Tertiary lymphoid tissues in kidney diseases: a perspective for the pediatric nephrologist

Takahisa Yoshikawa1, Yu Ho Lee2, Yuki Sato1

  • 1Department of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Insights

Tertiary lymphoid tissues (TLTs) form in kidneys with chronic inflammation, especially in aged individuals and those with kidney diseases. Understanding age-dependent TLT formation offers new insights into kidney dysfunction and disease progression.

Area of Science:

  • Nephrology
  • Immunology
  • Pathology

Background:

  • Chronic kidney disease (CKD) is a global health concern with long-term consequences, particularly in children.
  • Chronic inflammation is a hallmark of CKD, driving maladaptive repair and kidney dysfunction.
  • Tertiary lymphoid tissues (TLTs) are ectopic lymphoid structures found in non-lymphoid organs during chronic inflammation.

Conclusions:

  • Age-dependent TLT formation provides novel insights into kidney disease pathogenesis.
  • TLTs are clinically relevant in various human kidney diseases, affecting both adults and children.
  • Further research into kidney TLTs is warranted for understanding and managing CKD.

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