Glomerular lesion and increased cytokine gene expression in renal tissue in patients with decompensated nephrotic syndrome due to chronic GvHD

Ren Fail. 2010 May;32(4):510-4. doi: 10.3109/08860221003664256.

Abstract

The nephrotic syndrome is a rare complication of allogeneic stem cell transplantation (alloHSCT). We present two cases of nephrotic syndrome during chronic graft-versus-host disease (GvHD) involving altered cytokine gene expression in renal tissue. A patient with acute lymphatic leukemia demonstrated nephrotic syndrome due to minimal change disease as a marker of chronic GvHD. A patient with acute lymphoblastic leukemia suffered from severe nephrotic syndrome due to membranous glomerulopathy. In the two presented cases of GvHD-linked nephrotic syndrome, increased cytokine gene expression [tumor necrosis factor alpha (TNF-alpha), transforming growth factor beta (TGF-beta), interferon gamma (IFN-gamma), interleukin 2 (IL-2), IL-6, and IL-10] assessed using semiquantitative evaluation with reverse transcriptase polymerase chain reaction (RT-PCR) in situ on renal biopsy was observed.

MeSH terms

  • Adult
  • Cytokines / genetics*
  • Cytokines / metabolism
  • Diagnosis, Differential
  • Gene Expression
  • Graft vs Host Disease / complications*
  • Graft vs Host Disease / genetics
  • Humans
  • Male
  • Nephrosis, Lipoid / diagnosis
  • Nephrosis, Lipoid / etiology*
  • Nephrosis, Lipoid / genetics
  • Nephrotic Syndrome / diagnosis
  • Nephrotic Syndrome / etiology*
  • Nephrotic Syndrome / genetics
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • Cytokines