PMID- 19556042 OWN - NLM STAT- MEDLINE DCOM- 20091116 LR - 20220330 IS - 1523-6838 (Electronic) IS - 0272-6386 (Print) IS - 0272-6386 (Linking) VI - 54 IP - 5 DP - 2009 Nov TI - Idiopathic nephrotic syndrome and atopy: is there a common link? PG - 945-53 LID - 10.1053/j.ajkd.2009.03.019 [doi] AB - Numerous reports during the last 60 years have reported a strong association between idiopathic nephrotic syndrome and atopic disorders. Idiopathic nephrotic syndrome can be precipitated by allergic reactions and has been associated with both aeroallergens (pollens, mold, and dust) and food allergies. Patients with idiopathic nephrotic syndrome also may show increased serum immunoglobulin E (IgE) levels. A review of the literature suggests that although some idiopathic nephrotic syndrome cases may be associated with allergies, evidence that it is a type of allergic disorder or can be induced by a specific allergen is weak. Rather, it is likely that the proteinuria and increased IgE levels in patients with idiopathic nephrotic syndrome are caused by increased levels of interleukin 13 observed in these patients. Recent studies suggest that interleukin 13, a known stimulator of IgE response, may mediate proteinuria in patients with minimal change disease because of its ability to directly induce CD80 expression on the podocyte. FAU - Abdel-Hafez, Maher AU - Abdel-Hafez M AD - Division of Pediatric Nephrology, University of Florida, Gainesville, FL 32610, USA. FAU - Shimada, Michiko AU - Shimada M FAU - Lee, Pui Y AU - Lee PY FAU - Johnson, Richard J AU - Johnson RJ FAU - Garin, Eduardo H AU - Garin EH LA - eng GR - R01 DK052121/DK/NIDDK NIH HHS/United States GR - R01 DK052121-13/DK/NIDDK NIH HHS/United States GR - R01 HL068607/HL/NHLBI NIH HHS/United States GR - R01 HL068607-08/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Review DEP - 20090625 PL - United States TA - Am J Kidney Dis JT - American journal of kidney diseases : the official journal of the National Kidney Foundation JID - 8110075 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/immunology MH - Humans MH - Hypersensitivity, Immediate/*complications MH - Immunoglobulin E/immunology MH - Nephrosis, Lipoid/complications/immunology MH - Nephrotic Syndrome/*etiology/immunology PMC - PMC2895907 MID - NIHMS149473 EDAT- 2009/06/27 09:00 MHDA- 2009/11/17 06:00 PMCR- 2010/07/02 CRDT- 2009/06/27 09:00 PHST- 2008/12/10 00:00 [received] PHST- 2009/03/20 00:00 [accepted] PHST- 2009/06/27 09:00 [entrez] PHST- 2009/06/27 09:00 [pubmed] PHST- 2009/11/17 06:00 [medline] PHST- 2010/07/02 00:00 [pmc-release] AID - S0272-6386(09)00648-9 [pii] AID - 10.1053/j.ajkd.2009.03.019 [doi] PST - ppublish SO - Am J Kidney Dis. 2009 Nov;54(5):945-53. doi: 10.1053/j.ajkd.2009.03.019. Epub 2009 Jun 25.