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Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)

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Chronic kidney disease in children: pathogenetic mechanisms and new approaches to the diagnosis of tubulointerstitial fibrosis

https://doi.org/10.21508/1027-4065-2025-70-2-19-29

Abstract

Chronic kidney disease is the outcome of progressive chronic kidney diseases. Chronic kidney disease has a special social significance, affecting the quality of life and life expectancy and life expectancy. Early detection of children and adolescents with chronic kidney diseases and early stages of chronic kidney disease will not only slow down the progression, but also prevent the loss of kidney function. The article presents the main pathogenetic factors influencing the formation and progression of tubulointerstitial fibrosis — arterial hypertension with impaired general and local renal hemodynamics, proteinuria, ischemia, impaired normal functioning of the endothelial barrier, molecular genetic markers; the role of mast cells in the pathogenesis of renal fibrosis, nephrosclerosis.

About the Authors

S. A. Chesnokova
Orenburg State Medical University
Russian Federation

Orenburg 



D. A. Atiakshin
Patrice Lumumba Peoples’ Friendship University of Russia
Russian Federation

Moscow



A. A. Vyalkova
Orenburg State Medical University
Russian Federation

Orenburg 



N. O. Davydova
Orenburg State Medical University
Russian Federation

Orenburg 



References

1. Ignatova M.S. Pediatric nephrology. A guide for doctors. Moscow: Medical Information Agency, 2011; 460 p. (in Russ.)

2. Papayan A.V., Savenkova N.D. Clinical nephrology of childhood. Manual for doctors. St. Petersburg: Levsha, 2008; 600 p. (in Russ.)

3. Skvortsov V.V., Belyakova E.V., Skvortsova E.M. Chronic kidney disease in physician’s practice. Vrach 2024; 35(11): 45–47 (in Russ.) DOI: 10.29296/25877305–2024–11–09

4. Osmanov I.M. All world protocols for the treatment of chronic diseases have been implemented in the Moscow healthcare system. Doctor.ru 2020; 19:(3): 4–5 (in Russ.)

5. Harada R., Hamasaki Y., Okuda Y. Epidemiology of pediatric chronic kidney disease/kidney failure: learning from registries and cohort studies. Pediatr Nephrol 2022; 37(6): 1215–1229. DOI: 10.1007/s00467–021–05145–1

6. Andrea M. WCN24–1604 a core outcomes set for trials in chronic kidney disease: report of the standardized outcomes in nephrology — chronic kidney disease (SONGCKD) stakeholder workshops. Kidney Int Reports 2024; 9: 91. DOI: 10.1016/j.ekir.2024.02.195

7. Bek K., Akman S., Bilge I., Topaloğlu R. Chronic kidney disease in children in Turkey. Pediat Nephrol 2009; 24(4): 797– 806. DOI: 10.1007/s00467–008–0998–4

8. Ardissino G., Daccò V., Testa S., Bonaudo R., Claris-Appiani A., et al. Epidemiology of chronic renal failure in children: data from the ItalKid project. Pediatrics 2003; 111(4 Pt 1): 382–387. DOI: 10.1542/peds.111.4.e382

9. Karimdzhanov I.A., Yusupova G.A., Iskanov G.Kh., Israilova N.A. Arterial hypertension as a risk factor for the development of chronic kidney disease in children with congenital anomalies of the kidneys and urinary tract VAMP/Cakut and its correction. Nefrologija 2024; 28(1): 43–49. (in Russ.) DOI: 10.36485/1561–6274–2024–28–1–43–49

10. Chesnokova S.A., Vyalkova A.A. Pathogenetic markers for diagnosis and prognosis of chronic kidney disease in children. Rossiyskiy vestnik perinatologii i pediatrii 2021; 66:(3): 62–69. (in Russ.) DOI: 10.21508/1027–4065–2021–66–3–62–69

11. North American Pediatric Renal Transplant Cooperative Study (NAPRTCS) 2008 Annual report. 2008. The EMMES Corporation, Rockville, MD. https://web.emmes.com/study/ped/annlrept/Annual%20Report%20–2008.pdf webcite. / Ссылка активна на 21.01.2014.

12. Krupnova M.Yu., Bondarenko M.V., Marasaev V.V. Risk factors for the development and progression of chronic kidney disease. Klinicheskaya nefrologiya 2013; 5: 53–59. (in Russ.)

