Immunostaining of galactose-deficient IgA1 by KM55 is not specific for immunoglobulin A nephropathy

Copyright © 2020 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 217(2020) vom: 30. Aug., Seite 108483
1. Verfasser: Zhao, Lu (VerfasserIn)
Weitere Verfasser: Peng, Liang, Yang, Danyi, Chen, Shi, Lan, Zhixin, Zhu, Xuejing, Yuan, Shuguang, Chen, Guochun, Liu, Yu, Liu, Hong
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Galactose-deficient IgA1 Hepatitis B virus IgA IgA nephropathy IgA vasculitis Renal biopsy Immunoglobulin A Galactose X2RN3Q8DNE
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100 1 |a Zhao, Lu  |e verfasserin  |4 aut 
245 1 0 |a Immunostaining of galactose-deficient IgA1 by KM55 is not specific for immunoglobulin A nephropathy 
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520 |a BACKGROUND: Immunoglobulin A nephropathy (IgAN nephropathy, IgAN) is named for the renal pathological features of IgA-dominant immunoglobulin deposition. IgA deposits, however, may also occur in other diseases, from liver disease and inflammation to chronic infections and tumors. Now increasing studies have suggested that galactose-deficient IgA1 (Gd-IgA1) plays a critical role in the pathogenesis of IgAN. This study aims to investigate whether the Gd-IgA1-specific antibody KM55 contributes to differentiating primary IgAN from other diseases with IgA deposits 
520 |a METHODS: In this retrospective study, we enrolled 100 Chinese patients with IgA deposits in renal biopsies, including IgAN(n = 40), IgAN with hepatitis B virus antigen deposits(n = 14), IgA vasculitis(n = 16), lupus nephritis(n = 11), incidental IgA deposits(n = 13) and negative controls(n = 6). Double immunostaining of Gd-IgA1 and IgA was performed in all biopsies 
520 |a RESULTS: There were similar patterns of Gd-IgA1 deposition in primary IgAN, IgA vasculitis, and IgAN with hepatitis B virus antigen deposits. Gd-IgA1 staining could also be seen in patients with lupus nephritis and incidental IgA deposits, but the intensity was significantly lower than IgAN, and the optimal cutoff was 2+ staining for differential diagnosis. Every increase in KM55 staining intensity of 1+ was associated with an increase in the odds of primary IgAN (OR: 4.399; 95% CI: 1.725-11.216) 
520 |a CONCLUSIONS: Immunostaining for Gd-IgA1 by KM55 is not specific for IgA nephropathy, but weak or negative staining may favor incidental IgA deposits 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Galactose-deficient IgA1 
650 4 |a Hepatitis B virus 
650 4 |a IgA 
650 4 |a IgA nephropathy 
650 4 |a IgA vasculitis 
650 4 |a Renal biopsy 
650 7 |a Immunoglobulin A  |2 NLM 
650 7 |a Galactose  |2 NLM 
650 7 |a X2RN3Q8DNE  |2 NLM 
700 1 |a Peng, Liang  |e verfasserin  |4 aut 
700 1 |a Yang, Danyi  |e verfasserin  |4 aut 
700 1 |a Chen, Shi  |e verfasserin  |4 aut 
700 1 |a Lan, Zhixin  |e verfasserin  |4 aut 
700 1 |a Zhu, Xuejing  |e verfasserin  |4 aut 
700 1 |a Yuan, Shuguang  |e verfasserin  |4 aut 
700 1 |a Chen, Guochun  |e verfasserin  |4 aut 
700 1 |a Liu, Yu  |e verfasserin  |4 aut 
700 1 |a Liu, Hong  |e verfasserin  |4 aut 
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773 1 8 |g volume:217  |g year:2020  |g day:30  |g month:08  |g pages:108483 
856 4 0 |u http://dx.doi.org/10.1016/j.clim.2020.108483  |3 Volltext 
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