{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:45:29Z","timestamp":1769013929067,"version":"3.49.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T00:00:00Z","timestamp":1613088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The coronavirus disease 2019 (COVID-19) may be associated with kidney injury, which may impact patient's prognosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We report a multicentric retrospective case series of patients with COVID-19 who developed acute kidney injury (AKI) and\/or proteinuria and underwent a kidney biopsy in Paris and its metropolitan area.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Forty-seven patients (80.9% men) with COVID-19 who underwent a kidney biopsy between 8 March and 19 May 2020 were included. The median age was 63\u2009years (interquartile range 52\u201369). Comorbidities included hypertension (66.0%), diabetes mellitus (27.7%), obesity (27.7%), history of chronic kidney disease (25.5%), cardiac diseases (38.6%) and respiratory diseases (27.3%). Initial symptoms were fever (85.1%), cough (63.8%), shortness of breath (55.3%) and diarrhoea (23.4%). Almost all patients developed AKI (97.9%) and 63.8% required renal replacement therapy. Kidney biopsy showed two main histopathological patterns, including acute tubular injury in 20 (42.6%) patients, and glomerular injury consisting of collapsing glomerulopathy (CG) and focal segmental glomerulosclerosis in 17 (36.2%) patients. Two (4.3%) patients had acute vascular nephropathy, while 8 (17%) had an alternative diagnosis most likely unrelated to COVID-19. Acute tubular injury occurred almost invariably in the setting of severe forms of COVID-19, whereas patients with glomerular injury had various profiles of COVID-19 severity and CG was only observed in patients harbouring a combination of APOL1 risk variants. At the last follow-up, 16 of the 30 patients who initially required dialysis were still on dialysis, and 9 had died.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study describes the spectrum of kidney lesions in patients with COVID-19. While acute tubular injury is correlated with COVID-19 severity, the pattern of glomerular injury is intimately associated with the expression of APOL1 risk variants.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ndt\/gfab042","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T20:26:37Z","timestamp":1612988797000},"page":"1253-1262","source":"Crossref","is-referenced-by-count":53,"title":["The spectrum of kidney biopsies in hospitalized patients with COVID-19, acute kidney injury and\/or proteinuria"],"prefix":"10.1093","volume":"36","author":[{"given":"Sophie","family":"Ferlicot","sequence":"first","affiliation":[{"name":"Service d\u2019Anatomie Pathologique, Assistance Publique-H\u00f4pitaux de Paris, H\u00f4pital Bic\u00eatre, Universit\u00e9 Paris Saclay, Paris, France"},{"name":"Universit\u00e9 Paris Saclay, UVSQ, Villejuif, France"},{"name":"Club Francophone de Pathologie R\u00e9nale group, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthieu","family":"Jamme","sequence":"additional","affiliation":[{"name":"Service de R\u00e9animation polyvalente, CH Intercommunal de Poissy Saint Germain en Laye, Poissy, France"},{"name":"INSERM U1018, Equipe 5, Centre de Recherche en \u00c9pid\u00e9miologie et Sant\u00e9 des Populations, Universit\u00e9 Paris Saclay et Universit\u00e9 Versailles Saint Quentin en Yvelines, Villejuif, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7248-8418","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Gaillard","sequence":"additional","affiliation":[{"name":"Service de N\u00e9phrologie, H\u00f4pital Bichat, Assistance Publique-H\u00f4pitaux de Paris, INSERM U1149, Universit\u00e9 de Paris, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Oniszczuk","sequence":"additional","affiliation":[{"name":"Service de N\u00e9phrologie et Transplantation, Centre de R\u00e9f\u00e9rence Maladies Rares \u2018Syndrome N\u00e9phrotique Idiopathique\u2019, Assistance Publique-H\u00f4pitaux de Paris (APHP), H\u00f4pitaux Universitaires Henri-Mondor, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale U955, Univ Paris Est Cr\u00e9teil,Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aymeric","family":"Couturier","sequence":"additional","affiliation":[{"name":"INSERM U1018, Equipe 5, Centre de Recherche en \u00c9pid\u00e9miologie et Sant\u00e9 des Populations, Universit\u00e9 Paris Saclay et Universit\u00e9 Versailles Saint Quentin en Yvelines, Villejuif, France"},{"name":"Service de N\u00e9phrologie et Dialyse, Assistance