The role of myeloperoxidase and myeloperoxidase-antineutrophil cytoplasmic antibodies (MPO-ANCAs) in the pathogenesis of human MPO-ANCA-associated glomerulonephritis.

The role of myeloperoxidase and myeloperoxidase-antineutrophil cytoplasmic antibodies (MPO-ANCAs) in the pathogenesis of human MPO-ANCA-associated glomerulonephritis.
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DOI:
10.1007/s10157-013-0787-7
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发表时间:
2013-10
影响因子:
2.3
通讯作者:
Yamada, Akira
Yamada, Akira
中科院分区:
医学4区
文献类型:
--
作者:
Arimura, Yoshihiro;Kawashima, Soko;Yoshihara, Ken;Komagata, Yoshinori;Kaname, Shinya;Yamada, Akira

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众所周知,抗中性粒细胞胞浆抗体(ANCA)具有致病性,对 ANCA 相关血管炎具有诊断价值。我们证明,缓解期间髓过氧化物酶(MPO)-ANCA 滴度的升高通常预示着 MPO-ANCA 相关血管炎未来的复发。肾活检病理检查表明,不仅MPO-ANCA,细胞外MPO(一种由MPO和MPO抗体组成的原位免疫复合物)可能在MPO-ANCA相关性血管炎肾小球毛细血管损伤的发病机制中发挥重要作用。
It is well known that antineutrophil cytoplasmic antibodies (ANCAs) are pathogenic and have a diagnostic value for ANCA-associated vasculitis. We demonstrated that a rise in myeloperoxidase (MPO)-ANCA titers during remission is often predictive of a future relapse in MPO-ANCA-associated vasculitis. Pathological examination of renal biopsies indicated that not only MPO-ANCAs, but also extracellular MPO, an in situ immune complex composed of MPO and MPO antibodies, may play important roles in the pathogenesis of glomerular capillary injury in MPO-ANCA-associated vasculitis.
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