Factor I and factor H deficiency in renal diseases: similar defects in the fluid phase have a different outcome at the surface of the glomerular basement membrane.

Factor I and factor H deficiency in renal diseases: similar defects in the fluid phase have a different outcome at the surface of the glomerular basement membrane.
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肾脏疾病中因子 I 和因子 H 缺乏:相似的液相缺陷在肾小球基底膜表面会产生不同的结果。

DOI:
10.1093/ndt/gfn652
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发表时间:
2009
期刊:
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
影响因子:
--
通讯作者:
Skerka,Christine
Skerka,Christine
中科院分区:
--
文献类型:
--
作者:
Zipfel,PeterF;Smith,RichardJH;Skerka,Christine

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Membranoproliferative glomerulonephritis type II (MPGN II), also termed dense deposit disease (DDD), is associated with dysregulation of the alternative pathway of complement in the circulation and on biosurfaces that leads to the local deposition of complement activation products along the glomerular basement membrane (GBM). As both Factor I and Factor H control alternative complement activation in a solution and as deficiency of Factor H leads to MPGN, Matthew Pickering and colleagues explored the possibility that the deficiency of Factor I might lead to a somewhat similar renal phenotype. They generated Factor I-deficient mice and compared the renal disease in these animals to that observed in Factor H-deficient mice and animals with combined Factor H and Factor I deficiency [1]. Renal disease in Factor H-deficient mice is characterized by C3 deposition on glomerular capillary walls, mesangial hypercellularity, peripheral capillary loop thickening and double contouring of the GBM, entirely consistent with the diagnosis of MPGN II [2]. In Factor I-deficient mice, although glomerular changes included hypercellularity, mesangial expansion and capillary wall thickening, light microscopic features of MPGN II, including capillary wall double contours, were absent and glomerular C3 staining was only mesangial in distribution, in striking contrast to the linear capillary wall staining pattern in the Factor
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