Department of Nephrology, Ghent University Hospital, 9000 Ghent, Belgium.
Department of Pathology, Ghent University Hospital, 9000 Ghent, Belgium.
Int J Mol Sci. 2024 May 28;25(11):5875. doi: 10.3390/ijms25115875.
Renal amyloidosis is a set of complex disorders characterized by the deposition of amyloid proteins in the kidneys, which causes gradual organ damage and potential kidney failure. Recent developments in diagnostic methods, particularly mass spectrometry and proteome profiling, have greatly improved the accuracy of amyloid typing, which is critical for disease management. These technologies provide extensive insights into the specific proteins involved, allowing for more targeted treatment approaches and better patient results. Despite these advances, problems remain, owing to the heterogeneous composition of amyloid proteins and the varying efficacy of treatments based on amyloid type. Access to sophisticated diagnostics and therapy varies greatly, highlighting the global difference in renal amyloidosis management. Future research is needed to investigate next-generation sequencing and gene-editing technologies, like clustered regularly interspaced short palindromic repeats (CRISPR), which promise more profound insights into the genetic basis of amyloidosis.
肾淀粉样变性是一组以淀粉样蛋白在肾脏中沉积为特征的复杂疾病,可导致进行性器官损伤和潜在的肾衰竭。诊断方法的最新进展,特别是质谱和蛋白质组谱分析,极大地提高了淀粉样蛋白分型的准确性,这对疾病管理至关重要。这些技术为特定蛋白质的参与提供了广泛的见解,从而可以采用更具针对性的治疗方法和改善患者的结果。尽管取得了这些进展,但仍存在问题,这归因于淀粉样蛋白的异质组成以及基于淀粉样蛋白类型的治疗效果的不同。获得复杂的诊断和治疗方法的机会差异很大,突出了全球在肾淀粉样变性管理方面的差异。需要进一步研究下一代测序和基因编辑技术,如成簇规律间隔短回文重复(CRISPR),以深入了解淀粉样变性的遗传基础。