An update on LDL apheresis for nephrotic syndrome

  • Rupesh RainaEmail author
  • Vinod Krishnappa


Low-density lipoprotein (LDL) apheresis has been used increasingly in clinical practice for the treatment of renal diseases with nephrotic syndrome (NS), specifically focal segmental glomerulosclerosis (FSGS). Persistent hyperlipidemia for prolonged periods is nephrotoxic and leads to chronic progressive glomerular and tubulointerstitial injury. Effective management of hyperlipidemia with HMG-CoA reductase inhibitors or LDL apheresis in drug-resistant NS patients may prevent the progression of renal disease and, in some patients, resolution of NS symptoms. Available literature reveals beneficial effects of LDL apheresis for NS refractory to drug therapy. Here we update on the current understanding of lipid nephrotoxicity and application of LDL apheresis to prevent progression of renal diseases.


Low-density lipoprotein apheresis Nephrotic syndrome Focal segmental glomerulosclerosis Hyperlipidemia Podocyte injury Liposorber® LA-15 System 


Compliance with ethical standards

Competing interests

The authors declare that they have no conflict of interest.

Supplementary material

467_2018_4061_MOESM1_ESM.docx (16 kb)
ESM 1 (DOCX 15 kb)


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© IPNA 2018

Authors and Affiliations

  1. 1.Department of Pediatric NephrologyAkron Children’s HospitalAkronUSA
  2. 2.Department of NephrologyCleveland Clinic Akron General & Americare Kidney InstituteAkronUSA
  3. 3.Northeast Ohio Medical UniversityRootstownUSA

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