Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/79842
Type: Artigo de Periódico
Title: First report of collapsing variant of focal segmental glomerulosclerosis triggered by arbovirus: dengue and Zika virus infection
Authors: Stanley de Almeida Araújo
Thiago Macedo e Cordeiro
André Rolim Belisário
Roberto Ferreira de Almeida Araújo
Paula Eillanny Silva Marinho
Erna Geessien Kroon
Danilo Bretas de Oliveira
Mauro Martins Teixeira
Ana Cristina Simões e Silva
Abstract: Background. The collapsing variant of focal segmental glomerulosclerosis (FSGS) is the most aggressive form of FSGS and is characterized by at least one glomerulus with segmental or global collapse and overlying podocyte hypertrophy and hyperplasia. Viruses can act as aetiological agents of secondary FSGS. This study aims to establish an aetiological link between dengue virus (DENV) infection and the collapsing variant of FSGS and to analyse possible influences of the apolipoprotein 1 (APOL1) gene risk alleles on the disease. Methods. Biopsies and medical records were gathered from 700 patients of the Instituto de Nefropatologia, Belo Horizonte, Brazil. Screening for the collapsing variant of FSGS was performed and serological, immunohistochemical, tissue polymerase chain reaction (PCR) and genetic analysis were conducted. Results. Eight patients were identified with positive DENV serology and negative serological and/or tissue markers for hepatitis B virus, hepatitis C virus, Epstein–Barr virus, human immunodeficiency virus, cytomegalovirus and parvovirus B19. In PCR analysis, six patients had positive markers for DENV strain genetic material, one patient had positive markers for co-infection of Zika virus (ZIKV) and DENV and one patient had positive markers only for ZIKV infection. Six of the eight patients did not show risk alleles of the APOL1 gene. One patient had only one risk allele (G1) and the sample from another did not contain enough DNA for genetic analysis to be performed.
Subject: Arbovírus
Dengue
Insuficiência Renal Crônica
Vírus da Zika
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: ICB - DEPARTAMENTO DE MICROBIOLOGIA
Rights: Acesso Aberto
metadata.dc.identifier.doi: https://doi.org/10.1093/ckj/sfy104
URI: http://hdl.handle.net/1843/79842
Issue Date: 19-Nov-2018
metadata.dc.url.externa: https://academic.oup.com/ckj/article/12/3/355/5193070
metadata.dc.relation.ispartof: Clinical Kidney Journal
Appears in Collections:Artigo de Periódico



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