13. Fomin V.V., Kotenko O.N. Chronic kidney disease: underestimated risk factors and new clinical recommendations. Consilium Medicum 2021; 23(10): 736–741. (in Russ.) DOI: 10.26442/20751753.2021.10.201208

14. Chebotareva N.V., Bobkova I.N., Kozlovskaya L.V. Molecular mechanisms of interstitial fibrosis in progressive kidney diseases (literature review). Nefrologiya i dializ 2006; 8(1): 26–35. (in Russ.)

15. Shilov E.M., Smirnov A.V., Kozlovsky N.L. Nephrology: clinical guidelines M.: GEOTA-Media, 2020: 856. (in Russ.)

16. Kashtan C. Multidisciplinary Management of Alport Syndrome: Current Perspectives. J Multidiscip Healthc 2021; 14: 1169–1180. DOI: 10.2147/JMDH.S284784

17. Bagnasco S.M., Rosenberg A.Z. Biomarkers of Chronic Renal Tubulointerstitial Injury. J Histochem Cytochem 2019; 67(9): 633–641. DOI: 10.1369/0022155419861092

18. Ruiz-Ortega М., Rayego-Mateos S., Lamas S., Ortiz А., Rodrigues-Diez R. Targeting the progression of chronic kidney disease. Nat Rev Nephrol 2020; 16(5): 269–288. DOI: 10.1038/s41581–019–0248-y

19. Lempert K.D. Probiotics and CKD Progression: Are Creatinine-Based Estimates of GFR Applicable? AJKD 2019; 74(4): 429–431. DOI: 10.1053/j.ajkd.2019.02.003

20. Ratner M.Ya., Serov V.V., Tomilina N.A. Renal dysfunctions (clinical and morphological characteristics). Moscow: Medicina, 1977; 296. (in Russ.)

21. Chesnokova S.A., Vyalkova A.A. Predictors and early diagnosis of chronic kidney disease in children. Practical Medicine 2022; 20(5): 61–67. (in Russ.)

22. Bayko S.V., Kulakova E.N., Aksenova M.E., Shumykhina M.V., Nastausheva T.L. Determination of glomerular filtration rate in children and adolescents: theoretical and practical aspects. Nefrologiya i dializ 2024; 26(2): 186–203. (in Russ.) DOI: 10.28996/2618–9801–2024–2–186–203

23. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int 2024; 105(4S): S117–S314. DOI: 10.1016/j.kint.2023.10.018

24. Kaesler N., Babler A., Floege J., Kramann R. Cardiac Remodeling in Chronic Kidney Disease. Toxins (Basel) 2020; 12(3): 161. DOI: 10.3390/toxins12030161

25. Prikhodina L.S., Zakharova I.N. Progression of kidney diseases in children: pathogenesis, risk factors, therapy: monograph. Moscow: RMANPO, 2019: 77. (in Russ.)

26. Kursova T.S., Morozov S.L., Piruzieva O.R., Bayko S.V. Predictors of progression of chronic kidney disease in children with Cakut. Med Op 2024; 2(26): 59–64. (in Russ.)

27. Morozov D.A., Morrison V.V., Morozova O.L., Lakomova D.Yu. Pathogenetic basis and modern possibilities for early diagnosis of nephrosclerosis in children with vesicoureteral reflux. Saratov scientific and medical journal 2011; 7(1): 151–157. (in Russ.)

28. Li O.A., Bobkova I.N., Kozlovskaya L.V. Clinical significance of determination of matrix metalloproteinases and their inhibitors in urine of patients with chronic glomerulonephritis. Ter Arkh 2009; 81(8): 10–14. (in Russ.)

29. Letifov G.M., Chebotareva Yu.Yu., Panova I.V., Bryksina E.Yu., Krivonosova E.P., Dombayan S.Kh. Urinary tract infection in children and adults: modern approaches to prevention and treatment (literature review). Terapevt 2022; 9: 25–41. (in Russ.) DOI: 10.33920/MED-12–2209–04

30. Yarovaya D.V., Bashkina O.A., Pakhnova L.R. Mechanisms of development of endothelial dysfunction in kidney pathology in children. Pharmateka 2023; 30(4–5): 23–27. (in Russ.) DOI: 10.18565/pharmateca.2023.4–5.23–27

31. Makarova T.P., Ishbuldina A.V. The role of cytokines in the progression of chronic kidney disease in children. Rossiyskiy vestnik perinatologii i pediatrii 2021; 66(4): 25–31. (in Russ.)

