articleNew England Journal of MedicineMay 25, 2024Closed access

Autoantibodies Targeting Nephrin in Podocytopathies

Johns Hopkins University · Inserm · +6 more institutions

PubMed
Indexed incrossrefpubmed

Abstract

Background

Minimal change disease and primary focal segmental glomerulosclerosis in adults, along with idiopathic nephrotic syndrome in children, are immune-mediated podocytopathies that lead to nephrotic syndrome. Autoantibodies targeting nephrin have been found in patients with minimal change disease, but their clinical and pathophysiological roles are unclear.

Methods

We conducted a multicenter study to analyze antinephrin autoantibodies in adults with glomerular diseases, including minimal change disease, focal segmental glomerulosclerosis, membranous nephropathy, IgA nephropathy, antineutrophil cytoplasmic antibody-associated glomerulonephritis, and lupus nephritis, as well as in children with idiopathic nephrotic syndrome and in controls. We also created an experimental mouse model through active immunization with recombinant murine nephrin.

Citation impact

237
total citations
FWCI
68.25
Percentile
100%
References
27
Citations per year

Authors

35

Topics & keywords

Keywords
  • Autoantibody
  • Nephrin
  • Medicine
  • Immunology
  • Antibody
  • Internal medicine
UN Sustainable Development Goals
  • Zero hunger
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Funding