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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2001-10-30
pubmed:abstractText
Three pathways are recognized in complement activation. The aim of our study is to elucidate immunohistologically which complement pathway is associated with complement activation in immunoglobulin A (IgA) glomerulonephritis (GN) and which IgA subclass is related to complement activation. Immunohistological staining was performed on renal biopsy specimens obtained from 36 patients with IgA GN, 10 patients with systemic lupus erythematosus (SLE), and 16 patients with other GNs using polyclonal antibodies of IgG, IgA, IgM, C1q, C3c, and C4 and monoclonal antibodies of IgA1, IgA2, mannose-binding lectin (MBL), and MBL-associated serine protease-1 (MASP-1). Mesangial deposits of both IgA1 and IgA2 were found in 19 of 36 patients with IgA GN. Mesangial deposits of C3c, C4, MBL, and MASP-1 also were detected in these 19 patients, and IgA2, MBL, and MASP-1 deposits were colocalized in the mesangium in these patients. The remaining 17 patients showed mesangial deposits of IgA1 alone. Twelve of these 17 patients showed mesangial deposits of C3c without C4, MBL, or MASP-1. No deposition of C1q was evident in patients with IgA GN. Three of 10 patients with SLE showed glomerular deposition of MBL and MASP-1 without glomerular deposition of IgA2. None of the patients with other GNs showed glomerular deposition of IgA1, IgA2, MBL, or MASP-1. There was no correlation in clinical or pathological indicators between IgA2-positive and IgA2-negative patients with IgA GN. In conclusion, alternative pathway-involved complement activation is associated with mesangial deposits of IgA1 alone in patients with IgA GN. In those with mesangial deposits of both IgA1 and IgA2, both the alternative and lectin pathways are involved in complement activation. We first report that mesangial deposits of IgA2 may activate the lectin pathway in patients with IgA GN.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1523-6838
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1082-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11684563-Adolescent, pubmed-meshheading:11684563-Adult, pubmed-meshheading:11684563-Aged, pubmed-meshheading:11684563-Carrier Proteins, pubmed-meshheading:11684563-Child, pubmed-meshheading:11684563-Child, Preschool, pubmed-meshheading:11684563-Collectins, pubmed-meshheading:11684563-Complement Activation, pubmed-meshheading:11684563-Complement System Proteins, pubmed-meshheading:11684563-Glomerular Mesangium, pubmed-meshheading:11684563-Glomerulonephritis, IGA, pubmed-meshheading:11684563-Humans, pubmed-meshheading:11684563-Immunoglobulin A, pubmed-meshheading:11684563-Immunohistochemistry, pubmed-meshheading:11684563-Lectins, pubmed-meshheading:11684563-Mannose-Binding Protein-Associated Serine Proteases, pubmed-meshheading:11684563-Middle Aged, pubmed-meshheading:11684563-Serine Endopeptidases, pubmed-meshheading:11684563-Signal Transduction, pubmed-meshheading:11684563-gamma-Globulins
pubmed:year
2001
pubmed:articleTitle
Mesangial IgA2 deposits and lectin pathway-mediated complement activation in IgA glomerulonephritis.
pubmed:affiliation
Second Department of Pathology, Fukuoka University, School of Medicine, Fukuoka, Japan.
pubmed:publicationType
Journal Article