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Related Experiment Video

Updated: Feb 4, 2026

Analysis of Nephron Composition and Function in the Adult Zebrafish Kidney
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Analysis of Nephron Composition and Function in the Adult Zebrafish Kidney

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Single-nephron eGFR and kidney function decline in IgA nephropathy.

Chen Yang1,2, Shuang Liang2, Zhi- Yu Duan2

  • 1School of Medicine, Nankai University, Tianjin, China.

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|February 2, 2026
PubMed
Summary
This summary is machine-generated.

Higher single-nephron estimated glomerular filtration rate (eGFR) is a risk factor for kidney function decline in IgA nephropathy (IgAN) patients. This finding suggests single-nephron eGFR can aid in early risk stratification for IgAN progression.

Keywords:
IgA nephropathyglomerular hyperfiltrationprognosisrisk stratificationsingle-nephron eGFR

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Area of Science:

  • Nephrology
  • Renal Physiology
  • Immunology

Background:

  • IgA nephropathy (IgAN) progression involves compensatory hyperfiltration by residual nephrons, potentially accelerating kidney function decline.
  • The prognostic value of single-nephron estimated glomerular filtration rate (eGFR) in IgAN is unclear due to measurement challenges.
  • This study investigates the impact of single-nephron eGFR on kidney function decline in IgAN patients.

Purpose of the Study:

  • To assess the prognostic value of single-nephron eGFR in predicting kidney function decline in IgA nephropathy (IgAN).
  • To determine if single-nephron eGFR can serve as an early risk-stratification tool for IgAN progression.

Main Methods:

  • An observational cohort study of 187 biopsy-confirmed IgAN patients.
  • Single-nephron eGFR estimated by dividing total eGFR by nephron number derived from CT scans and biopsy data.
  • Cox proportional hazards models used to analyze associations between single-nephron eGFR and kidney function decline (defined by eGFR decrease or ESRD).

Main Results:

  • Higher single-nephron eGFR was significantly associated with reduced kidney survival (log-rank P < 0.001).
  • Compared to the low single-nephron eGFR group, hazard ratios for kidney function decline were 2.50 (middle group) and 5.30 (high group).
  • 57 out of 187 participants experienced kidney function decline over a median follow-up of 3.1 years.

Conclusions:

  • Elevated single-nephron eGFR is a risk factor for kidney function decline in IgAN patients.
  • Single-nephron eGFR shows potential as an early risk-stratification tool for IgAN.
  • Relying solely on eGFR cutoffs for hyperfiltration definition may lead to misclassification.