“…The inflammation of renal tissue, observed in SAN, is generally believed to result from the action of anaphylatoxins generated by the classical complement pathway (12,27,29,38); however, certain streptococcal components, including LTA, can directly induce monocytes (2,5,24,28,31) and endothelial cells (37) to synthesize and secrete the proinflammatory cytokines tumor necrosis factor alpha (TNF-␣), interleukin-1 (IL-1), and IL-6. These cytokines activate T and B lymphocytes, stimulate fibroblast proliferation, and induce local vascular endothelial cells to synthesize adhesion receptors that mediate extravasation of leukocytes (21,36).…”