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Mitochondrial Complex I Deficiency among Egyptian Pediatric Patients with Steroid-Resistant Nephrotic Syndrome
Author(s) -
Doaa M. Abdou,
AbdelAal Mohamed,
Mohamed Abdulhay,
Sara El Khateeb
Publication year - 2021
Publication title -
international journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.551
H-Index - 29
eISSN - 2090-2158
pISSN - 2090-214X
DOI - 10.1155/2021/6645373
Subject(s) - nephrotic syndrome , medicine , focal segmental glomerulosclerosis , nephrocalcinosis , proteinuria , glomerulosclerosis , gastroenterology , renal biopsy , minimal change disease , pathological , biopsy , kidney
Results Positive consanguinity was a remarkable finding in 44 patients among the SRNS group (73%), compared with 33 patients among the SSNS group (55%). Complex I activity was significantly lower in the SRNS group (0.2657 ± 0.1831 nmol/ml/min), than in the SSNS group (0.4773 ± 0.1290 nmol/ml/min) ( p < 0.001). There was a significant positive correlation between complex I activity and the heaviness of proteinuria among the SRNS group ( r 0.344, p < 0.001). There were statistically significant differences in serum C3 and C4 levels between both groups ( p < 0.001, 0.053, respectively).Conclusion Mitochondrial complex I deficiency in patients who have a nephrotic syndrome complaint may play a role in their responsiveness to steroid therapy and the development of SRNS and even the prognosis of their illness.

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