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Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

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Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
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Renal Corpuscle01:20

Renal Corpuscle

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The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
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Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

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IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
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Fungal Phylum Microsporidia01:28

Fungal Phylum Microsporidia

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Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...
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Nephrons01:10

Nephrons

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The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Related Experiment Video

Updated: Jan 14, 2026

Using Eggs from Schistosoma mansoni as an In vivo Model of Helminth-induced Lung Inflammation
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Using Eggs from Schistosoma mansoni as an In vivo Model of Helminth-induced Lung Inflammation

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Glomerulopathy associated with schistosomiasis mansoni.

Irma Bandeira de Sousa Pontes1, Amaro Nunes Duarte Neto2, Cristiane Bitencourt Dias1

  • 1Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Laboratório de Fisiopatologia Renal, São Paulo, SP, Brazil.

Jornal Brasileiro De Nefrologia
|October 17, 2025
PubMed
Summary

Schistosomiasis, a parasitic disease linked to poor sanitation, affects millions in Brazil. This review explores its impact on kidney health, focusing on glomerulopathy and uncertain pathogenic mechanisms for improved treatment strategies.

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Cercarial Transformation and in vitro Cultivation of Schistosoma mansoni Schistosomules
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Mass Isolation and In Vitro Cultivation of Intramolluscan Stages of the Human Blood Fluke Schistosoma Mansoni
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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Parasitology

Background:

  • Schistosomiasis is a significant public health issue in Brazil, endemic in areas with poor sanitation.
  • The kidney is a target organ, with schistosomiasis causing renal alterations, acute kidney injury, and glomerular diseases.
  • Glomerulopathy affects 5-6% of patients with active schistosomiasis, rising to 15% in the hepatosplenic form.

Purpose of the Study:

  • To review established knowledge on schistosomiasis-associated glomerular disease.
  • To investigate the probable pathogenic mechanisms underlying these kidney complications.
  • To stimulate discussion for developing enhanced therapeutic interventions.

Main Methods:

  • Literature review of classic information on schistosomiasis and kidney disease.
  • Exploration of proposed pathogenic mechanisms, including immune complex involvement.
  • Analysis of treatment challenges and the potential need for immunosuppressive therapy.

Main Results:

  • Membranoproliferative glomerulonephritis and focal segmental glomerulosclerosis are common histological findings.
  • Immune complex deposition, potentially against schistosome antigens, is implicated in pathogenesis.
  • Antiparasitic treatment alone may not halt chronic kidney disease progression.

Conclusions:

  • The pathogenesis of schistosomiasis-induced glomerulopathy remains uncertain, complicating treatment.
  • Further research into pathogenic mechanisms is crucial for advancing treatment options.
  • The role of immunosuppressive therapy warrants consideration in managing chronic kidney disease in schistosomiasis patients.