Since the original protocol included no pathological analysis, we performed a pathological sub-analysis of the RCT in order to clarify the relationship of pathology and the effectiveness of treatment. Methods: Inclusion criteria were urinary protein (UP) between 1.0 and 3.5 g/day and serum creatinine less than 1.5 mg/dl. The patients were randomly allocated to Group A or B. Steroid protocol
was three courses of 500 mg of methylprednisolone for 3 consecutive days in every 2 months. Oral prednisolone (0.5 mg/Kg) was given for 6 months. 27 and 32 biopsies were available selleck inhibitor in Group A and B, respectively. The remission of UP was defined as <0.3 g/day. The remission of hematuria (OB) was defined as <5 RBC/HPF. Histological grades 1–4, proposed by Special IgAN Study Group in Japan, were established corresponding to <25%, 25–49%, 50–74% and ≥75% of glomeruli exhibiting crescents, segmental or global sclerosis. Cellular or fibrocellular crescent was defined as active lesion
(AL) and fibrous crescent, segmental or global sclerosis as chronic lesions (CL). Oxford classification was also used. The association between pathological parameters and UP or OB remission after 12 months was examined by logistic regression analysis in each group. Results: 1. AL over 5% was significantly associated with UP remission in Group A. 2. CL over 20% was significantly associated with no remission of UP in Group B. Conclusion: The Palbociclib solubility dmso superior effect of Group A to Group B on remission of proteinuria was evident in patients with histological injuries due to both active and chronic lesions. OKABAYASHI 4-Aminobutyrate aminotransferase YUSUKE, TSUBOI NOBUO, KOIKE KENTARO, SHIMIZU AKIHIRO, MATSUMOTO
KEI, FUKUI AKIRA, KOBAYASHI SEIJI, HIRANO KEITA, OKONOGI HIDEO, MIYAZAKI YOICHI, KAWAMURA TETSUYA, OGURA MAKOTO, YOKOO TAKASHI Division of Nephrology and Hypertension, The Jikei University School of Medicine Introduction: The number of elderly patients with IgA nephropathy (IgAN) is increasing in parallel with an increased longevity in the general population. However, information is limited regarding the characteristics of such patients. Methods: The IgAN patients with or over 60 years old at diagnosis were retrospectively analyzed. Two hundred-fifty IgAN patients of 18 to 59 years of age, from a previous retrospective cohort in Japan (J Nephrol, 2012), were used as comparison. Clinicopathological features at biopsy, therapies during the follow-up, renal outcomes and extra-renal complications were evaluated. Results: A total 121 patients was recruited.