Apolipoprotein E2/E5 variants in lipoprotein glomerulopathy recurred in transplanted kidney
Abstract
Abstract.: Lipid abnormalities are associated with various disorders ranging from generalized atherosclerosis to renal diseases, including lipoprotein glomerulopathy that is characterized by glomerular lipoprotein thrombi and causes type III hyperlipoproteinemia, proteinuria, and renal failure. This study examines lipoprotein glomerulopathy, which recurred in a transplanted kidney. Molecular biologic analysis of the patient's apolipoprotein (apo) E gene demonstrated E2/E5 type variants. Immunohistochemical analysis of the diseased kidney demonstrated various lipid peroxidation-specific protein adducts, suggesting a potential role of oxidative stress in this disorder. Recurrence in the transplanted kidney suggested a pathogenic role of extraglomerular humoral component(s) resulting from abnormal lipoprotein metabolism, presumably linked to apo E and other genetic or acquired factor(s). Furthermore, the finding that the patient showed pathologic abnormalities in the transplanted kidney with no clinical signs or symptoms of renal disease indicated that lipoprotein glomerular damage progresses early before any clinical manifestations.
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LPG relapse following kidney transplantation suggests that factors outside the kidney are crucial for LPG pathogenesis.
“The relapse of LPG following kidney transplantation in LPG patients (3,4) has suggested that factors outside the kidney should be crucial for the disease pathogenesis.”
From Thermodynamic destabilization and aggregation propensity as the mechanism behind the association of apoE3 mutants and lipoprotein glomerulopathy (2018) · cites this paper as [4]
Only two cases of LPG with apoE5 (Glu3Lys) have been reported, and they were confirmed to have apoE-Chicago.
“To the best of our knowledge, only two cases of LPG with apoE5 (Glu3Lys) have been reported [5,6] and these are confirmed to have apoE-Chicago by Kodera [5] (Table 1).”
From A case of lipoprotein glomerulopathy with a rare apolipoprotein E isoform combined with neurofibromatosis type I (2018) · cites this paper as [6]
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APOE gene variants in primary dyslipidemia
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A case report of youth-onset lipoprotein glomerulopathy with APOE Chicago mutation
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Identification of a founder haplotype of <i>APOE Kyoto</i> variant in lipoprotein glomerulopathy
Wu, H., He, Z., Yang, J., Zhou, Y., Yang, Z., Hu, Z., & Yang, Y. (2025) · Clinical Kidney Journal · doi:10.1093/ckj/sfaf234
- Authors
- MIYATA, T., SUGIYAMA, S., NANGAKU, M., SUZUKI, D., URAGAMI, K.-I., INAGI, R., SAKAI, H., & KUROKAWA, K.
- Affiliations
- Tokai University (JP)
- Corresponding author
- MIYATA, TOSHIO
- NANGAKU, MASAOMI
- SUZUKI, DAISUKE
- URAGAMI, KEN-ICHI
- INAGI, REIKO
- SAKAI, HIDETO
- KUROKAWA, KIYOSHI
- Venue
- Journal of the American Society of Nephrology
- Published
- 1999-07
- Volume
- 10
- Issue
- 7
- Pages
- 1590-1595
- ISSN
- 1046-6673 (ISSN-L)
- OpenAlex
- W2149057126
- Cited by
- 55
- References
- 4
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 1 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 5 · 2013: 1 · 2012: 1
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Society of Nephrology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Renal Diseases and Glomerulopathies
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Keywords
- lipoprotein glomerulopathy, apolipoprotein E, kidney transplantation, type III hyperlipoproteinemia, lipid peroxidation, oxidative stress, proteinuria, renal failure, lipoprotein metabolism
- MeSH terms
- Adult, Apolipoproteins E, Base Sequence, Humans, Kidney Diseases, Kidney Glomerulus, Male, Polymorphism, Restriction Fragment Length, Genetic Variation, Lipid Peroxidation, Kidney Transplantation, DNA Primers, Apolipoprotein E2
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