Elevation of serum IgA in spondyloarthropathies and IgA nephropathy and its pathogenic role.

Abstract:

:Ankylosing spondylitis and IgA nephropathy share some immunologic features, eg, elevated serum IgA and IgA-immune complex levels. These entities are frequently found as being associated. IgA and IgA immune complex catabolism involves asialoglycoprotein receptors and specific IgA Fc receptors (FcalphaR or CD89) on tissue and blood cells. Recent studies revealed impaired CD89 expression in both diseases. These abnormalities, which are associated with receptor saturation, might generate the increase in serum IgA and IgA immune complex levels by either altered recycling or failure of degradation. This article reviews the literature on IgA abnormalities and discusses the potential role of FcalphaR in IgA nephropathy and AS and the consequences of its similar defect in the two diseases.

journal_name

Curr Opin Rheumatol

authors

Montenegro V,Monteiro RC

doi

10.1097/00002281-199907000-00007

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

265-72

issue

4

eissn

1040-8711

issn

1531-6963

journal_volume

11

pub_type

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