Autoantibodies in renal diseases-clinical significance and recent developments in serological detection

Autoantibodies in renal diseases-clinical significance and recent developments in serological detection

Author Kirsztajn, Gianna Mastroianni Autor UNIFESP Google Scholar
Hornig, Nora Google Scholar
Schlumberger, Wolfgang Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
EUROIMMUN Med Labordiagnost AG
Abstract Autoimmune dysfunctions are the bete noire in a range of debilitating nephropathies. Autoimmune-mediated damage to the kidneys can be triggered by autoantibodies directed against specific proteins or renal structures, for example, the phospholipase A2 receptor or the glomerular basement membrane, resulting in glomerular diseases such as primary membranous nephropathy or Goodpasture's disease. Moreover, secondary damage to the kidney can be part of the wide-reaching effects of systemic autoimmune diseases such as vasculitis or systemic lupus erythematosus (SLE) the latter counts lupus nephritis among its most severe manifestations. Systemic autoimmune diseases are characterized by non-organ-specific autoantibodies, directed for example against neutrophil cytoplasmic antigens in systemic vasculitis and against double-stranded DNA and nucleosomes in SLE. A large variety of innovative and highly specific and sensitive autoantibody tests have been developed in the last years that are available to identify autoimmune kidney diseases at an early stage. Thus, serological in vitro diagnostics allow for appropriate interventional therapy in order to prevent disease progression often resulting in need of dialysis and transplantation.
Keywords autoantibodies
renal autoimmune diseases
anti-PLA2R
anti-THSD7A
anti-nucleosomes
anti-dsDNA
ANCA
anti-PR3
Language English
Date 2015-05-11
Published in Frontiers in Immunology. Lausanne: Frontiers Research Foundation, v. 6, 6 p., 2015.
ISSN 1664-3224 (Sherpa/Romeo, impact factor)
Publisher Frontiers Research Foundation
Extent 6
Origin http://dx.doi.org/10.3389/fimmu.2015.00221
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000355321500001
URI http://repositorio.unifesp.br/handle/11600/39100

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