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Editorial
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Volume 330:61-62 January 6, 1994 Number 1
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Pathogenesis of "Idiopathic" Nephrotic Syndrome

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In this issue of the Journal, Dantal et al. report the remarkable observation that the removal of serum proteins by adsorption to protein A Sepharose led to remission of proteinuria in patients with recurrences of the nephrotic syndrome after transplantation1. The conclusion that the remissions were due to the removal of a culprit substance is strengthened by the finding that eluates from the protein A Sepharose caused proteinuria in rats. Protein A Sepharose was presumably chosen to adsorb immunoglobulins; the serendipitous finding of the role of a substance thought not to be an immunoglobulin demonstrates that the intelligent pursuit . . . [Full Text of this Article]

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