Perspectives on how mucosal immune responses, infections and gut microbiome shape IgA nephropathy and future therapies.

Perspectives on how mucosal immune responses, infections and gut microbiome shape IgA nephropathy and future therapies.
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DOI:
10.7150/thno.49778
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发表时间:
2020
期刊:
影响因子:
12.4
通讯作者:
Zhang H
Zhang H
中科院分区:
医学1区
文献类型:
--
作者:
He JW;Zhou XJ;Lv JC;Zhang H

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感染被认为在伊加肾病(IgAN)的发病机制中起关键作用,因为咽旁血尿是IgAN的常见特征。然而,感染如何参与这一过程仍有争议。最近的研究还表明,肠道微生物组的改变对宿主免疫反应产生了深远的影响,有助于自身免疫的病因学或进展。考虑到伊加作为抵抗细菌和病毒抗原的第一道防线,本文综述了肠道感染,肠道微生物组和伊加之间的关系,以更好地了解IgAN的发病机制。此外,作为伊加免疫的原型,我们提供了IgAN发病机制的详细说明,以阐明伊加发挥作用的其他疾病。最后,我们讨论了潜在的治疗方法,重点是IgAN的微生物和粘膜免疫反应。
Infections have been considered to play a critical role in the pathogenesis of IgA nephropathy (IgAN) because synpharyngitic hematuria is a common feature in IgAN. However, how infections participate in this process is still debated. More recent studies have also revealed that the alteration of the gut microbiome exerts a profound effect on host immune responses, contributing to the etiology or progression of autoimmunity. Considering IgA as the first line of defense against bacterial and viral antigens, this review evaluates the relationships among intestinal infections, gut microbiome, and IgA for a better understanding of the pathogenesis of IgAN. Moreover, as a prototype of IgA immunity, we provide detailed clarification of IgAN pathogenesis to shed light on other diseases in which IgA plays a role. Finally, we discuss potential therapies focusing on microbes and mucosal immune responses in IgAN.
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