Virus-Associated Nephropathies: A Narrative Review

While most viral infections cause mild symptoms and a spontaneous favorable resolution, some can lead to severe or protracted manifestations, specifically in immunocompromised hosts. Kidney injuries related to viral infections may have multiple causes related to the infection severity, drug toxicity...

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Published inInternational journal of molecular sciences Vol. 23; no. 19; p. 12014
Main Authors Masset, Christophe, Le Turnier, Paul, Bressollette-Bodin, Céline, Renaudin, Karine, Raffi, François, Dantal, Jacques
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 10.10.2022
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Abstract While most viral infections cause mild symptoms and a spontaneous favorable resolution, some can lead to severe or protracted manifestations, specifically in immunocompromised hosts. Kidney injuries related to viral infections may have multiple causes related to the infection severity, drug toxicity or direct or indirect viral-associated nephropathy. We review here the described virus-associated nephropathies in order to guide diagnosis strategies and treatments in cases of acute kidney injury (AKI) occurring concomitantly with a viral infection. The occurrence of virus-associated nephropathy depends on multiple factors: the local epidemiology of the virus, its ability to infect renal cells and the patient’s underlying immune response, which varies with the state of immunosuppression. Clear comprehension of pathophysiological mechanisms associated with a summary of described direct and indirect injuries should help physicians to diagnose and treat viral associated nephropathies.
AbstractList While most viral infections cause mild symptoms and a spontaneous favorable resolution, some can lead to severe or protracted manifestations, specifically in immunocompromised hosts. Kidney injuries related to viral infections may have multiple causes related to the infection severity, drug toxicity or direct or indirect viral-associated nephropathy. We review here the described virus-associated nephropathies in order to guide diagnosis strategies and treatments in cases of acute kidney injury (AKI) occurring concomitantly with a viral infection. The occurrence of virus-associated nephropathy depends on multiple factors: the local epidemiology of the virus, its ability to infect renal cells and the patient’s underlying immune response, which varies with the state of immunosuppression. Clear comprehension of pathophysiological mechanisms associated with a summary of described direct and indirect injuries should help physicians to diagnose and treat viral associated nephropathies.
While most viral infections cause mild symptoms and a spontaneous favorable resolution, some can lead to severe or protracted manifestations, specifically in immunocompromised hosts. Kidney injuries related to viral infections may have multiple causes related to the infection severity, drug toxicity or direct or indirect viral-associated nephropathy. We review here the described virus-associated nephropathies in order to guide diagnosis strategies and treatments in cases of acute kidney injury (AKI) occurring concomitantly with a viral infection. The occurrence of virusassociated nephropathy depends on multiple factors: the local epidemiology of the virus, its ability to infect renal cells and the patient's underlying immune response, which varies with the state of immunosuppression. Clear comprehension of pathophysiological mechanisms associated with a summary of described direct and indirect injuries should help physicians to diagnose and treat viral associated nephropathies.
Author Dantal, Jacques
Raffi, François
Masset, Christophe
Bressollette-Bodin, Céline
Renaudin, Karine
Le Turnier, Paul
AuthorAffiliation 4 Laboratoire de Virologie, CHU de Nantes, 44000 Nantes, France
2 Center for Research in Transplantation and Translational Immunology, Nantes Université, INSERM, UMR 1064, 44000 Nantes, France
6 Department of Infectious Diseases, University Hospital of Nantes, and CIC 1413 INSERM, 44000 Nantes, France
1 Institut de Transplantation Urologie Néphrologie (ITUN), Service de Néphrologie et Immunologie Clinique, CHU Nantes, 44000 Nantes, France
5 Service d’Anatomie et de Cytologie Pathologique, CHU de Nantes, 44000 Nantes, France
3 Infectious Diseases Department, Cayenne Hospital, Cayenne 97300, French Guiana
AuthorAffiliation_xml – name: 2 Center for Research in Transplantation and Translational Immunology, Nantes Université, INSERM, UMR 1064, 44000 Nantes, France
– name: 5 Service d’Anatomie et de Cytologie Pathologique, CHU de Nantes, 44000 Nantes, France
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Issue 19
Keywords nephropathy
acute kidney injury
viral infection
glomerulopathy
Language English
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PMCID: PMC9569621
These authors contributed equally to this work.
ORCID 0000-0002-7442-2164
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OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9569621/
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PublicationDate 20221010
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  day: 10
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PublicationTitle International journal of molecular sciences
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Publisher MDPI AG
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SubjectTerms Acquired immune deficiency syndrome
acute kidney injury
AIDS
Apoptosis
Asymptomatic
Bacterial infections
Cell growth
Drug therapy
Epidemiology
glomerulopathy
Heparan sulfate
Hepatitis A
Hepatitis B
Hepatitis C
HIV
Human immunodeficiency virus
Immune response
Immune system
Immunocompromised hosts
Immunosuppression
Infections
Injuries
Kidney diseases
Kidney transplants
Kidneys
Life Sciences
Nephropathy
Review
Toxicity
viral infection
Viral infections
Viruses
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Title Virus-Associated Nephropathies: A Narrative Review
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