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Why kidney transplants fail ca. 2012
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/22081892/

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Trying to catch up with #IgAN trials⁉️

Check out β€œIgAN: An Overview of the Clinical Trials” ca. 2025 from @kidneymed.bsky.social
#Nephpearls #RKDSummit #NephSky

πŸ‘‰ pubmed.ncbi.nlm.nih.gov/41050133/

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Phase 3 Trial of Sibeprenlimab for the Treatment of Immunoglobulin A Nephropathy (IgAN) in Adults
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ www.otsuka.co.jp/en/company/n...

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APRIL is key πŸ”‘ in the development of Antibody-secreting B lymphocytes ca. 2018 from @JASN_News
#IgAN #Nephpearls #RKDSummit #NephSky

πŸ‘‰ pubmed.ncbi.nlm.nih.gov/29326157/

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Pathogenesis of #IgAN and emerging targets 🎯 ca. 2025
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/40796290/

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Impact of Using Risk-Based Stratification on Referral of Patients With CKD From Primary Care to Specialist Care in the United Kingdom ca. 2021 from @kireports.bsky.social
#RKDSummit #Nephpearls #NephSky

#VisualAbstract by @hellokidneymd.bsky.social

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/34386668/

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Treatment targets 🎯 in IgA Nephropathy #IgAN and the positioning of drugs ca. 2025 from @kdigo.org
#Nephpearls #RKDSummit #NephSky

πŸ“Œ Proteinuria >/= 0.5 g/day (or equivalent) ~ at risk of progressive loss of kidney function

πŸ‘‰πŸΌ kdigo.org/guidelines/i...

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A stylized representation of the unmet need in a typical adult patient with #IgAN
#RKDSummit #Nephpearls #NephSky

πŸ‘‰ pubmed.ncbi.nlm.nih.gov/39211339/

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DAPA-CKD: SGLT2 inhibitors (SGLT2i) in IgA Nephropathy and FSGS
#RKDSummit #Nephpearls #NephSky

πŸ”¬ IgA Nephropathy
pubmed.ncbi.nlm.nih.gov/33878338/
πŸ”¬ FSGS
pubmed.ncbi.nlm.nih.gov/34850160/

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Actionable genes in CKD ca. 2024 from @kdigo.org
#RKDSummit #Nephpearls #NephSky

πŸ‘‰ kdigo.org/guidelines/c...

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Genetics 🧬 of FSGS

#VisualAbstract sightings from @kidneyboy.bsky.social @rheaultm.bsky.social @asnpublications.bsky.social

#RKDSummit #Nephpearls

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/30647093/
πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/35474271/
πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/39190490/

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Spectrum of podocytopathies: Interaction between genetics 🧬 and environment
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/17410103/

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Clinical practice recommendations for the diagnosis and management of children with steroid-sensitive nephrotic syndrome (NS) ca. 2023
#RKDSummit #Nephpearls #NephSky

πŸ‘‰ pubmed.ncbi.nlm.nih.gov/36269406/

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Potential of antinephrin autoantibody measurement for a noninvasive diagnosis of antinephrin-associated podocytopathy ca. 2025 from @kireports.bsky.social
#RKDSummit #Nephpearls

#VisualAbstract by @brianrifkin.bsky.social

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/40814620/

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Long-Term Outcomes in Nephrotic Syndrome by Kidney Biopsy Diagnosis and Proteinuria ca. 2025 from @asnpublications.bsky.social
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/40244693/

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Which patients should be on SGLT2 inhibitors (SGLT2i) ⁉️

βœ… Check out the SGLT2i Cold πŸ₯Ά Map from @theisn.org
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ www.theisn.org/initiatives/...

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Interrelation of mechanistic drivers in early through advanced stages of kidney damage and disease progression in diabetes ca. 2022
#RKDSummit #Nephpearls #NephSky

πŸ‘‰ pubmed.ncbi.nlm.nih.gov/35661785/

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High unmet treatment needs in patients w/ CKD & type 2 diabetes (T2D): RWE from a US claims database ca. 2023
#RKDSummit #Nephpearls #NephSky

πŸ‘‰ pubmed.ncbi.nlm.nih.gov/35389468/

πŸ“Œ Low initiation rates of SOC (ACEi/ ARB) overall & SGLT2i

πŸ“Œ There were high discontinuation rates for all treatments

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Theoretical framework for the implementation of GDMT in Type 2 Diabetes (T2D) and CKD ca. 2024
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/38620082/

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Barriers to appropriate medication prescribing and use in CKD ca. 2024
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/39815796/

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Stages of cardiovascular-kidney-metabolic (CKM) syndrome
#RKDSummit #Nephpearls #Cardiorenal #NephSky

πŸ‘‰ pubmed.ncbi.nlm.nih.gov/37807924/

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Kidney Failure Events, Cardiovascular Disease Events, and All-Cause Mortality in Patients with IgA Nephropathy #IgAN in a Real-World Database ca. 2024 from @asnpublications.bsky.social
#RKDSummit #Nephpearls #NephSky

πŸ‘‰πŸΌ pubmed.ncbi.nlm.nih.gov/38323871/

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Podocyte loss correlation with disease progression

#RKDSummit

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Next up Matthias Kretzler on targeted therapies of FSGS

This makes a lot of sense and starts to operationalize the concept that FSGS is a pattern of injury rather than a disease.

#RKDSummit

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When to do genetic testing in FSGS

#RKDSummit

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Next up is Dr Rasheed Gbadegesin on genetic testing in FSGS.

#RKDSummit

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Weakness in the consensus classification system

#RKDSummit

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Genetic variations and variations that cause FSGS…more on this later

#RKDSummit

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Columbia classifications
A consensus classification
Not based on quantifiable data. No outcome data.

But subsequent work showed that collapsing is the worst and tip is the best.

#RKDSummit

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Next up is Charles Alpers to discuss the pathologists approach.

FSGS is a pattern(s) of injury observed on light
Not dependent on IF
Not dependent on EM
Lacks an active inflammatory component

#RKDSummit

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