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ATYPICAL HEMOLYTIC UREMIC SYNDROME AND C3 GLOMERULOPATHY: CONCLUSIONS FROM A «KIDNEY DISEASE: IMPROVING GLOBAL OUTCOMES» (KDIGO) CONTROVERSIES CONFERENCE

https://doi.org/10.24884/1561-6274-2018-22-4-18-39

Abstract

In both atypical hemolytic uremic syndrome (aHUS) and C3 glomerulopathy (C3G) complement plays a primary role in disease pathogenesis. Herein we report the outcome of a 2015  Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference where key issues in the management of  these 2 diseases were considered by a global panel of experts. Areas addressed included renal pathology, clinical phenotype and  assessment, genetic drivers of disease, acquired drivers of disease, and treatment strategies. In order to help guide clinicians  who are caring for such patients, recommendations for best  treatment strategies were discussed at length, providing the  evidence base underpinning current treatment options. Knowledge gaps were identified and a prioritized research agenda  was proposed to resolve outstanding controversial issues. 

About the Authors

Timothy H.J. Goodship
Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne
United Kingdom


H. Terence Cook
Centre for Complement and Inflammation Research, Imperial College Hammersmith Campus
United Kingdom

Department of Medicine



Fadi Fakhouri
CHU de Nantes
France
INSERM, UMR-S 1064, and Department of Nephrology and Immunology


Fernando C. Fervenza
Mayo Clinic
United States
Department of Nephrology and Hypertension


Veronique Fremeaux-Bacchi
Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou
France


David Kavanagh
Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne
United Kingdom


Carla M. Nester
Carver College of Medicine, University of Iowa
United States

Molecular Otolaryngology and Renal Research Laboratories

Division of Nephrology, Department of Internal Medicine



Marina Noris
IRCCS–Istituto di Ricerche Farmacologiche “Mario Negri,” Clinical Research Center for Rare Diseases “Aldo e Cele Daccò,”
Italy


Matthew C. Pickering
Centre for Complement and Inflammation Research, Imperial College Hammersmith Campus
United Kingdom

Department of Medicine



Santiago Rodrı´guez de Co´rdoba
Centro de Investigaciones Biológicas, Consejo Superior de Investigaciones Científicas Centro de Investigación Biomédica en Enfermedades Raras
Spain


Lubka T. Roumenina
Institut National de la Santé et de la Recherche Médicale, Unité Mixte de Recherche S1138, Complément et Maladies, Centre de Recherche des Cordeliers Université Paris Descartes Sorbonne Paris-Cité Université Pierre et Marie Curie (UPMC-Paris-6)
France


Sanjeev Sethi
Mayo Clinic
United States

Department of Laboratory Medicine and Pathology



Richard J.H. Smith
Carver College of Medicine, University of Iowa
Russian Federation

Molecular Otolaryngology and Renal Research Laboratories

Division of Nephrology, Department of Internal Medicine



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For citations:


H.J. Goodship T., Cook H., Fakhouri F., Fervenza F.C., Fremeaux-Bacchi V., Kavanagh D., Nester C.M., Noris M., Pickering M.C., de Co´rdoba S., Roumenina L.T., Sethi S., J.H. Smith R. ATYPICAL HEMOLYTIC UREMIC SYNDROME AND C3 GLOMERULOPATHY: CONCLUSIONS FROM A «KIDNEY DISEASE: IMPROVING GLOBAL OUTCOMES» (KDIGO) CONTROVERSIES CONFERENCE. Nephrology (Saint-Petersburg). 2018;22(4):18-39. (In Russ.) https://doi.org/10.24884/1561-6274-2018-22-4-18-39

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