Structural features of IgA molecules which contribute to IgA nephropathy.

Abstract:

:IgA nephropathy (IgAN) is characterised by the mesangial deposition of polymeric IgA1 (pIgA1). pIgA1 production is reduced in the mucosal immune system in IgAN and increased in the marrow; this switch may be secondary to a defect in gammadeltaT cell control of IgA production. However this does not explain the mechanism by which pIgA1 deposits in the mesangium. There is no direct evidence that classical immune complex deposition occurs in IgAN and alternative mechanisms resulting from physicochemical abnormalities of the IgA1 molecule, particular altered glycosylation, have been proposed. IgA1 has a distinctive hinge region which is a site for O-glycosylation. There is reduced terminal galactose on the hinge region O-glycans of circulating IgA1 in IgAN, perhaps due to a defect in B cell beta1,3 galactosyltransferase. A concomitant O-glycan defect in mesangial IgA1 has not yet been proven. Altered hinge O-glycosylation may have substantial impact on the quaternary structure of the IgA1 molecule influencing its capacity to interact with matrix proteins, IgA receptors on mesangial cells and leucocytes, and complement; it may therefore play a key role in the pathogenesis of mesangial deposition of IgA1 and subsequent glomerular injury in IgAN.

journal_name

J Nephrol

journal_title

Journal of nephrology

authors

Feehally J,Allen AC

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

59-65

issue

2

eissn

1121-8428

issn

1724-6059

journal_volume

12

pub_type

杂志文章,评审
  • Diabetic kidney disease: new clinical and therapeutic issues. Joint position statement of the Italian Diabetes Society and the Italian Society of Nephrology on "The natural history of diabetic kidney disease and treatment of hyperglycemia in patients with

    abstract:AIMS:This joint document of the Italian Diabetes Society and the Italian Society of Nephrology reviews the natural history of diabetic kidney disease (DKD) in the light of the recent epidemiological literature and provides updated recommendations on anti-hyperglycemic treatment with non-insulin agents. DATA SYNTHESIS:...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-019-00650-x

    authors: Pugliese G,Penno G,Natali A,Barutta F,Di Paolo S,Reboldi G,Gesualdo L,De Nicola L,Italian Diabetes Society and the Italian Society of Nephrology.

    更新日期:2020-02-01 00:00:00

  • Endotoxin-induced acute renal failure in rats: effects of L-arginine and nitric oxide synthase inhibition on renal function.

    abstract:BACKGROUND:The regulation of renal hemodynamics is closely related to the L-arginine (L-Arg)/nitric oxide (NO) pathway. NO - metabolized from L-Arg - is capable of improving renal function in ischemic and toxic acute renal failure (ARF), while NO synthase (NOS) inhibition induces deterioration in renal function. The mo...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Schramm L,Weierich T,Heldbreder E,Zimmermann J,Netzer KO,Wanner C

    更新日期:2005-07-01 00:00:00

  • Metabolic syndrome and nephrolithiasis: a systematic review and meta-analysis of the scientific evidence.

    abstract::The metabolic syndrome is a cluster of cardiometabolic alterations at least partly dependent on reduced insulin sensitivity and hyperinsulinemia that can have several renal implications. A systematic review and meta-analysis of studies available in the international literature in English language demonstrates that the...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s40620-014-0085-9

    authors: Rendina D,De Filippo G,D'Elia L,Strazzullo P

    更新日期:2014-08-01 00:00:00

  • Preeclampsia and cardiovascular risk: general characteristics, counseling and follow-up.

    abstract::The pathophysiological mechanisms underlying preeclampsia, a serious complication of pregnancy, are largely unknown. Since, on the other hand, the various risk factors are known, primary and secondary prevention with pre- and inter-pregnancy counseling should be undertaken, and a follow-up should be conducted to evalu...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:

    authors: Buemi M,Bolignano D,Barilla A,Nostro L,Crasci E,Campo S,Coppolino G,D'Anna R

    更新日期:2008-09-01 00:00:00

  • Gene transfer and kidney disease.

    abstract::There is little doubt that molecular biological intervention therapy has come of age and its potential is arousing tremendous excitement. A gene transfer technique, the HVJ-liposome method, is now applicable as a tool for the dissection of molecular aspects in the pathophysiology of renal diseases, and for gene therap...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:

    authors: Imai E,Isaka Y,Akagi Y,Kaneda Y,Hori M

    更新日期:1998-01-01 00:00:00

  • Renal transplantation and sleep: a new life is not enough.

    abstract::Renal transplantation is associated with better survival and improved quality of life compared to maintenance dialysis. Although many sleep disorders improve or even disappear after a successful transplantation, sleep quality remains low, and the prevalence of sleep complaints, although lower than in dialysis patients...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Sabbatini M,Pisani A,Crispo A,Nappi R,Gallo R,Cianciaruso B,Federico S

    更新日期:2008-03-01 00:00:00

  • Financial implications of pediatric outpatient renal biopsies: a single-center experience.

    abstract:BACKGROUND:With improvements in technology, renal biopsies have become safer and could potentially be effectively carried out in the outpatient setting. The purpose of our study is to compare the safety and cost of performing outpatient versus inpatient renal biopsies at a single Northern California pediatric hospital....

