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两个家族中的部分H(β1H)缺乏与肾小球肾炎

Partial H (beta 1H) deficiency and glomerulonephritis in two families.

作者信息

Wyatt R J, Julian B A, Weinstein A, Rothfield N F, McLean R H

出版信息

J Clin Immunol. 1982 Apr;2(2):110-7. doi: 10.1007/BF00916894.

DOI:10.1007/BF00916894
PMID:6461667
Abstract

H (beta 1H) controls the C3b amplification loop by its ability to displace Bb from the alternative pathway convertase, C3b,Bb, and acts as a cofactor with I (C3b inactivator) to produce inactive C3b. Serum C3 levels are dependent to a large extent on the levels of H and I. Partial H deficiency was found in two families. The index case in Family 1 had vasculitis, thrombocytopenia, proteinuria, and depressed serum H and C3 levels. The index case in Family 2 had depressed serum H and B (Factor B) levels and IgA nephropathy which progressed to renal failure. His sister also had IgA nephropathy and depressed serum H and C3 levels. The depressed serum C3 level, B level, and H level could be responsible for the development of the immune diseases found in some members of these families.

摘要

H(β1H)通过其将Bb从替代途径转化酶C3b、Bb上置换下来的能力来控制C3b放大环,并作为I(C3b灭活剂)的辅因子产生无活性的C3b。血清C3水平在很大程度上取决于H和I的水平。在两个家族中发现了部分H缺乏症。家族1中的先证者患有血管炎、血小板减少症、蛋白尿,血清H和C3水平降低。家族2中的先证者血清H和B(因子B)水平降低,患有IgA肾病并进展为肾衰竭。他的妹妹也患有IgA肾病,血清H和C3水平降低。血清C3水平降低、B水平降低和H水平降低可能是这些家族中一些成员发生免疫疾病的原因。

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本文引用的文献

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Immunothrombocytopenia and IgA nephritis.
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Immunologic studies in IgA nephropathy.IgA肾病的免疫学研究。
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IgA nephropathy (Berger's disease): a clinical study of 32 cases.IgA肾病(伯杰氏病):32例临床研究
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补体介导的侵袭性 A 组链球菌 AP53 菌株的调理作用受细菌双组分毒力应答/传感器(CovRS)系统调节。
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IgA nephropathy associated with a novel N-terminal mutation in factor H.IgA 肾病伴因子 H 新型 N 端突变。
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The molecular basis for hereditary porcine membranoproliferative glomerulonephritis type II: point mutations in the factor H coding sequence block protein secretion.遗传性猪II型膜增生性肾小球肾炎的分子基础:补体因子H编码序列中的点突变阻碍蛋白质分泌。
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Do genetic factors play a role in Berger's disease?遗传因素在薄基底膜肾病中起作用吗?
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Combined homozygous factor H and heterozygous C2 deficiency in an Italian family.
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Circulating immune complexes in adults with idiopathic nephrotic syndrome. Collaborative Study of the Adult Idiopathic Nephrotic Syndrome.
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Familial partial deficiency of the third component of complement (C3) and the hypocomplementemic cutaneous vasculitis syndrome.
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Complement levels in cigarette smokers: elevation of serum concentrations of C5, C9, and C1-inhibitor.吸烟者的补体水平:血清中C5、C9和C1抑制因子浓度升高。
J Clin Lab Immunol. 1981 Sep;6(2):131-5.
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Familial IgA nephropathy: report of two cases and brief review of the literature.
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[Mesangial IgA glomerulonephritis: a frequent case of terminal renal failure (author's transl)].
Nouv Presse Med. 1980 Jan 19;9(4):219-21.
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Control of serum C3 levels by beta 1H and C3b inactivator.β1H和C3b灭活剂对血清C3水平的调控
J Lab Clin Med. 1980 Jun;95(6):905-17.