32. Papizh S.V., Dlin V.V., Leontyeva I.V., Tutelman K.M. Risk factors for cardiovascular system damage in children with autosomal dominant polycystic kidney disease. Nefrologiya 2017; 21(2): 62–72. (in Russ.) DOI: 10.24884/1561–6274–2017–21–2–62–72

33. Bashirova Z.R. Clinical and prognostic significance of proteolysis factors in children with autosomal dominant polycystic kidney disease. Nefrologiya 2019; 23(2): 91–99. (in Russ.)

34. Kuzmin O.B. Chronic kidney disease: mechanisms of development and progression of hypoxic glomerulosclerosis and tubulointerstitial fibrosis. Nefrologiya 2015; 19(4): 9–16. (in Russ.)

35. Bondarenko N.B., Batyushin M.M., Gasanov M.Z., Sarvilina I.V., Golubeva O.V. Pathogenetic features of systemic hypoxia in patients with stage 5D chronic kidney disease receiving hemodialysis treatment. Klinicheskaya nefrologiya 2019; 1: 42–47. (in Russ.)

36. Masaltsev A.K., Borodulin V.B., Goroshinskaya I.A. Study of the state of renal tissue hypoxia in patients with oxalate urolithiasis. Meditsinskiy vestnik Yuga Rossii 2019; 10(2): 22–28. (in Russ.) DOI: 10.21886/2219–8075–2019–10–2–22–28

37. Nangaki M. Chronic hypoxia and tubulointerstitial injury: a final common pathway to end-stage renal failure. J Am Soc Nephrol 2006; 17(1): 17–25. DOI: 10.1681/ASN.2005070757

38. Akhmetshin R.Z., Shigapov R.M., Latypov I.Z. Comparative characteristics of polymorphism of genes of the renin-angiotensin system in children with chronic kidney disease of various stages. Meditsinskiy vestnik Severnogo Kavkaza 2020; 15(1): 65–68. (in Russ.)

39. Ivanov A.M., Sosnin D.Yu., Galkovich K.R. Study of monocyte chemotactic factor in urine. Permskiy meditsinskiy zhurnal 2020; 37(1): 93–101. (in Russ.)

40. Mukhtarova A.V., Batyushin M.M., Sinelnik E.A., Antipova N.V., Razina A.V. The influence of VEGF a on the development of tubulointerstitial fibrosis and the likelihood of achieving complete remission in patients with primary chronic glomerulonephritis. Klinicheskaya nefrologiya 2021; 4: 48–52. (in Russ.) DOI: 10.18565/nephrology.2021.4.48–52

41. Makarova T.P., Nigmatullina R.R., Davlieva L.A., Melnikova Yu.S. Clinical and diagnostic significance of endothelial dysfunction and serotonin levels in the blood in hemolytic-uremic syndrome in children. Rossiyskiy vestnik perinatologii i pediatrii 2021; 66:(5): 157–162. (in Russ.) DOI: 10.21508/1027–4065–2021–66–5–157–162

42. Gasanov M.Z., Panchenko M.G., Batyushin M.M., Bronovitskaya N.A., Razina A.V. Endothelial dysfunction in patients with chronic kidney disease: prognostic potential of endothelin-1. Klinicheskaya nefrologiya 2021; 4: 8–15. (in Russ.) DOI: 10.18565/nephrology.2021.4.8–15

43. Yarovaya D.V., Bashkina O.A., Pakhnova L.R. Mechanisms of development of endothelial dysfunction in kidney pathology in children. Pharmatheka 2023; 30(4/5): 23–27. (in Russ.) DOI: 10.18565/pharmateca.2023.4–5.23–27

44. Ignatova M.S. Nephrology in the aspect of modern genetics. Nefrologiya 2001; 5(3): 19–24. (in Russ.)

45. Sukalo A.V., Kilchevsky A.V., Mazur O.Ch., Shevchuk I.V., Mikhalenko E.P., Bayko S.V., et al. Molecular genetic basis of congenital anomalies of the kidneys and urinary tract. Nefrologiya 2020; 24(3): 9–14. (in Russ.)

46. Morozov S.L., Dlin V.V., Sukhorukov V.S., Voronkova A.S. Molecular nephropathology: new possibilities for diagnosing kidney diseases. Russian Bulletin of Perinatology and Pediatrics 2017; 62(3): 32–36. (in Russ.)

