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Radiation Nephropathy

MedGen UID:
890011
•Concept ID:
C4054127
•
Disease or Syndrome

Definition

Tissue damage to the glomerulus and renal tubules resulting from irradiation, which is characterized by vascular endothelial damage, mesangial damage, platelet aggregation in the capillary loops, thickening of the glomerular arteriolar intimal layer, and atrophic tubules. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRadiation Nephropathy

Professional guidelines

PubMed

Pharmacological Interventions for the Prevention and Treatment of Kidney Injury Induced by Radiotherapy: Molecular Mechanisms and Clinical Perspectives.
Sahebnasagh A, Saghafi F, Azimi S, Salehifar E, Hosseinimehr SJ
Curr Mol Pharmacol 2022;15(4):607-619. doi: 10.2174/1874467214666210824123212. PMID: 34429052
Treatment of radiation nephropathy with ACE inhibitors and AII type-1 and type-2 receptor antagonists.
Moulder JE, Fish BL, Cohen EP
Curr Pharm Des 2007;13(13):1317-25. doi: 10.2174/138161207780618821. PMID: 17506717
ACE inhibitors and AII receptor antagonists in the treatment and prevention of bone marrow transplant nephropathy.
Moulder JE, Fish BL, Cohen EP
Curr Pharm Des 2003;9(9):737-49. doi: 10.2174/1381612033455422. PMID: 12570791

Recent clinical studies

Etiology

IPW-5371 mitigates the delayed effects of acute radiation exposure in WAG/RijCmcr rats when started 15 days after PBI with bone marrow sparing.
Fish BL, Hart B, Gasperetti T, Narayanan J, Gao F, Veley D, Pierce L, Himburg HA, MacVittie T, Medhora M
Int J Radiat Biol 2023;99(7):1119-1129. Epub 2023 Feb 15 doi: 10.1080/09553002.2023.2173825. PMID: 36794325Free PMC Article
A quantitative comparison of the chemo- and radiotoxicity of uranium at different enrichment grades.
Rump A, Eder S, Lamkowski A, Hermann C, Abend M, Port M
Toxicol Lett 2019 Oct 1;313:159-168. Epub 2019 Jul 2 doi: 10.1016/j.toxlet.2019.07.004. PMID: 31276769
Sulodexide ameliorates early but not late kidney disease in models of radiation nephropathy and diabetic nephropathy.
Rossini M, Naito T, Yang H, Freeman M, Donnert E, Ma LJ, Dunn SR, Sharma K, Fogo AB
Nephrol Dial Transplant 2010 Jun;25(6):1803-10. Epub 2010 Jan 7 doi: 10.1093/ndt/gfp724. PMID: 20061322Free PMC Article
Kidney protection during peptide receptor radionuclide therapy with somatostatin analogues.
Rolleman EJ, Melis M, Valkema R, Boerman OC, Krenning EP, de Jong M
Eur J Nucl Med Mol Imaging 2010 May;37(5):1018-31. Epub 2009 Nov 14 doi: 10.1007/s00259-009-1282-y. PMID: 19915842
Unilateral radiation nephropathy--the long-term significance.
Kim TH, Somerville PJ, Freeman CR
Int J Radiat Oncol Biol Phys 1984 Nov;10(11):2053-9. doi: 10.1016/0360-3016(84)90202-5. PMID: 6436205

Diagnosis

Radiation-induced kidney toxicity: molecular and cellular pathogenesis.
Klaus R, Niyazi M, Lange-Sperandio B
Radiat Oncol 2021 Feb 25;16(1):43. doi: 10.1186/s13014-021-01764-y. PMID: 33632272Free PMC Article
WAG/RijCmcr rat models for injuries to multiple organs by single high dose ionizing radiation: similarities to nonhuman primates (NHP).
Fish BL, MacVittie TJ, Szabo A, Moulder JE, Medhora M
Int J Radiat Biol 2020 Jan;96(1):81-92. Epub 2019 Jan 14 doi: 10.1080/09553002.2018.1554921. PMID: 30575429
A quantitative comparison of the chemo- and radiotoxicity of uranium at different enrichment grades.
Rump A, Eder S, Lamkowski A, Hermann C, Abend M, Port M
Toxicol Lett 2019 Oct 1;313:159-168. Epub 2019 Jul 2 doi: 10.1016/j.toxlet.2019.07.004. PMID: 31276769
A clinicopathologic study of thrombotic microangiopathy in the setting of IgA nephropathy.
Chang A, Kowalewska J, Smith KD, Nicosia RF, Alpers CE
Clin Nephrol 2006 Dec;66(6):397-404. doi: 10.5414/cnp66397. PMID: 17176910
Relevance of external beam dose-response relationships to kidney toxicity associated with radionuclide therapy.
O'Donoghue J
Cancer Biother Radiopharm 2004 Jun;19(3):378-87. doi: 10.1089/1084978041425025. PMID: 15285886

