Aberrant IgM on T cells: biomarker or pathogenic factor in childhood nephrotic syndrome?

Abstract:

:Although the pathogenesis of steroid-sensitive nephrotic syndrome (SSNS) remains elusive, multiple epidemiologic, clinical, and experimental studies converge on the common theme of immune dysregulation. Initially, T-cell adaptive immunity was solely emphasized; however, the role of humoral immunity in nephrotic syndrome has gained recognition. The study by Colucci and colleagues provides preliminary evidence that production of deglycosylated IgM that is unable to regulate T-cell function in the presence or absence of corticosteroid may be responsible for a steroid-dependence course in SSNS. This study provides invaluable insights into the mechanistic roles of both T-cell and B-cell responses in the pathogenesis and clinical course of SSNS.

journal_name

Kidney Int

journal_title

Kidney international

authors

Chambers ET,Gbadegesin RA

doi

10.1016/j.kint.2019.05.031

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

818-820

issue

4

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(19)30616-7

journal_volume

96

pub_type

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