47. Elkina A.Yu., Akimova N.S., Shvarts Yu.G. Polymorphic variants of the angiotensin-converting enzyme, angiotensinogen, and angiotensin-II receptor type 1 genes as genetic predictors of the development of arterial hypertension. Russian Journal of Cardiology 2021; 26(1S): 4143. (in Russ.) DOI: 10.15829/1560–4071–2021–4143

48. Sedashkina O.A., Poretskova G.Yu., Makovetskaya G.A. Polymorphisms of the renin-angiotensin system genes: significance in the progression of chronic kidney disease in children. Russian pediatric journal 2023; 23(2): 89–94. (in Russ.) DOI: 10.46563/1560–9561–2023–26–2–89–94

49. Hohenfellner K., Wingen A.M., Nauroth O., Wuhl E., Mehls O., Schaefer F. Title Impact of ACE I/D gene polymorphism on congenital renal malformations. Source Pediatr Nephrol 2001; 16(4): 356–361. DOI: 10.1007/s004670100567

50. Zivko M., Kusec R., Galesić K. Impact of angiotensin-converting enzyme gene polymorphism on proteinuria and arterial hypertension. Coll Antropol 2013; 37(3): 765–770.

51. Lin C., Yang H.Y., Wu C.C., Lee H.S. Angiotensin-Converting Enzyme Insertion/Deletion Polymorphism Contributes High Risk for Chronic Kidney Disease in Asian Male with Hypertension –A Meta-Regression Analysis of 98 Observational Studies. PLoS One 2014; 9(1): 1–16. DOI: 10.1371/journal.pone.0087604

52. Mazur O.Ch., Mikhalenko E.P., Malisheva O.M., Bayko S.V. Shevchuk I.V., Kilchevsky A.V., et al. The spectrum of mutations in children with isolated and syndromic forms of congenital anomalies of the urinary tract and kidneys. Molekulyarnaya i prikladnaya genetika 2022; 32: 44–53. (in Russ.) DOI: 10.47612/1999–9127–2022–32–44–53

53. Sukalo A.V., Kilchevsky A.V., Mazur O.Ch., Shevchuk I.V., Mikhalenko E.P., Baiko S.V. Molecular genetic basis of congenital anomalies of the kidneys and urinary tract. Nefrologiya 2020; 3: 9–13. (in Russ.)

54. Sibireva O., Kalyuzhina E., Kalyuzhin V. Frequency of C677T polymorphism of the MTHFR gene in chronic kidney disease. Vrach 2019; 30(5): 15–19. (in Russ.) DOI: 10.29296/25877305–2019–05–03

55. Atiakshin D., Morozov S., Dlin V., Kostin A., Volodkin A., Ignatyuk M., et. al. Renal Mast Cell-Specific Proteases in the Pathogenesis of Tubulointerstitial Fibrosis. J Histochem Cytochem 2024; DOI: 10.1369/00221554241274878

56. Siddhuraj P., Jönsson J., Alyamani M., Prabhala P., Magnusson M., Lindstedt S., Erjefält J.S. Dynamically upregulated mast cell CPA3 patterns in chronic obstructive pulmonary disease and idiopathic pulmonary fibrosis. Front Immunol 2022;13: 924244. DOI: 10.3389/fimmu.2022.924244

57. Atiakshin D., Kostin A., Trotsenko I., Shishkina V., Tiemann M., Buchwalow I. Carboxypeptidase A3 in the structure of the protease phenotype of mast cells: cytophysiological aspects. RUDN Journal of Medicine 2022; 26(1): 9–33. DOI: 10.22363/2313–0245–2022–26–1–9–33

58. Takai S., Jin D. Pathophysiological Role of Chymase-Activated Matrix Metalloproteinase-9. Biomedicines 2022; 10(10): 2499. DOI: 10.3390/biomedicines10102499

59. Vibhushan S., Bratti M., Montero-Hernandez J.E., El Ghoneimi A., Benhamou M., et al. Mast Cell Chymase and Kidney Disease. Int J Mol Sci 2020; 22(1): 302. DOI: 10.3390/ijms22010302


Review

For citations:


Chesnokova S.A., Atiakshin D.A., Vyalkova A.A., Davydova N.O. Chronic kidney disease in children: pathogenetic mechanisms and new approaches to the diagnosis of tubulointerstitial fibrosis. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2025;70(2):19-29. (In Russ.) https://doi.org/10.21508/1027-4065-2025-70-2-19-29

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ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)