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Lau KK,Berg GL,Butani L

    更新日期:2009-01-01 00:00:00

  • Rapidly progressive glomerulonephritis.

    abstract::The management of rapidly progressive glomerulonephritis has been transformed over the past thirty years. It has become one of the few forms of glomerulonephritis that can be effectively treated, and today overall renal survival is as high as 70%. Effective management of patients with RPGN requires prompt and accurate...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:

    authors: Erwig LP,Rees AJ

    更新日期:1999-07-01 00:00:00

  • Normothermic perfusion of ischaemic porcine kidneys: an evaluation of ex vivo function and endothelin receptor antagonism.

    abstract:BACKGROUND:Non-heart-beating donors suffer a period of warm ischaemia (WI) injury, resulting in higher rates of delayed graft function compared with heart-beating donors. Endothelin is believed to play a pathophysiological role in the intense vasospasm associated with WI. This study aimed to investigate renal function ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Mann CD,Metcalfe MS,Nicholson ML

    更新日期:2009-01-01 00:00:00

  • Periglomerular accumulation of dendritic cells in rat crescentic glomerulonephritis.

    abstract:BACKGROUND:An increased number of major histocompatibility complex (MHC) class II-positive cells (OX-6+ cells) were observed in the glomerulus and periglomerular interstitium during the course of anti-glomerular basement membrane (anti-GBM) crescentic glomerulonephritis (GN) in WKY rats. This study aimed to demonstrate...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Fujinaka H,Nameta M,Kovalenko P,Matsuki A,Kato N,Nishimoto G,Yoshida Y,Yaoita E,Naito M,Kihara I,Tomizawa S,Yamamoto T

    更新日期:2007-05-01 00:00:00

  • Hypertension in the elderly: new and old evidence that treatment may benefit the old.

    abstract::Hypertension is prevalent and remains an important risk factor in elderly and very elderly. Randomized controlled outcome trials have shown benefit of antihypertensive treatment in patients with systolic diastolic hypertension and in patients with isolated systolic hypertension, aged 60 years and over. More recently b...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Fagard RH

    更新日期:2009-09-01 00:00:00

  • Associations between calcineurin inhibitors and arterial compliance in kidney transplant recipients.

    abstract:INTRODUCTION:Several studies have suggested an effect of calcineurin inhibitors on arterial compliance in kidney transplant recipients. We aimed to investigate whether the type of calcineurin inhibitor influences large and small artery compliance in these patients independently of other determinants. METHODS:Patients ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Wystrychowski G,Chudek J,Zukowska-Szczechowska E,Wiecek A,Grzeszczak W

    更新日期:2008-01-01 00:00:00

  • Many clinically silent access stenoses can be identified by ultrasonography.

    abstract:BACKGROUND:Stenoses of vascular accesses are leading factors limiting access survival. Besides physical examination, screening of access stenoses is based mainly on the "dysfunction hypothesis", which states that progressive stenosis causes graft dysfunction, such as decreased flow. We tested whether Doppler ultrasonog...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Malik J,Slavikova M,Malikova H,Maskova J

    更新日期:2002-11-01 00:00:00

  • Nodular glomerulosclerosis in a non-diabetic patient: case report and review of literature.

    abstract::We report a unusual case of idiopathic nodular glomerulosclerosis mimicking changes that develop in diabetic nephropathy. A 66-year-old non-diabetic female developed nephrotic range proteinuria and the work up was unremarkable. Light and electron microscopy showed mesangial expansion with Kimmelsteil-Wilson nodules an...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:

    authors: Navaneethan SD,Singh S,Choudhry W

    更新日期:2005-09-01 00:00:00

  • Rituximab for treatment of severe renal disease in ANCA associated vasculitis.

    abstract:BACKGROUND:Rituximab (RTX) is approved for remission induction in ANCA associated vasculitis (AAV). However, data on use of RTX in patients with severe renal disease is lacking. METHODS:We conducted a retrospective multi-center study to evaluate the efficacy and safety of RTX with glucocorticoids (GC) with and without...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s40620-015-0208-y

    authors: Geetha D,Hruskova Z,Segelmark M,Hogan J,Morgan MD,Cavero T,Eriksson P,Seo P,Manno RL,Dale J,Harper L,Tesar V,Jayne DR

