title: [Kidney and hemoglobinopathy].
abstract: Sickle-cell disease (SCD), one of the most common severe monogenic disorders into the world, is associated with an increased frequency of chronic kidney disease. SCD is caused by a point mutation in the gene encoding β globin gene which leads to the formation of hemoglobin S that polymerises after deoxygenation. HbS polymerisation is associated with erythrocyte rigidity and vaso-occlusive episodes that play a central role into SCD pathogenesis. The spectrum of renal diseases during SCD is broad and includes various renal manifestations which become more apparent with increasing age. Underlying pathophysiological processes involved in sickle cell nephropathy are multifactorial but endothelial dysfunction related to chronic hemolysis is a key factor contributing to renal involvement. Our review focuses on the pathogenesis and on the spectrum of renal manifestations occurring in SCD patients.
authors.affiliation: Service de néphrologie-dialyse-transplantation, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France. Electronic address: philippe.remy@hmn.aphp.fr.
authors.forename: Philippe
authors.initials: P
authors.lastname: Rémy
authors.affiliation: Service de néphrologie-dialyse-transplantation, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Audard
authors.affiliation: Service de néphrologie-dialyse-transplantation, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Galactéros
mesh_terms: D000755:Anemia, Sickle Cell / Q000150:complications*; D005260:Female; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D008297:Male; D051436:Renal Insufficiency, Chronic / Q000150:complications*
keywords: Drépanocytose; Hemoglobinopathy; Hémoglobinopathies; Insuffisance rénale; Nephropathy; Néphropathie; Renal failure; Sickle cell disease; Thalassémie