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Published on: August 19, 2020
Crescentic Glomerulonephritis: Pathogenesis and Therapeutic Potential of Human Amniotic Stem Cells
Ahmed Al Mushafi1, Joshua D Ooi1, Dragana Odobasic1
1Department of Medicine, Monash Medical Centre, Centre for Inflammatory Diseases, Monash University, Clayton, VIC, Australia.
Insights
New research explores human amniotic epithelial cells (hAECs) as a safer alternative therapy for crescentic glomerulonephritis (GN), a severe kidney disease. These stem cells show promise in treating GN with fewer side effects than current treatments.
Area of Science:
- Nephrology
- Immunology
- Regenerative Medicine
Background:
- Chronic kidney disease (CKD) is a major global health concern.
- Glomerulonephritis (GN) is a leading cause of CKD, with crescentic GN being the most severe form.
- Current treatments for crescentic GN involve broad immunosuppressants with significant toxicity and side effects.
Purpose of the Study:
- To review the immunopathogenesis of crescentic GN.
- To highlight the limitations of existing therapies for crescentic GN.
- To explore the potential of human amniotic epithelial cells (hAECs) as a novel therapeutic strategy.
Main Methods:
- Review of existing literature on crescentic GN.
- Analysis of the immunopathogenesis of GN.
- Evaluation of the therapeutic properties of hAECs.
Main Results:
- Crescentic GN is characterized by rapid glomerular damage.
- Current immunosuppressive therapies are associated with severe adverse events.
- hAECs possess unique immunosuppressive properties and a favorable safety profile.
Conclusions:
- There is a critical need for safer and more effective treatments for crescentic GN.
- hAECs represent a promising, novel therapeutic option for crescentic GN.
- hAECs offer a potentially harmless alternative to current treatments for this severe kidney disease.
Abstract:
Chronic kidney disease (CKD) leads to significant morbidity and mortality worldwide. Glomerulonephritis (GN) is the second leading cause of CKD resulting in end stage renal failure. The most severe and rapidly progressive type of GN is characterized by glomerular crescent formation. The current therapies for crescentic GN, which consist of broad immunosuppressive drugs, are partially effective, non-specific, toxic and cause many serious side effects including infections, cancer, and cardiovascular problems. Therefore, new and safer therapies are needed. Human amniotic epithelial cells (hAECs) are a type of stem cell which are isolated from the placenta after birth. They represent an attractive and novel therapeutic option for the treatment of various inflammatory conditions owing to their unique and selective immunosuppressive ability, as well as their excellent safety profile and clinical applicability. In this review, we will discuss the immunopathogenesis of crescentic GN, issues with currently available treatments and how hAECs offer potential to become a new and harmless treatment option for this condition.
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