    更新日期:2016-04-01 00:00:00

  • Bioethics in nephrology: guidelines for decision-making in Italy.

    abstract::In 1998, the Italian Ministry of Health urged the Italian Society of Nephrology (SIN) to draft recommendations for uniform decision-making procedures in the field of dialysis. In accordance with the Ministry's specifications, at the time the Society approved diagnostic protocols regarding clinical questions, but witho...

    journal_title:Journal of nephrology

    pub_type: 指南,杂志文章,实务指引

    doi:

    authors: Buzzi F,Cecioni R,Di Paolo M,National Task Force for Bioethics in Nephrology.

    更新日期:2001-03-01 00:00:00

  • Klaus Hierholzer (1929-2007) and his impact on our understanding of the renal effects of steroid hormones.

    abstract::Klaus Hierholzer (1929-2007) dissected various functions influenced by steroids in the distal tubule and showed that aldosterone in low doses reversed the sodium and potassium transport defect in adrenalectomized rats, through a rapid activation of Na+,K+-ATPase. Subsequent studies addressed the role of 11-beta-hydrox...

    journal_title:Journal of nephrology

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: De Santo NG,Fromm M,Russo F,Wiederholt M

    更新日期:2009-11-01 00:00:00

  • Correlation of bone mineral density with the histological findings of renal osteodystrophy in patients on hemodialysis.

    abstract:AIMS:To examine the distribution of bone mineral density (BMD) in different histological groups of renal osteodystrophy. PATIENTS:We prospectively studied 62 patients, 41 men and 21 women, aged 57+/-11.5 years, who had been on hemodialysis for 60+/-55 months. The women had been amenorrheic for 13+/-4 years and 7 patie...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Gerakis A,Hadjidakis D,Kokkinakis E,Apostolou T,Raptis S,Billis A

    更新日期:2000-11-01 00:00:00

  • Ferumoxytol: a new era of iron deficiency anemia treatment for patients with chronic kidney disease.

    abstract::Ferumoxytol is a new product approved for intravenous use by the US Food and Drug Administration (FDA) in the treatment of iron deficiency anemia in adults with chronic kidney disease. This approval was based on data from 3 open-label, randomized, controlled clinical trials. In all of these trials, ferumoxytol was wel...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.5301/jn.5000025

    authors: Kowalczyk M,Banach M,Rysz J

    更新日期:2011-11-01 00:00:00

  • Management of hepatitis C virus infection in patients with chronic kidney disease: position statement of the joint committee of Italian association for the study of the liver (AISF), Italian society of internal medicine (SIMI), Italian society of infectio

    abstract::Hepatitis C virus (HCV) infection is now considered a systemic disease due to the occurrence of extra-hepatic manifestations. Among these, the renal involvement is frequent. HCV infection, in fact, is strongly associated with proteinuria and chronic kidney disease (CKD) and negatively affects the prognosis of renal pa...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,实务指引

    doi:10.1007/s40620-018-0523-1

    authors: Minutolo R,Aghemo A,Chirianni A,Fabrizi F,Gesualdo L,Giannini EG,Maggi P,Montinaro V,Paoletti E,Persico M,Perticone F,Petta S,Puoti M,Raimondo G,Rendina M,Zignego AL,Italian Society of Nephrology (SIN).,Italian Associat

    更新日期:2018-10-01 00:00:00

  • The effect of polymorphism of uric acid transporters on uric acid transport.

    abstract::The abnormal metabolism of uric acid results in many disease such as chronic kidney disease, hyperuricemia, nephrolithiasis, gout, hypertension, vascular disease and so on. Serum uric acid levels are maintained by the balance between production and elimination. There are many factors that maintain the balance of serum...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-018-0546-7

    authors: Wang Z,Cui T,Ci X,Zhao F,Sun Y,Li Y,Liu R,Wu W,Yi X,Liu C

    更新日期:2019-04-01 00:00:00

  • Medicine in Pomerania and Pomezania during their conquest by the Teutonic Knights.

    abstract::The origin of the Teutonic Order of Hospitalers St. Mary (Ordo Hospitalis S. Mariae Teutonicorum Hi-erosolymitani) is presented. The St. Mary Hospitaler Teutonic Order arrived in the XIIIth century to Pomezania, then inhabited by pagan Prussian tribes. The Knights of the Order started to Christianize the Prussians, th...

