NDT Advance Access originally published online on May 3, 2007
Nephrology Dialysis Transplantation 2007 22(7):1840-1848; doi:10.1093/ndt/gfm205
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Hepatitis C virus: from entry to renal injuryfacts and potentials
Kasr-El-Aini Medical School, Cairo University, Egypt, Cairo, Egypt
Correspondence and offprint requests to: Rashad Barsoum, Cairo Kidney Center, POB 91 Bab-El-Louk, Cairo, 11513, Egypt. Email: Rashad.barsoum@gmail.com
Keywords: amyloidosis; glomerulonephritis; HCV; transplantation; vasculitis; viral nephropathy
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| Introduction |
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In 1993, only 4 years after the discovery of HCV, three independent groups in Japan, Italy and the US reported the detection of relevant viral markers of infection in patients with Type I membranoproliferative glomerulonephritis. About half of those patients had circulating cryoglobulins, which were blamed in the pathogenesis of kidney disease. These observations were subsequently confirmed by hundreds of studies all over the world, thereby revealing that the majority of patients with type II mixed essential cryoglobulinaemia were, indeed, victims of HCV infection. The spectrum of renal pathology associated with this infection subsequently expanded to include many patterns in native as well as transplanted kidneys (Table 1, Figure 1) [112].
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| The virus |
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| Infectivity |
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| Pathogenicity |
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Cytopathic effects
Immune response
Innate immune response
Adaptive response
| Mechanisms of renal injury in HCV disease |
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Cryoglobulins
Immune complexes
Endothelial injury
Podocyte injury
Mesangial inflammation
Amyloid deposition
Tubular injury
| Conclusion |
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