Therapy

Radiation-induced kidney toxicity: molecular and cellular pathogenesis.
Klaus R, Niyazi M, Lange-Sperandio B
Radiat Oncol 2021 Feb 25;16(1):43. doi: 10.1186/s13014-021-01764-y. PMID: 33632272Free PMC Article
Radiation-associated kidney injury.
Dawson LA, Kavanagh BD, Paulino AC, Das SK, Miften M, Li XA, Pan C, Ten Haken RK, Schultheiss TE
Int J Radiat Oncol Biol Phys 2010 Mar 1;76(3 Suppl):S108-15. doi: 10.1016/j.ijrobp.2009.02.089. PMID: 20171504
Treatment of radiation nephropathy with ACE inhibitors and AII type-1 and type-2 receptor antagonists.
Moulder JE, Fish BL, Cohen EP
Curr Pharm Des 2007;13(13):1317-25. doi: 10.2174/138161207780618821. PMID: 17506717
Clinical aspects of radiation nephropathy.
Breitz H
Cancer Biother Radiopharm 2004 Jun;19(3):359-62. doi: 10.1089/1084978041425106. PMID: 15285883
Radiation nephropathy.
Cohen EP, Robbins ME
Semin Nephrol 2003 Sep;23(5):486-99. doi: 10.1016/s0270-9295(03)00093-7. PMID: 13680538

Prognosis

Pharmacological Interventions for the Prevention and Treatment of Kidney Injury Induced by Radiotherapy: Molecular Mechanisms and Clinical Perspectives.
Sahebnasagh A, Saghafi F, Azimi S, Salehifar E, Hosseinimehr SJ
Curr Mol Pharmacol 2022;15(4):607-619. doi: 10.2174/1874467214666210824123212. PMID: 34429052
Urinary miRNAs as Biomarkers for Noninvasive Evaluation of Radiation-Induced Renal Tubular Injury.
Bhayana S, Song F, Jacob J, Fadda P, Denko NC, Xu-Welliver M, Chakravarti A, Jacob NK
Radiat Res 2017 Dec;188(6):626-635. Epub 2017 Oct 4 doi: 10.1667/RR14828.1. PMID: 28977780Free PMC Article
Radiation-associated kidney injury.
Dawson LA, Kavanagh BD, Paulino AC, Das SK, Miften M, Li XA, Pan C, Ten Haken RK, Schultheiss TE
Int J Radiat Oncol Biol Phys 2010 Mar 1;76(3 Suppl):S108-15. doi: 10.1016/j.ijrobp.2009.02.089. PMID: 20171504
A clinicopathologic study of thrombotic microangiopathy in the setting of IgA nephropathy.
Chang A, Kowalewska J, Smith KD, Nicosia RF, Alpers CE
Clin Nephrol 2006 Dec;66(6):397-404. doi: 10.5414/cnp66397. PMID: 17176910
Unilateral radiation nephropathy--the long-term significance.
Kim TH, Somerville PJ, Freeman CR
Int J Radiat Oncol Biol Phys 1984 Nov;10(11):2053-9. doi: 10.1016/0360-3016(84)90202-5. PMID: 6436205

Clinical prediction guides

Human CD34(+) Hematopoietic Stem Cell-Engrafted NSG Mice: Morphological and Immunophenotypic Features.
Blümich S, Zdimerova H, Münz C, Kipar A, Pellegrini G
Vet Pathol 2021 Jan;58(1):161-180. Epub 2020 Sep 9 doi: 10.1177/0300985820948822. PMID: 32901581
WAG/RijCmcr rat models for injuries to multiple organs by single high dose ionizing radiation: similarities to nonhuman primates (NHP).
Fish BL, MacVittie TJ, Szabo A, Moulder JE, Medhora M
Int J Radiat Biol 2020 Jan;96(1):81-92. Epub 2019 Jan 14 doi: 10.1080/09553002.2018.1554921. PMID: 30575429
Urinary miRNAs as Biomarkers for Noninvasive Evaluation of Radiation-Induced Renal Tubular Injury.
Bhayana S, Song F, Jacob J, Fadda P, Denko NC, Xu-Welliver M, Chakravarti A, Jacob NK
Radiat Res 2017 Dec;188(6):626-635. Epub 2017 Oct 4 doi: 10.1667/RR14828.1. PMID: 28977780Free PMC Article
Radiation-associated kidney injury.
Dawson LA, Kavanagh BD, Paulino AC, Das SK, Miften M, Li XA, Pan C, Ten Haken RK, Schultheiss TE
Int J Radiat Oncol Biol Phys 2010 Mar 1;76(3 Suppl):S108-15. doi: 10.1016/j.ijrobp.2009.02.089. PMID: 20171504
Radiation nephropathy: a review.
Robbins ME, Bonsib SM
Scanning Microsc 1995 Jun;9(2):535-60. PMID: 8714748

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