[Importance of annexin V in kidney diseases]

Anna Jakubowska1, Katarzyna Kiliś-Pstrusińska1

  • 1Katedra i Klinika Nefrologii Pediatrycznej Uniwersytetu Medycznego we Wrocławiu.

Insights

Annexin V (AnV) is an early apoptosis marker crucial for understanding renal conditions. Measuring AnV levels aids in diagnosing and managing kidney diseases, including pyelonephritis and diabetic nephropathy.

Area of Science:

  • Nephrology
  • Cell Biology
  • Biochemistry

Background:

  • Annexin V (AnV) is a calcium-binding protein implicated in apoptosis.
  • AnV serves as an early apoptosis marker, vital for detecting cellular changes.
  • Renal processes and various kidney conditions are linked to AnV levels.

Purpose of the Study:

  • To explore the role of Annexin V in various renal conditions.
  • To evaluate AnV as a marker for apoptosis in kidney diseases.
  • To investigate AnV's significance in acute and chronic renal pathologies.

Main Methods:

  • Utilized Annexin V detection to identify early apoptosis in tubular cells.
  • Assessed AnV levels in patients with acute pyelonephritis, diabetic nephropathy, and chronic renal conditions.
  • Examined the influence of bacterial hemolysins and reperfusion injury on tubular cell apoptosis.
  • Evaluated AnV as a biomarker for atherosclerosis and immunodeficiency in chronic kidney disease patients.
  • Investigated the prognostic value of AnV in pediatric nephrotic syndrome.

Main Results:

  • Escherichia coli hemolysins were shown to induce tubular cell death, with intensity dependent on toxin levels and exposure time.
  • A synthetic AnV homodimer demonstrated protective effects against tubular cell injury during renal reperfusion.
  • AnV measurement showed potential as a biomarker for atherosclerosis and immunodeficiency in chronic renal disease.
  • AnV levels correlated with apoptosis intensification in renal tubular cells affected by metabolic disorders in diabetic nephropathy.
  • The prognostic value of AnV and T-cell apoptosis was assessed in children with nephrotic syndrome.

Conclusions:

  • Annexin V is a significant indicator in various renal conditions, including infections, metabolic disorders, and injury.
  • AnV measurement offers potential for early diagnosis, prognosis, and therapeutic evaluation in nephrology.
  • Further research into AnV's role, particularly in pediatric renal diseases, is warranted.

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