Revisão Acesso aberto Revisado por pares

The genetics and immunobiology of IgA nephropathy

2014; American Society for Clinical Investigation; Volume: 124; Issue: 6 Linguagem: Inglês

10.1172/jci74475

ISSN

1558-8238

Autores

Krzysztof Kiryluk, Jan Novák,

Tópico(s)

Systemic Lupus Erythematosus Research

Resumo

IgA nephropathy (IgAN) represents the leading cause of kidney failure among East Asian populations and the most frequent form of primary glomerulonephritis among Europeans. Patients with IgAN develop characteristic IgA1-containing immune complexes that deposit in the glomerular mesangium, producing progressive kidney injury. Recent studies define IgAN as an autoimmune trait of complex architecture with a strong genetic determination. This Review summarizes new insights into the role of the O-glycosylation pathway, anti-glycan immune response, mucosal immunity, antigen processing and presentation, and the alternative complement pathway in the pathogenesis of IgAN.

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