Similarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy

Kidney disease is a major complication of viral infection, which can cause both acute and chronic kidney diseases via different mechanisms such as immune-mediated injury, kidney cell injury from a direct viral infection, systemic effects, and antiviral drug-induced nephrotoxicity. HIV-associated nep...

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Autores principales: Anqun Chen, Lijun Yin, Kyung Lee, John Cijiang He
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Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/d35022ac981144c39ee8f1bf1cac04df
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spelling oai:doaj.org-article:d35022ac981144c39ee8f1bf1cac04df2021-12-02T12:40:23ZSimilarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy2296-93812296-935710.1159/000520235https://doaj.org/article/d35022ac981144c39ee8f1bf1cac04df2021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520235https://doaj.org/toc/2296-9381https://doaj.org/toc/2296-9357Kidney disease is a major complication of viral infection, which can cause both acute and chronic kidney diseases via different mechanisms such as immune-mediated injury, kidney cell injury from a direct viral infection, systemic effects, and antiviral drug-induced nephrotoxicity. HIV-associated nephropathy (HIVAN), characterized by collapsing focal segmental glomerulosclerosis (cFSGS), has been described 2 decades ago as a major complication of acquired-immunodeficiency syndrome. The pathogenesis of HIVAN has been well studied, including viral entry, host response, and genetic factors. The incidence of this disease has been dramatically dropped with current antiretroviral therapy. In the recent severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) pandemic, acute kidney injury was also found to be a major complication in patients with (coronavirus disease) COVID-19. These patients also developed glomerular disease such as cFSGS in African Americans with apolipoprotein L1 risk alleles, similar to HIVAN. Whether SARS-CoV-2 can infect kidney cells locally remains controversial, but both local infection and systemic effects are likely involved in the pathogenesis of this disease. In this review, we present a comparison of the clinical presentations, pathological findings, disease mechanisms, and potential treatments between HIVAN and COVID-19. Leveraging the knowledge in HIVAN and experimental approaches used to study HIVAN will facilitate the exploration in the pathogenesis of COVID-19-associated kidney disease and improve our management of COVID-19 patients.Anqun ChenLijun YinKyung LeeJohn Cijiang HeKarger Publishersarticleviral nephropathyhiv-associated nephropathycovid-19 nephropathyacute kidney injurycollapsing fsgsInternal medicineRC31-1245ENKidney Diseases, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic viral nephropathy
hiv-associated nephropathy
covid-19 nephropathy
acute kidney injury
collapsing fsgs
Internal medicine
RC31-1245
spellingShingle viral nephropathy
hiv-associated nephropathy
covid-19 nephropathy
acute kidney injury
collapsing fsgs
Internal medicine
RC31-1245
Anqun Chen
Lijun Yin
Kyung Lee
John Cijiang He
Similarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy
description Kidney disease is a major complication of viral infection, which can cause both acute and chronic kidney diseases via different mechanisms such as immune-mediated injury, kidney cell injury from a direct viral infection, systemic effects, and antiviral drug-induced nephrotoxicity. HIV-associated nephropathy (HIVAN), characterized by collapsing focal segmental glomerulosclerosis (cFSGS), has been described 2 decades ago as a major complication of acquired-immunodeficiency syndrome. The pathogenesis of HIVAN has been well studied, including viral entry, host response, and genetic factors. The incidence of this disease has been dramatically dropped with current antiretroviral therapy. In the recent severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) pandemic, acute kidney injury was also found to be a major complication in patients with (coronavirus disease) COVID-19. These patients also developed glomerular disease such as cFSGS in African Americans with apolipoprotein L1 risk alleles, similar to HIVAN. Whether SARS-CoV-2 can infect kidney cells locally remains controversial, but both local infection and systemic effects are likely involved in the pathogenesis of this disease. In this review, we present a comparison of the clinical presentations, pathological findings, disease mechanisms, and potential treatments between HIVAN and COVID-19. Leveraging the knowledge in HIVAN and experimental approaches used to study HIVAN will facilitate the exploration in the pathogenesis of COVID-19-associated kidney disease and improve our management of COVID-19 patients.
format article
author Anqun Chen
Lijun Yin
Kyung Lee
John Cijiang He
author_facet Anqun Chen
Lijun Yin
Kyung Lee
John Cijiang He
author_sort Anqun Chen
title Similarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy
title_short Similarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy
title_full Similarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy
title_fullStr Similarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy
title_full_unstemmed Similarities and Differences between COVID-19-Associated Nephropathy and HIV-Associated Nephropathy
title_sort similarities and differences between covid-19-associated nephropathy and hiv-associated nephropathy
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/d35022ac981144c39ee8f1bf1cac04df
work_keys_str_mv AT anqunchen similaritiesanddifferencesbetweencovid19associatednephropathyandhivassociatednephropathy
AT lijunyin similaritiesanddifferencesbetweencovid19associatednephropathyandhivassociatednephropathy
AT kyunglee similaritiesanddifferencesbetweencovid19associatednephropathyandhivassociatednephropathy
AT johncijianghe similaritiesanddifferencesbetweencovid19associatednephropathyandhivassociatednephropathy
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