Journal ArticleDOI
The immune system and kidney disease: basic concepts and clinical implications
Reads0
Chats0
TLDR
The kidneys are frequently targeted by pathogenic immune responses against renal autoantigens or by local manifestations of systemic autoimmunity, causing intestinal barrier dysfunction, systemic inflammation and immunodeficiency that contribute to the morbidity and mortality of patients with kidney disease.Abstract:
The kidneys are frequently targeted by pathogenic immune responses against renal autoantigens or by local manifestations of systemic autoimmunity. Recent studies in rodent models and humans have uncovered several underlying mechanisms that can be used to explain the previously enigmatic immunopathology of many kidney diseases. These mechanisms include kidney-specific damage-associated molecular patterns that cause sterile inflammation, the crosstalk between renal dendritic cells and T cells, the development of kidney-targeting autoantibodies and molecular mimicry with microbial pathogens. Conversely, kidney failure affects general immunity, causing intestinal barrier dysfunction, systemic inflammation and immunodeficiency that contribute to the morbidity and mortality of patients with kidney disease. In this Review, we summarize the recent findings regarding the interactions between the kidneys and the immune system.read more
Citations
More filters
Journal ArticleDOI
Inflammatory Ly6C high Monocytes Protect against Candidiasis through IL-15-Driven NK Cell/Neutrophil Activation.
Jorge Domínguez-Andrés,Lidia Feo-Lucas,María Minguito de la Escalera,Leticia González,María López-Bravo,Carlos Ardavín +5 more
TL;DR: It is shown that effective defense against systemic candidiasis relies on type I interferon‐dependent IL‐15 production by spleen inflammatory monocytes, which drives splenic NK cell activation and GM‐CSF release that in turn boost the candidacidal potential of kidney neutrophils.
Journal ArticleDOI
Pathogen-induced tissue-resident memory TH17 (TRM17) cells amplify autoimmune kidney disease.
Christian Krebs,Daniel Reimers,Yu Zhao,Hans-Joachim Paust,Patricia Bartsch,Sarah Nuñez,M. Rosemblatt,Malte Hellmig,Christoph Kilian,Alina Borchers,Leon U. B. Enk,Michael Zinke,Martina Becker,Joanna Schmid,Stefanie Klinge,Milagros N. Wong,Victor G. Puelles,Victor G. Puelles,Constantin Schmidt,Tabea Bertram,Natascha E. Stumpf,Elion Hoxha,Catherine Meyer-Schwesinger,Maja T. Lindenmeyer,Clemens D. Cohen,Clemens D. Cohen,Michael Rink,Christian Kurts,Sören Franzenburg,Friedrich Koch-Nolte,Jan-Eric Turner,Jan-Hendrik Riedel,Samuel Huber,Nicola Gagliani,Nicola Gagliani,Tobias B. Huber,Thorsten Wiech,Holger Rohde,María Rosa Bono,Stefan Bonn,Ulf Panzer,Hans-Willi Mittrücker +41 more
TL;DR: Experimental models demonstrated that renal TRM17 cells were induced by pathogens infecting the kidney, such as Staphylococcus aureus, Candida albicans, and uropathogenic Escherichia coli, and persisted after the clearance of infections, and show that pathogen-induced TRM 17 cells have a previously unrecognized function in aggravating autoimmune disease.
Journal ArticleDOI
Conversion of extracellular ATP into adenosine: a master switch in renal health and disease.
TL;DR: The pathological conditions associated with extracellular ATP metabolism and novel strategies for their treatment are discussed, which could lead to effective therapies for the management of acute and chronic kidney disease.
Journal ArticleDOI
CX3CR1 Reduces Kidney Fibrosis by Inhibiting Local Proliferation of Profibrotic Macrophages
Daniel R. Engel,Torsten A. Krause,Sarah L. Snelgrove,Stephanie Thiebes,Michael J. Hickey,Peter Boor,A. Richard Kitching,Christian Kurts +7 more
TL;DR: Findings support the theory that tissue macrophage numbers are regulated through local proliferation and identify CX3CR1 as a regulator of such proliferation and should be avoided in DC-independent inflammatory diseases because it may promote fibrosis.
Journal ArticleDOI
Immunopathophysiology of trauma-related acute kidney injury
David A. C. Messerer,Rebecca Halbgebauer,Bo Nilsson,Hermann Pavenstädt,Peter Radermacher,Markus Huber-Lang +5 more
TL;DR: How, in addition to direct trauma to the kidneys, the pathophysiological responses to traumatic injuries in distant organs, including immune responses, can result in kidney dysfunction is examined.
References
More filters
Journal ArticleDOI
The Classification of Glomerulonephritis in Systemic Lupus Erythematosus Revisited
Jan J. Weening,Vivette D. D'Agati,Melvin M. Schwartz,Surya V. Seshan,Charles E. Alpers,Gerald B. Appel,James E. Balow,Jan A. Bruijn,Terence Cook,Franco Ferrario,Agnes B. Fogo,Ellen M. Ginzler,Lee A. Hebert,Gary Hill,Prue Hill,J. Charles Jennette,Norella C T Kong,Philippe Lesavre,Michael D. Lockshin,Lai-Meng Looi,Hirofumi Makino,Luiz Antonio Ribeiro de Moura,Michio Nagata +22 more
TL;DR: The main advantages of the current revised classification is that it provides a clear and unequivocal description of the various lesions and classes of lupus nephritis, allowing a better standardization and lending a basis for further clinicopathologic studies.
Journal ArticleDOI
M-type phospholipase A2 receptor as target antigen in idiopathic membranous nephropathy.
Laurence H. Beck,Ramon G. Bonegio,Gérard Lambeau,David M. Beck,David W. Powell,Timothy D. Cummins,Jon B. Klein,David J. Salant +7 more
TL;DR: A majority of patients with idiopathic membranous nephropathy have antibodies against a conformation-dependent epitope in PLA(2)R, indicating that PLA( 2)R is a major antigen in this disease.
Journal ArticleDOI
Cellular pathophysiology of ischemic acute kidney injury
Joseph V. Bonventre,Li Yang +1 more
TL;DR: The major components of this dynamic process, which involves hemodynamic alterations, inflammation, and endothelial and epithelial cell injury, followed by repair that can be adaptive and restore epithelial integrity or maladaptive, leading to chronic kidney disease are reviewed.
Journal ArticleDOI
von Willebrand Factor–Cleaving Protease in Thrombotic Thrombocytopenic Purpura and the Hemolytic–Uremic Syndrome
Miha Furlan,Rodolfo Robles,Miriam Galbusera,Giuseppe Remuzzi,Paul A. Kyrle,Brigitte Brenner,Manuela Krause,Inge Scharrer,Volker Aumann,Uwe Mittler,Max Solenthaler,Bernhard Lämmle +11 more
TL;DR: In this article, the authors investigated the prevalence of von Willebrand factor-cleaving protease deficiency in patients with familial and non-familial forms of thrombocytopenic purpura and hemolytic-uremic syndrome.
Journal ArticleDOI
Netting neutrophils in autoimmune small-vessel vasculitis.
Kai Kessenbrock,Markus Krumbholz,Ulf Schönermarck,Walter Back,Wolfgang Gross,Zena Werb,Hermann-Josef Gröne,Volker Brinkmann,Dieter E. Jenne +8 more
TL;DR: It is shown that chromatin fibers, so-called neutrophil extracellular traps (NETs), are released by ANCA-stimulated neutrophils and contain the targeted autoantigens proteinase-3 and myeloperoxidase (MPO).