zugravu and
  • Simona Stancu

18 July 2023

Background and Objectives: The clinical presentation and survival factors in patients with myeloma-related kidney impairment (MRKI) at diagnosis remain a topic of ongoing research, given the complex interplay between nephrology and hematology. To dat...

  • Article
  • Open Access
2,169 Views
10 Pages

Dipstick Proteinuria and Hematuria as Triggers for Manual Microscopic Review in Nephrology Patients

  • Priscila Aparecida Correa Freitas,
  • Yasmini Dandara Silva da Silva,
  • José Antonio Tesser Poloni,
  • Francisco José Veríssimo Veronese and
  • Luiz Felipe Santos Gonçalves

26 June 2025

Background/Objectives: Automation improves efficiency in laboratory workflow but may fail to detect clinically relevant abnormalities in patients with nephropathy. This study aimed to identify dipstick parameters associated with nephropathy-related s...

  • Feature Paper
  • Review
  • Open Access
2 Citations
5,142 Views
12 Pages

14 June 2023

Renal disorders are uncommonly associated with IgM MGUS and Waldenström macroglobulinaemia (WM). Data are limited to large case series that suggest that related renal involvement occurs in 5% of patients with WM. Although uncommon, there is a mu...

  • Article
  • Open Access
10 Citations
4,105 Views
14 Pages

Preclinical Study of DNA-Recognized Peptide Compound Pyrrole-Imidazole Polyamide Targeting Human TGF-β1 Promoter for Progressive Renal Diseases in the Common Marmoset

  • Masari Otsuki,
  • Noboru Fukuda,
  • Takashi Inoue,
  • Takayuki Mineshige,
  • Tomoyasu Otsuki,
  • Shu Horikoshi,
  • Morito Endo and
  • Masanori Abe

1 September 2019

Pyrrole-imidazole (PI) polyamides are novel gene silencers that strongly bind the promoter region of target genes in a sequence-specific manner to inhibit gene transcription. We created a PI polyamide targeting human TGF-β1 (hTGF-β1). To de...

  • Article
  • Open Access
14 Citations
5,016 Views
16 Pages

Management of Anticoagulant-Related Nephropathy: A Single Center Experience

  • Tanja Belčič Mikič,
  • Nika Kojc,
  • Maja Frelih,
  • Andreja Aleš-Rigler and
  • Željka Večerić-Haler

16 February 2021

Background: Anticoagulant-related nephropathy (ARN) is a form of acute kidney injury that mainly occurs in patients with previously unrecognized glomerular disease in addition to excessive anticoagulation. Since a renal biopsy is not performed in mos...

  • Article
  • Open Access
35 Citations
10,207 Views
18 Pages

27 August 2012

Human immunodeficiency virus (HIV) is associated with several renal syndromes including acute and chronic renal failures, but the underlying pathogenic mechanisms are unclear. HIV and feline immunodeficiency virus (FIV) share numerous biological and...

  • Article
  • Open Access
29 Citations
5,485 Views
18 Pages

Effects of Periostracum Cicadae on Cytokines and Apoptosis Regulatory Proteins in an IgA Nephropathy Rat Model

  • Lu Yang,
  • Yan Wang,
  • Aobulikasimu Nuerbiye,
  • Ping Cheng,
  • Jin-Hui Wang,
  • Rena Kasimu and
  • Hong Li

Periostracum cicadae, the cast-off shell of the cicada Cryptotympana pustulata Fabricius, is used in traditional Chinese medicine for its diaphoretic, anticonvulsive, sedative, antipyretic, and antiallergic effects. However, the exact pathogenesis of...

  • Review
  • Open Access
7 Citations
4,900 Views
18 Pages

Acute Kidney Injury in Monoclonal Gammopathies

  • Paolo Menè,
  • Alessandra Moioli,
  • Antonella Stoppacciaro,
  • Silvia Lai and
  • Francescaromana Festuccia

28 August 2021

Monoclonal gammopathies (MG) encompass a variety of disorders related to clonal expansion and/or malignant transformation of B lymphocytes. Deposition of free immunoglobulin (Ig) components (light or heavy chains, LC/HC) within the kidney during MG m...

  • Review
  • Open Access
1 Citations
3,004 Views
12 Pages

5 August 2024

Renal failure is one of the most important manifestations of multiple myeloma. It is caused by renal lesions such as cast nephropathy, immunoglobulin deposition disease, AL amyloidosis or other glomerular and/or tubular diseases, mostly due to the to...

  • Review
  • Open Access
57 Citations
10,359 Views
23 Pages

Cdc42: A Novel Regulator of Insulin Secretion and Diabetes-Associated Diseases

  • Qi-Yuan Huang,
  • Xing-Ning Lai,
  • Xian-Ling Qian,
  • Lin-Chen Lv,
  • Jun Li,
  • Jing Duan,
  • Xing-Hua Xiao and
  • Li-Xia Xiong

Cdc42, a member of the Rho GTPases family, is involved in the regulation of several cellular functions including cell cycle progression, survival, transcription, actin cytoskeleton organization and membrane trafficking. Diabetes is a chronic and meta...

  • Article
  • Open Access
42 Citations
5,824 Views
14 Pages

19 December 2019

Melatonin, a pineal hormone, is well known to regulate the sleep–wake cycle. Besides, the hormone has been shown to display pleiotropic effects arising from its powerful anti-oxidant and anti-inflammatory activities. Recent studies have reporte...

  • Article
  • Open Access
5 Citations
3,292 Views
11 Pages

Background: The simultaneous occurrence of impaired kidney function and paraproteinemia is common in our constantly aging society. Both can be independent entities; however, renal insufficiency can also be caused by the paraprotein. We assessed all k...

  • Article
  • Open Access
5 Citations
2,525 Views
14 Pages

Clinicopathological Relevance of PAX8 Expression Patterns in Acute Kidney Injury and Chronic Kidney Diseases

  • Maja Zivotic,
  • Dusko Dundjerovic,
  • Radomir Naumovic,
  • Sanjin Kovacevic,
  • Milan Ivanov,
  • Danijela Karanovic,
  • Gorana Nikolic,
  • Jasmina Markovic-Lipkovski,
  • Sanja Radojevic Skodric and
  • Jelena Nesovic Ostojic

Transcription factor PAX8, expressed during embryonic kidney development, has been previously detected in various kidney tumors. In order to investigate expression of PAX8 transcription factor in acute kidney injury (AKI) and chronic kidney diseases...

  • Case Report
  • Open Access
12 Citations
7,396 Views
10 Pages

Acute IgA-Dominant Glomerulonephritis Associated with Syphilis Infection in a Pregnant Teenager: A New Disease Association

  • Alejandra Oralia Orozco Guillén,
  • Ricardo Ivan Velazquez Silva,
  • Bernardo Moguel González,
  • Yubia Amaya Guell,
  • Pamela Garciadiego Fossas,
  • Iris Guadalupe Custodio Gómez,
  • Osvaldo Miranda Araujo,
  • Virgilia Soto Abraham,
  • Giorgina Barbara Piccoli and
  • Magdalena Madero

18 January 2019

Chronic kidney disease (CKD) is increasingly recognized as a risk factor in pregnancy; the differential diagnosis between CKD and preeclampsia (PE) may be of pivotal importance for pregnancy management and for early treatment of CKD. Acknowledging th...