Recently, the international Biological Sciences Research top academic
journals, "the U.S. National Academy of Sciences (PNAS), published online the
latest achievements of the Shanghai Jiaotong University Affiliated Shanghai
Children's Medical Center researchers. The new familial FSGS susceptibility gene
the INF2 pathogenic mechanism for the new discovery "published article, the
author is a child center pediatric into the Institute of Medicine, Department of
Nephrology, the children's genetic disease task force member Dr. Sun Hua.
FSGS is a class performance for children and adults with kidney disease,
chronic progressive glomerular diseases, the vast majority of clinical
manifestations in patients with steroid resistant nephrotic syndrome. FSGS also
contributed to the deterioration of renal function and chronic renal failure,
the most important glomerular disease type, treatment antagonism exists,
therefore, its pathogenesis and treatment strategies become hot and difficult in
the field of diagnosis and treatment of kidney disease. The Shanghai Children's
Medical Center is transformed into the Institute of Medicine Dr. Sun Hua group
the use of cloning and mutation, as well as a series of protein interactions,
the implementation of the pedigree linkage analysis was first discovered in the
glomerular podocytes, INF2 negative adjustment of Rho / mDia was activated
through interaction with the cell actin cytoskeleton regulatory protein mDia,
cytoskeleton caused by heterogeneous and phenotypic changes of podocytes,
thereby maintaining the normal function of podocytes, and confirmed that the
INF2 pathogenic mutations interfere with this interactions lead to podocyte
injury signal susceptibility, but also confirmed the new FSGS susceptibility
gene INF2 mutations cause familial nephropathy. On this basis, the group further
explore the pathogenic significance of these mutations, of FSGS susceptibility
gene mutation is to affect or determine the clinical phenotype, disease
progression, treatment response and prognosis, as well as important genetic
factor for transplant relapse rate . The study comes from clinical cases of
genetic data, from the molecular level interpretation of the INF2 mutations lead
to the pathogenesis of FSGS, as well as the relationship of different mutations
and different clinical phenotypes and prognosis. The study is also a very useful
exploration of translational medicine and the practice of individualized
treatment.
This research project has been the EPT of Shanghai Children's Medical Center
of the Training Scheme funding; at the same time, Harvard Medical School
hereditary kidney disease laboratory for this research project has also given
strong support.
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