2019
DOI: 10.1007/s40620-019-00640-z
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Does the renal expression of Toll-like receptors play a role in patients with IgA nephropathy?

Abstract: The onset of IgA nephropathy (IgAN), characterized by glomerular deposition of IgA-containing immune complexes, is often associated with synpharyngitic hematuria. Innate immune responses mediated by Toll-like receptors (TLR) may play a role in IgAN onset and/or progression. Here, we assessed the expression of TLR 4, 7, 8, and 9 in renal-biopsy specimens from patients with IgAN, with different degree of proteinuria and eGFR, compared with normal-kidney and disease-control tissues (ANCA-associated vasculitis). R… Show more

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Cited by 16 publications
(12 citation statements)
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“…Our study found that TLR7 expression was enriched in infiltrated CD19 + B cells in kidneys of patients with IgAN (n = 89) and was closely related to kidney function and renal histopathology, indicating that TLR7 expression in B cells is involved in the pathogenesis and progression of IgAN. Ciferska et al recently detected positive staining of TLR7 in kidney of patients with IgAN but did not find direct correlation between TLR7 intensities and clinical parameters, which may be explained by the small sample size (n = 34) and the use of less sensitive technology (i.e., IHC rather than immunofluorescence) (45).…”
Section: Discussionmentioning
confidence: 92%
“…Our study found that TLR7 expression was enriched in infiltrated CD19 + B cells in kidneys of patients with IgAN (n = 89) and was closely related to kidney function and renal histopathology, indicating that TLR7 expression in B cells is involved in the pathogenesis and progression of IgAN. Ciferska et al recently detected positive staining of TLR7 in kidney of patients with IgAN but did not find direct correlation between TLR7 intensities and clinical parameters, which may be explained by the small sample size (n = 34) and the use of less sensitive technology (i.e., IHC rather than immunofluorescence) (45).…”
Section: Discussionmentioning
confidence: 92%
“…Activation of TLR9/MyD88 signaling pathway was shown to be associated with severe renal injury in IgAN based on a murine model [25]. In addition, a recent study showed that intrarenal staining of TLR4, 7, 8, and 9 was more intense in IgAN patients than in healthy controls, and the intensity of TLR4 and TLR9 in kidney tissue was associated with disease severity [26]. All these data indicated the involvement of TLRs in IgAN.…”
Section: Discussionmentioning
confidence: 99%
“…It is widely expressed in immune cells (such as macrophages, dendritic cells, NK cells, lymphocytes, granulocytes) and non-immune cells (such as epithelial cells, endothelial cells, fibroblasts, cancer cells, etc. ), and is involved in almost all human disease processes (Ciferska et al, 2020). Among the 13 TLRs in human or 11 TLRs in mice, TLR4 has been the first to be identified and has a relatively broad ligand specificity.…”
Section: Introductionmentioning
confidence: 99%