Fatima et al. [41] recently suggested the elevated expression of CD44 in human renal biopsy as a marker for activated parietal epithelial cells in patients with recurrent FSGS, and Nakamura et al. [42] also reported a positive correlation between upregulation of CD44, hyaluronic acid, and osteopontin in biopsy specimens with early stage of the crescent formation in human crescentic glomerulonephritis. This evidence concerns the gene CD44 and focal segmental glomerulosclerosis.