    journal_title:Journal of nephrology

    pub_type: 历史文章,杂志文章

    doi:

    authors: Zydowo MM

    更新日期:2006-05-01 00:00:00

  • Focal segmental glomerulosclerosis due to a relapsing non-Hodgkin's lymphoma diagnosed by positron emission tomography.

    abstract::Glomerulonephritis rarely appears associated with Hodgkin's disease or non-Hodgkin's lymphoma (NHL). We present a patient with a relapse of a non-Hodgkin's lymphoma which first presented as nephrotic syndrome due to focal segmental glomerulosclerosis (FSGS). This case report discusses the unusual association of non-Ho...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: González García E,Olea T,Hevia C,Torre A,Azorin S,Ruiz E,Martínez Ara J,Sánchez Villanueva R,Fernandez EJ,Selgas R

    更新日期:2007-09-01 00:00:00

  • Influenza and the patient with end-stage renal disease.

    abstract::Influenza is a commonly encountered and serious pathogen. Patients with end-stage renal disease are more susceptible to serious morbidity and mortality associated with influenza infection. Proper management of patients includes: vaccination, monitoring for symptoms and isolation of potentially infected patients as wel...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-017-0407-9

    authors: Bowman BT,Rosner MH

    更新日期:2018-04-01 00:00:00

  • Mixed hemodiafiltration reduces erythropoiesis stimulating agents requirement in dialysis patients: a prospective randomized study.

    abstract:BACKGROUND:Improved responsiveness to erythropoiesis stimulating agents (ESAs) in patients on on-line post-dilution hemodiafiltration (Post-HDF) compared with conventional hemodialysis (HD) was reported by some authors but challenged by others. This prospective, cross-over randomized study tested the hypothesis that an...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.1007/s40620-020-00709-0

    authors: Pedrini LA,Comelli M,Ruggiero P,Feliciani A,Manfrini V,Cozzi G,Castellano A,Pezzotta M,Gatti G,Arazzi M,Auriemma L,di Benedetto A,Stuard S

    更新日期:2020-10-01 00:00:00

  • The impact of short daily and nocturnal hemodialysis on quality of life, cardiovascular risk and survival.

    abstract::End-stage renal disease (ESRD) is a significant global health problem that places a considerable burden on health care resources. The leading cause of death in ESRD patients is cardiovascular disease, which is often preceded by changes in cardiac geometry, including left ventricular hypertrophy (LVH). Treatments that ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.5301/JN.2011.8422

    authors: Culleton BF,Asola MR

    更新日期:2011-07-01 00:00:00

  • Antiproteinuric effect of olmesartan in patients with IgA nephropathy.

    abstract:BACKGROUND:IgA nephropathy is one of the most common primary glomerulonephritides, and the clinical course of almost 40% of the patients progresses to end-stage renal disease (ESRD) within 20 years. Angiotensin-converting enzyme (ACE) inhibitors and/ or angiotensin II receptor blockers (ARBs) induce a marked renoprotec...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:

    authors: Tomino Y,Kawamura T,Kimura K,Endoh M,Hosoya T,Horikoshi S,Utsunomiya Y,Yasuda T,Toyoda M,Tsuge T,Kaneko K

    更新日期:2009-03-01 00:00:00

  • Early initiation of tacrolimus or cyclophosphamide therapy for idiopathic membranous nephropathy with severe proteinuria.

    abstract:BACKGROUND:Early initiation of therapy is warranted for patients with idiopathic membranous nephropathy (IMN) who have severe proteinuria. Therapy with tacrolimus (TAC) or intravenous cyclophosphamide (CYC) may be an option in treating such patients. METHODS:This prospective cohort study included patients with IMN who...

    journal_title:Journal of nephrology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Li X,Lv R,He Q,Li H,Du X,Lin W,Li Q,He X,Wang S,Chen J

    更新日期:2008-07-01 00:00:00

  • Treatment of idiopathic nephrotic syndrome with cyclosporine A.

    abstract::Cyclosporine A has been empirically used for more than 12 years in the treatment of idiopathic nephrotic syndrome, in both children and adults. There is consistent evidence, from both experimental and human studies, that the highly lipophilic cyclosporine molecule diminishes or abolishes proteinuria by two differing m...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:

    authors: Meyrier A

    更新日期:1997-01-01 00:00:00

  • Normal fractional urate excretion identifies hyponatremic patients with reset osmostat.

    abstract:BACKGROUND:Reset osmostat (RO) occurs in 36% of patients with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and is not often considered when evaluating hyponatremic patients. Patients with RO are not usually treated, but recent awareness that symptoms are associated with mild hyponatremia creates a t...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.5301/jn.5000074

    authors: Imbriano LJ,Ilamathi E,Ali NM,Miyawaki N,Maesaka JK

    更新日期:2012-09-01 00:00:00