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Fisiopatología Renal

Nuestro interés científico principal es entender, a través de una aproximación multidisciplinaria y traslacional, los procesos moleculares y celulares que puedan llevar a una disfunción renal en distintas patologías del riñón. Específicamente, nuestras principales líneas de investigación son:

  • El estudio de la fisiopatología de las tubulopatías renales raras hereditarias
  • Entender los mecanismos de daño y regeneración renal
  • Estudiar el desarrollo del carcinoma renal de célula clara (ccRCC)
  • Estudiar el impacto de los andrógenos en esos procesos.

Somos expertos en los siguientes aspectos:

  • La generación de modelos celulares de patologías renales con alteraciones genéticas específicas
  • Modelos animales modificados genéticamente y terapia génica
  • Técnicas de microscopía de alta resolución en tiempo real
  • Trabajar con muestras de pacientes para realizar investigación traslacional.

En conjunto, nuestra investigación tiene como objetivo combinar datos –ómicos de modelos celulares y animales con datos de pacientes para identificar nuevos biomarcadores y posibles tratamientos para diferentes patologías renales.

Líneas de investigación

Mechanisms of chronic renal disease progression and cardiovascular risk in pediatric patients with chronic renal disease

Pediatric patients with chronic kidney disease (CKD) constitude a high risk group for cardiovascular disease (CVD) related to traditional and non-traditional risk factors. We are interested in studying the relationship between traditional CVD risk factors (obesity, overweight, anemia, dyslipemia, malnutrition, hypertension, and non-traditional CVD risk factors (homocysteine, asymmetric dymethylarginine (ADMA), FGF23, ultraselective protein C (PCR) and carotid intima-media thickness (cIMT) in children and adolescents with CKD, based on its severity and duration.  Further, we are also interested in finding a biomarker to identify early in the disease, those patients with increased CVD risk and poor outcome.

IP: Gema Ariceta Iraola

Pathologic mechanisms leading to chronic allograft disease and detection of early markers.

Chronic allograft nephropathy (CAN) is one of the major causes of graft loss in kidney-transplanted patients. The pathogenetic mechanisms of CAN are probably multifactorial, including early noxious agents as a consequence of  ischemia/ reperfusion of the graft or high loading doses of anticalcineurinics (aCN), and also chronic damage following aCN therapy, rejection or other reasons. We want to determine the proteomic and genomic changes occurring in tubular cells after different noxious agents (cyclosporin, tacrolimus, other renal toxicants, hypoxia), and also the effects caused by immunophilin silencing (anticalcineurin receptors) in the renal proximal tubule cells. Our objective is to identify specific markers of kidney injury that would be useful to anticipate toxicity or injury in early starges. Those putative markers will be clinically validated in collaboration with the Nephrology and the Pathology services of Vall d’Hebron Hospital.

IP: -

Rare inhirited renal diseases

Our group is focused in research in primary or inherited tubular renal diseases, such as Dent’s Disease, Bartter syndrome, Tubular Acidosis, Familial Hypomagnesemia with Hypercalciuria and Nephrocalcinosis, among others. Currently we are collaborating  with other groups in Spain, within a research project named Renaltube the main purpose of which is to build a database while facilitating access to genotyping in order to improve the clinical and molecular knowledge of primary tubulopathies. Renaltube has a web-based approach with multilateral collaboration scheme that enhances the recruitment of data and promotes the understanding of underlying mechanisms of rare inherited diseases, defines more accurate diagnostic and follow-up criteria, develops new molecular techniques and will improve the overall care of the patients. Currently we are offering the analysis of 22 genes corresponding to 23 primary tubulopathies. After two years of activity Renaltube has collected data from 222 patients, the mayority from Spain and Latin America (85.3%). The most common tubulopathies are distal renal tubular acidosis (22.5%), and classical Bartter syndrome (19.3%) followed by familial hypomagesemia with hipercalciuria and nephrocalcinosis (15.7%), and Gitelman syndrome (15%).

IP: Gema Ariceta Iraola

Role of HAVRC/KIM-1 in the development and progression of the renal clear cell carcinoma (ccRCC) and in the damage/regeneration renal tubular processes

Overexpression of this protein in 60% of the ccRCCs has already been described. HAVR/KIM-1 overexpression in human ccRCC cell lines blocks cell differentiation and promotes cell scattering. We aim to determine the role of HAVR/KIM-1 in the development and progression of ccRCC, and its possible value as a diagnostic and prognostic biomarker. We also focus on KIM-1’s role in ischemia/reperfusion- or nephrotoxic-induced renal tubular injury. Overexpression of this protein in kidney injury has been described. However, whether its involvement is associated with processes enabling to recover tubular epithelium or potentially increasing damage is not known to this date. With the assistance of cultured renal tubular cell models, we are now investigating whether KIM-1 expression shifts are correlated with renal proximal tubule regeneration ability and, as a consequence, investigating its potential therapeutic application.

IP: Role of HAVRC/KIM-1 in the development and progression of the renal clear cell carcinoma (ccRCC) and in the damage/regeneration

Actualidad

Noticias

El 19 de mayo, el Dr. Gerard Cantero y la Dra. Mireia López Corbeto explicarán cómo estudian las enfermedades minoritarias y la artritis infantil.

Se ha logrado financiación para 43 proyectos en las convocatorias de Proyectos de I+D+I en Salud, Desarrollo Tecnológico en Salud e Investigación Clínica Independiente

El objetivo del trabajo es establecer organoides renales derivados de pacientes con hipomagnesemia familiar con hipercalciuria y nefrocalcinosis, que serán herramientas esenciales para estudiar la patología y probar nuevos tratamientos.