suPAR and chronic kidney disease—a podocyte story

  • Martin Zeier
  • Jochen ReiserEmail author
Invited Review


The soluble urokinase-type plasminogen activator receptor (suPAR) is a circulating signaling molecule derived from immature myeloid cells. Elevated levels of suPAR have been linked to the pathogenesis of the kidney disease focal and segmental glomerulosclerosis. Here, suPAR acts on podocytes by activating αvβ3 integrins. Large observational studies showed that suPAR also predicts chronic kidney disease incidence and progression by predating the disease by several years prior to any other known marker of renal dysfunction. suPAR is rapidly developing into a prime target for pharmacotherapy as its neutralization is forecasted to be feasible and safe.


suPAR Integrin Podocyte FSGS CKD 



The authors thank Mehmet M Altintas (Rush University) on helping with the preparation of the manuscript.

Compliance with ethical standards

Conflict of interest

J.R. is co-founder and shareholder of TRISAQ, a biotechnology company that develops therapy targeting the urokinase receptor.


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Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Division of NephrologyRuprecht Karls University of HeidelbergHeidelbergGermany
  2. 2.Department of MedicineRush University Medical CenterChicagoUSA

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