Nephrol Dial Transplant (2000) 15: 1732-1734
© 2000 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Albumin and proximal tubular cells—beyond endocytosis
Department of Cell Physiology and Pharmacology, and Department of Nephrology, University of Leicester, Faculty of Medicine and Biological Sciences, Leicester, UK
Introduction
The presence of albuminuria has long been recognized as an adverse prognostic feature in patients with renal disease. Those patients with appreciable albuminuria are much more likely to develop tubulointerstitial scarring and fibrosis and progress to end-stage renal failure. For many years it was thought that excess albuminuria was simply a marker of a more severe renal disease which was more likely to progress as a result of this severity rather than as a result of the albuminuria itself. This conviction was strengthened by the general assumption that albumin was a benign or inert molecule serving primarily to exert oncotic pressure and act as a carrier within the circulation.
More recently this view has been challenged with the accumulation of evidence suggesting that albumin is able to influence the function of cells with which it makes contact in the manner of a signalling molecule.
Proximal tubular cell binding and uptake of albumin
A number of elegant morphological studies
Non-kidney cell responses to albumin exposure
Proximal tubular cell responses to albumin exposure in vitro
Proximal tubular responses to albumin in vivo
Summary
Notes
References
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