A potential role for mechanical forces in the detachment of podocytes and the progression of CKD

W Kriz, KV Lemley - Journal of the American Society of …, 2015 - journals.lww.com
Loss of podocytes underlies progression of CKD. Detachment of podocytes from the
glomerular basement membrane (GBM) rather than apoptosis or necrosis seems to be the
major mechanism of podocyte loss. Such detachment of viable podocytes may be caused by
increased mechanical distending and shear forces and/or impaired adhesion to the GBM.
This review considers the mechanical challenges that may lead to podocyte loss by
detachment from the GBM under physiologic and pathophysiologic conditions, including …