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Isolation, Characterization, And High Throughput Extracellular Flux Analysis of Mouse Primary Renal Tubular Epithelial Cells
Published on: June 20, 2018
Clinical and molecular insights into tuberous sclerosis complex renal disease
Brian J Siroky1, Hong Yin, John J Bissler
1Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, MLC 7022, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.
Abstract:
Patients with tuberous sclerosis complex are at great risk of developing renal lesions as part of their disease. These lesions include renal cysts and tumors. Significant advances in understanding the cell biology of these renal lesions has already led to clinical trials demonstrating that pharmacological interventions are likely possible. This review focuses on the pathology of these renal lesions, their underlying cell biology, and the possible therapeutic strategies that may prove to significantly improve care for these patients.
Insights
Tuberous sclerosis complex (TSC) patients frequently develop kidney cysts and tumors. Understanding TSC renal lesion cell biology offers new therapeutic strategies for improved patient care.
Area of Science:
- Nephrology
- Oncology
- Genetics
Background:
- Tuberous sclerosis complex (TSC) is a genetic disorder.
- Renal lesions, including cysts and tumors, are a common and serious complication in TSC patients.
- These lesions significantly impact patient morbidity and mortality.
Purpose of the Study:
- To review the pathology and cell biology of renal lesions in TSC.
- To discuss current and emerging therapeutic strategies for TSC-associated renal disease.
- To highlight the potential for pharmacological interventions in managing these lesions.
Main Methods:
- Literature review of pathology, cell biology, and clinical trials.
- Synthesis of information on the molecular mechanisms driving renal lesion development.
- Analysis of therapeutic approaches targeting TSC pathways.
Main Results:
- Renal lesions in TSC arise from dysregulated cell growth and proliferation.
- Specific genetic mutations in TSC1/TSC2 underlie lesion formation.
- Pharmacological agents targeting mTOR signaling have shown promise in early trials.
Conclusions:
- Targeting the underlying cell biology of TSC renal lesions offers a viable therapeutic avenue.
- Further research and clinical trials are needed to optimize pharmacological treatments.
- Improved understanding can lead to better management and outcomes for TSC patients with renal disease.
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