
| 10.1056/NEJMoa0707330
http://scihub22266oqcxt.onion/10.1056/NEJMoa0707330
 18337603!3030578!18337603
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N+Engl+J+Med 2008 ; 358 (11): 1129-36 Nephropedia Template TP
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VEGF inhibition and renal thrombotic microangiopathy #MMPMID18337603Eremina V; Jefferson JA; Kowalewska J; Hochster H; Haas M; Weisstuch J; Richardson C; Kopp JB; Kabir MG; Backx PH; Gerber HP; Ferrara N; Barisoni L; Alpers CE; Quaggin SEN Engl J Med 2008[Mar]; 358 (11): 1129-36 PMID18337603show ga
The glomerular microvasculature is particularly susceptible to injury in thrombotic microangiopathy, but the mechanisms by which this occurs are unclear. We report the cases of six patients who were treated with bevacizumab, a humanized monoclonal antibody against vascular endothelial growth factor (VEGF), in whom glomerular disease characteristic of thrombotic microangiopathy developed. To show that local reduction of VEGF within the kidney is sufficient to trigger the pathogenesis of thrombotic microangiopathy, we used conditional gene targeting to delete VEGF from renal podocytes in adult mice; this resulted in a profound thrombotic glomerular injury. These observations provide evidence that glomerular injury in patients who are treated with bevacizumab is probably due to direct targeting of VEGF by antiangiogenic therapy.|Aged[MESH]|Angiogenesis Inhibitors/*adverse effects/therapeutic use[MESH]|Animals[MESH]|Antibodies, Monoclonal, Humanized[MESH]|Antibodies, Monoclonal/*adverse effects/therapeutic use[MESH]|Bevacizumab[MESH]|Female[MESH]|Gene Targeting[MESH]|Humans[MESH]|Kidney Glomerulus/blood supply/*drug effects/pathology[MESH]|Male[MESH]|Mice[MESH]|Mice, Knockout[MESH]|Microcirculation/drug effects[MESH]|Middle Aged[MESH]|Neoplasms/drug therapy[MESH]|Podocytes/*metabolism[MESH]|Proteinuria/chemically induced[MESH]|RNA, Messenger/metabolism[MESH]|Renal Circulation[MESH]|Signal Transduction[MESH]|Thrombosis/*chemically induced[MESH]
  
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