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Podocyte involvement in the pathogenesis of preterm-related long-term chronic kidney disease
Lulu Zhang1,2,3, Jun Zheng2,3,4, Fangrui Ding2,3,5
1Department of Neonatology, Tianjin Central Hospital of Obstetrics and Gynecology, Tianjin, China.
Insights
Preterm birth increases chronic kidney disease (CKD) risk. This review explores how prematurity impacts kidney development, focusing on podocyte function and long-term CKD in infants.
Area of Science:
- Neonatology
- Nephrology
- Developmental Biology
Background:
- Neonatal intensive care advancements improve preterm infant survival rates.
- Preterm birth is a significant risk factor for developing chronic kidney disease (CKD).
- CKD in preterm infants poses economic and quality-of-life challenges.
Purpose of the Study:
- To review the influence of prematurity on chronic kidney disease (CKD) development.
- To specifically focus on the role of podocytes in CKD associated with preterm birth.
- To identify potential strategies for early prevention and management of CKD in preterm infants.
Main Methods:
- Literature review of current epidemiological data and research on prematurity and kidney disease.
- Analysis of the nephron number hypothesis in the context of preterm birth.
- Focused examination of podocyte structure and function in relation to preterm birth and CKD.
Main Results:
- Preterm birth is strongly linked to an increased risk of long-term chronic kidney disease (CKD).
- While the nephron number hypothesis is established, the specific role of podocytes in prematurity-associated CKD requires further investigation.
- Understanding podocyte behavior is crucial for elucidating CKD pathogenesis in preterm infants.
Conclusions:
- Prematurity significantly impacts long-term renal health, increasing CKD susceptibility.
- Podocytes represent a key area for understanding the mechanisms linking preterm birth to CKD.
- Further research into podocyte function is essential for developing targeted interventions for preterm infants at risk of CKD.
Abstract:
With the continuous advancement of neonatal intensive care technology, the survival rate of preterm infants is gradually increasing. However, this improvement in survival is accompanied by long-term prognostic implications in various systems. In the field of renal diseases, current epidemiological data indicate that preterm birth is a significant risk factor for the development of long-term chronic kidney disease (CKD). This not only imposes an economic burden on patients families but also severely impacts their quality of life. Understanding the underlying mechanisms involved in this process could offer potential strategies for early prevention and management of CKD. Although the nephron number hypothesis is currently widely accepted as a mechanism, there has been limited exploration regarding podocytes - one of the most important structures within nephrons - in relation to long-term CKD associated with preterm birth. Therefore, this review aims to summarize current knowledge on how prematurity influences CKD development overall, while specifically focusing on our current understanding of podocytes in relation to prematurity.
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