Publique-H\u00f4pitaux de Paris, H\u00f4pital Universitaire Ambroise Par\u00e9, Boulogne Billancourt, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"May","sequence":"additional","affiliation":[{"name":"Service de N\u00e9phrologie-Dialyse, GHT Grand Paris Nord Est, H\u00f4pital Andr\u00e9 Gr\u00e9goire, Montreuil sous Bois, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Gr\u00fcnenwald","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Intensive-R\u00e9animation, Assistance Publique-H\u00f4pitaux de Paris, H\u00f4pital Bic\u00eatre, Assistance Publique-H\u00f4pitaux de Paris, Le Kremlin-Bic\u00eatre, France"},{"name":"Service de N\u00e9phrologie, Dialyse et Transplantation, H\u00f4pital Bic\u00eatre, Assistance Publique-H\u00f4pitaux de Paris, Le Kremlin-Bic\u00eatre, France"},{"name":"Centre de Recherche des Cordeliers, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale, Sorbonne Universit\u00e9, Universit\u00e9 de Paris, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aur\u00e9lie","family":"Sannier","sequence":"additional","affiliation":[{"name":"Club Francophone de Pathologie R\u00e9nale group, Rome, Italy"},{"name":"Universit\u00e9 de Paris, Assistance Publique-H\u00f4pitaux de Paris, Service d\u2019Anatomie et Cytologie Pathologiques, H\u00f4pital Bichat,Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6015-3979","authenticated-orcid":false,"given":"Anissa","family":"Moktefi","sequence":"additional","affiliation":[{"name":"Club Francophone de Pathologie R\u00e9nale group, Rome, Italy"},{"name":"Service d\u2019Anatomie Pathologique, Assistance Publique-H\u00f4pitaux de Paris, H\u00f4pitaux Universitaires Henri-Mondor, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale U955, Universit\u00e9 de\u00a0Paris Est Cr\u00e9teil, Cr\u00e9teil, 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Paris, Groupement Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, French National Referral Center for Systemic Lupus Erythematosus, Antiphospholipid Antibody Syndrome and Other Autoimmune Disorders, Service de M\u00e9decine Interne 2, Institut E3M, Inserm UMRS, Centre d\u2019Immunologie et des Maladies Infectieuses, Sorbonne Universit\u00e9, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christophe","family":"Legendre","sequence":"additional","affiliation":[{"name":"Service de N\u00e9phrologie, Dialyse et Transplantation, H\u00f4pital Bic\u00eatre, Assistance Publique-H\u00f4pitaux de Paris, Le Kremlin-Bic\u00eatre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Mussini","sequence":"additional","affiliation":[{"name":"Service d\u2019Anatomie Pathologique, Assistance Publique-H\u00f4pitaux de Paris, H\u00f4pital Bic\u00eatre, Universit\u00e9 Paris Saclay, Paris, France"},{"name":"Club Francophone de Pathologie R\u00e9nale group, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Christine","family":"Verpont","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Pierre et Marie Curie Paris 06, and Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale, Unit\u00e9 Mixte de Recherche S1155, plate-forme d'Imagerie et de Cytom\u00e9trie de Tenon, Sorbonne Universit\u00e9,Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Pallet","sequence":"additional","affiliation":[{"name":"Service de Biochimie, Assistance Publique-H\u00f4pitaux de Paris, H\u00f4pital Europ\u00e9en Georges Pompidou, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahir","family":"Amoura","sequence":"additional","affiliation":[{"name":"Assistance Publique-H\u00f4pitaux de Paris, Groupement Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, French National Referral Center for Systemic Lupus Erythematosus, Antiphospholipid Antibody Syndrome and Other Autoimmune Disorders, Service de M\u00e9decine Interne 2, Institut E3M, Inserm UMRS, Centre d\u2019Immunologie et des Maladies Infectieuses, Sorbonne Universit\u00e9, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2030-5616","authenticated-orcid":false,"given":"Marie","family":"Essig","sequence":"additional","affiliation":[{"name":"INSERM U1018, Equipe 5, Centre de Recherche en \u00c9pid\u00e9miologie et Sant\u00e9 des Populations, Universit\u00e9 Paris Saclay et Universit\u00e9 Versailles Saint Quentin en Yvelines, Villejuif, France"},{"name":"Service de N\u00e9phrologie et Dialyse, Assistance Publique-H\u00f4pitaux de Paris, H\u00f4pital Universitaire Ambroise Par\u00e9, Boulogne Billancourt, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renaud","family":"Snanoudj","sequence":"additional","affiliation":[{"name":"Service de 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