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移植后复发性膜性肾病:供体抗原和 HLA 共同定义风险。

Recurrent membranous nephropathy after transplantation: donor antigen and HLA converge in defining risk.

机构信息

Centre for Inflammatory Diseases, Monash University Department of Medicine, Monash Medical Centre, Monash University, Clayton, Victoria, Australia; Department of Nephrology, Monash Health, Clayton, Victoria, Australia.

Centre for Inflammatory Diseases, Monash University Department of Medicine, Monash Medical Centre, Monash University, Clayton, Victoria, Australia; Department of Nephrology, Monash Health, Clayton, Victoria, Australia; Department of Pediatric Nephrology, Monash Health, Clayton, Victoria, Australia.

出版信息

Kidney Int. 2021 Mar;99(3):545-548. doi: 10.1016/j.kint.2020.10.044.

DOI:10.1016/j.kint.2020.10.044
PMID:33637201
Abstract

Membranous nephropathy, like many forms of glomerulonephritis, is an HLA-associated autoimmune disease that can recur in the transplanted kidney. In this issue of Kidney International, Berchtold and colleagues publish an intriguing and important paper on risk factors for recurrent post-transplant membranous nephropathy due to autoimmunity to PLA2R1. They found that the genetics of both the autoantigen and donor HLA are important determinants of the risk of recurrent disease in the graft.

摘要

膜性肾病与许多形式的肾小球肾炎一样,是一种 HLA 相关的自身免疫性疾病,可在移植肾脏中复发。在本期《国际肾脏杂志》上,Berchtold 及其同事发表了一篇关于 PLA2R1 自身免疫导致移植后膜性肾病复发的危险因素的有趣且重要的论文。他们发现,自身抗原和供体 HLA 的遗传因素都是移植物中疾病复发风险的重要决定因素。

相似文献

1
Recurrent membranous nephropathy after transplantation: donor antigen and HLA converge in defining risk.移植后复发性膜性肾病:供体抗原和 HLA 共同定义风险。
Kidney Int. 2021 Mar;99(3):545-548. doi: 10.1016/j.kint.2020.10.044.
2
HLA-D and PLA2R1 risk alleles associate with recurrent primary membranous nephropathy in kidney transplant recipients.HLA - D和PLA2R1风险等位基因与肾移植受者复发性原发性膜性肾病相关。
Kidney Int. 2021 Mar;99(3):671-685. doi: 10.1016/j.kint.2020.08.007. Epub 2020 Sep 2.
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Phospholipase A2 receptor positive membranous nephropathy long after living donor kidney transplantation between identical twins.同卵双胞胎活体供肾移植术后很久出现的磷脂酶A2受体阳性膜性肾病
Nephrology (Carlton). 2015 Jul;20 Suppl 2:101-4. doi: 10.1111/nep.12458.
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Association of HLA Typing and Alloimmunity With Posttransplantation Membranous Nephropathy: A Multicenter Case Series.HLA 分型与同种异体免疫与移植后膜性肾病的相关性:一项多中心病例系列研究。
Am J Kidney Dis. 2020 Sep;76(3):374-383. doi: 10.1053/j.ajkd.2020.01.009. Epub 2020 Apr 28.
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Pre-transplant phospholipase A2 receptor autoantibody concentration is associated with clinically significant recurrence of membranous nephropathy post-kidney transplantation.移植前磷脂酶A2受体自身抗体浓度与肾移植后膜性肾病具有临床意义的复发相关。
Clin Transplant. 2016 Apr;30(4):461-9. doi: 10.1111/ctr.12711. Epub 2016 Mar 11.
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Pathogenesis of membranous nephropathy: a new paradigm in evolution.膜性肾病的发病机制:一种正在演变的新范式。
Contrib Nephrol. 2013;181:131-42. doi: 10.1159/000348472. Epub 2013 May 8.
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Antiphospholipase A2 Receptor Antibody Levels Predict the Risk of Posttransplantation Recurrence of Membranous Nephropathy.抗磷脂酶A2受体抗体水平可预测膜性肾病移植后复发风险。
Transplantation. 2015 Aug;99(8):1709-14. doi: 10.1097/TP.0000000000000630.
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The genetic contribution to recurrent autoimmune nephritis.复发性自身免疫性肾炎的遗传因素
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Prediction of membranous nephropathy recurrence after transplantation by monitoring of anti-PLA2R1 (M-type phospholipase A2 receptor) autoantibodies: a case series of 15 patients.通过监测抗 PLA2R1(M 型磷脂酶 A2 受体)自身抗体预测移植后膜性肾病复发:15 例病例系列研究。
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Risk HLA-DQA1 and PLA(2)R1 alleles in idiopathic membranous nephropathy.特发性膜性肾病中风险 HLA-DQA1 和 PLA(2)R1 等位基因。
N Engl J Med. 2011 Feb 17;364(7):616-26. doi: 10.1056/NEJMoa1009742.

引用本文的文献

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Post-transplant glomerular diseases: update on pathophysiology, risk factors and management strategies.移植后肾小球疾病:病理生理学、危险因素及管理策略的最新进展
Clin Kidney J. 2024 Oct 24;17(12):sfae320. doi: 10.1093/ckj/sfae320. eCollection 2024 Dec.
2
It's All Relative: Donor-Recipient Relationships, Disease Heritability, and Kidney Transplant Outcomes.一切皆相对:供体与受体关系、疾病遗传性和肾移植结果
Am J Kidney Dis. 2023 Nov;82(5):518-520. doi: 10.1053/j.ajkd.2023.07.006. Epub 2023 Aug 26.
3
Predictive Models for Recurrent Membranous Nephropathy After Kidney Transplantation.
肾移植后复发性膜性肾病的预测模型
Transplant Direct. 2022 Aug 4;8(9):e1357. doi: 10.1097/TXD.0000000000001357. eCollection 2022 Sep.
4
Recent Advances in Clinical Diagnosis and Pharmacotherapy Options of Membranous Nephropathy.膜性肾病临床诊断与药物治疗选择的最新进展
Front Pharmacol. 2022 May 26;13:907108. doi: 10.3389/fphar.2022.907108. eCollection 2022.