Transforming growth factor-beta in renal disease with glycogen storage disease I.
We report a 14-year-old patient with Japanese glycogen storage disease I (GSD-I) who was found to have proteinuria. Renal biopsy revealed massive tubular atrophy and interstitial fibrosis with mononuclear cell infiltration, but the glomeruli were almost normal. The epithelial cells of tubules contained periodic acid-Schiff-positive glycogen deposits digested by diastase. In an immunohistological study, transforming growth factor (TGF)-beta expression was increased in tubular epithelial cells compared with a normal control kidney specimen. These data suggest that increased TGF-beta expression is involved in the pathophysiology of renal interstitial fibrosis in a patient with GSD-I.
Urushihara
Maki
M
Department of Pediatrics, School of Medicine, University of Tokushima, and Division of Pediatrics, Tokushima Red Cross Hospital, Komatsushima City, Japan. urushi@tokushima-med.jrc.or.jp
Kagami
Shoji
S
Ito
Michinori
M
Yasutomo
Koji
K
Kondo
Shuji
S
Kitamura
Akiko
A
Takahashi
Akiyoshi
A
Kuroda
Yasuhiro
Y
D000293:Adolescent; D005953:Glycogen Storage Disease Type I / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry; D007674:Kidney Diseases / Q000209:etiology* / Q000378:metabolism / Q000473:pathology*; D008297:Male; D016212:Transforming Growth Factor beta / Q000096:biosynthesis*
D016212:Transforming Growth Factor beta