魏凯悦, 米焱, 王彩丽, 吴雅茹. 血清半乳糖缺陷型IgA1和甘露糖结合凝集素相关丝氨酸蛋白酶3在IgA肾病发病机制中的研究进展[J]. 临床肾脏病杂志, 2023, 23(8): 681-685. DOI: 10.3969/j.issn.1671-2390.2023.08.011
    引用本文: 魏凯悦, 米焱, 王彩丽, 吴雅茹. 血清半乳糖缺陷型IgA1和甘露糖结合凝集素相关丝氨酸蛋白酶3在IgA肾病发病机制中的研究进展[J]. 临床肾脏病杂志, 2023, 23(8): 681-685. DOI: 10.3969/j.issn.1671-2390.2023.08.011
    Wei Kai-yue, Mi yan, Wang Cai-li, Wu Ya-ru. Research advances of serum Gd-IGA1 and MASP3 in the pathogenesis of IgAN[J]. Journal of Clinical Nephrology, 2023, 23(8): 681-685. DOI: 10.3969/j.issn.1671-2390.2023.08.011
    Citation: Wei Kai-yue, Mi yan, Wang Cai-li, Wu Ya-ru. Research advances of serum Gd-IGA1 and MASP3 in the pathogenesis of IgAN[J]. Journal of Clinical Nephrology, 2023, 23(8): 681-685. DOI: 10.3969/j.issn.1671-2390.2023.08.011

    血清半乳糖缺陷型IgA1和甘露糖结合凝集素相关丝氨酸蛋白酶3在IgA肾病发病机制中的研究进展

    Research advances of serum Gd-IGA1 and MASP3 in the pathogenesis of IgAN

    • 摘要: IgA肾病(IgA nephropathy,IgAN)是世界范围内最常见的原发性肾小球疾病,是导致终末期肾病的常见原因。目前,肾活检仍然是其诊断和评估病情活动的金标准。已有研究显示半乳糖缺陷型IgA1(galactose-deficient IgA1,Gd-IgA1)的沉积在IgAN致病过程中发挥重要作用,Gd-IgA1的沉积会激活补体系统,包括替代途径、凝集素途经和经典途径,甘露糖结合凝集素是凝集素途径起始的关键因子,活化的甘露糖结合凝集素相关丝氨酸蛋白酶(mannose binding lectin-associated serine protease,MASPs)是凝集素途径的关键酶,MASPs存在三种不同的亚型(MASP1、MASP2、MASP3),MASP3作为一种新型的MASP蛋白酶,成为近期研究热点,国内外多项研究表明MASP3能够激活D因子,参与替代途径,造成肾小球系膜细胞的损伤。因此Gd-IgA1的沉积与MASP3地出现在IgAN当中可能存在一些联系,有待于进一步的实验研究。本文旨在系统综述Gd-IgA1、MASP3在IgAN的发病机制中的作用,并探讨Gd-IgA1与MASP3之间的相关性。

       

      Abstract: As the most common primary glomerular disease worldwide, IgA Nephropathy (IgAN) is a common cause of end-stage renal disease. So far, renal biopsy remains a gold standard for diagnosing and evaluating disease activity. Previous studies have demonstrated that a deposition of Galactose-deficient IgA1 (GD-IGA1) plays an important role in the pathogenesis of IgAN. The deposition of GD-IGA1 may activate the complement system, including alternative pathway (AP), lectin pathway (LP) and classical pathway (CP). Mannose binding lectin (MBL) is a key factor for activating lectin pathway. Activated mannose binding ectin-associated serine proteases (MASPs) are key enzymes in lectin pathway. There are three different subtypes of MASPs (MASP1, MASP2 、 MASP3). As a new MASP protease, MASP3 has become a recent research hotspot. Many studies at home and abroad have shown that MASP3 could activate factor D, participate in alternative pathways and cause damage to glomerular mesangial cells. Therefore, there may be some relationship between a deposition of GD-IGA1 and an appearance of MASP3 in IgAN, which needs further experimental study. This review systematically examined the role of GD-IGA1 and MASP3 in the pathogenesis of IgAN and explored the correlation between GD-IGA1 and MASP3.

       

    /

    返回文章
    返回