2018
DOI: 10.1016/j.matbio.2018.05.004
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Goodpasture's autoimmune disease — A collagen IV disorder

Abstract: Goodpasture's (GP) disease is an autoimmune disorder characterized by the deposition of pathogenic autoantibodies in basement membranes of kidney and lung eliciting rapidly progressive glomerulonephritis and pulmonary hemorrhage. The principal autoantigen is the α345 network of collagen IV, which expression is restricted to target tissues. Recent discoveries include a key role of chloride and bromide for network assembly, a novel posttranslational modification of the antigen, a sulfilimine bond that crosslinks… Show more

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Cited by 30 publications
(33 citation statements)
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“…The lung vasculature accommodates the entire cardiac output, allowing almost all RBCs to pass through the alveolar capillaries in order to be loaded with oxygen. Conditions that affect alveolar capillary integrity/permeability (e.g., Goodpasture’s disease) [106] can lead to hemorrhage into the alveolar space. These patients show alterations in lung iron homeostasis with increased iron levels in alveolar macrophages, likely resulting from hemoglobin-derived iron from phagocytosed RBCs [107].…”
Section: Lung Iron Homeostasismentioning
confidence: 99%
“…The lung vasculature accommodates the entire cardiac output, allowing almost all RBCs to pass through the alveolar capillaries in order to be loaded with oxygen. Conditions that affect alveolar capillary integrity/permeability (e.g., Goodpasture’s disease) [106] can lead to hemorrhage into the alveolar space. These patients show alterations in lung iron homeostasis with increased iron levels in alveolar macrophages, likely resulting from hemoglobin-derived iron from phagocytosed RBCs [107].…”
Section: Lung Iron Homeostasismentioning
confidence: 99%
“…Since e.g., laminins, entactin, collagens, and other ligands are obligate constituents in all basement membranes, this is relevant also for basement membranes in glomeruli [discussed in ( 11 )], alveoli ( 187 ) and skin ( 188 ). Accordingly, one would expect affection of glomeruli ( Figure 5A ), alveoli ( Figure 5B ) and also skin ( Figure 5C ) in analogy to Goodpasture syndrome [glomerulonephritis and alveolitis ( 189 , 190 )], and to autoimmune skin diseases ( 191 193 , 197 ). Surprisingly, in context of studies on the impact of cross-reactive anti-dsDNA antibodies as central in the pathogenesis of lupus nephritis, the involvement in other organs has not been considered in relevant studies.…”
Section: Anti-dsdna Antibodies and Lupus Nephritismentioning
confidence: 99%
“…The pathophysiology of Alport Syndrome consists of structural defects in type IV collagen alpha chains that constitutes the glomerular basement membrane [2][3]. Collagen type IV are encoded by six distinct genes (COL4A1 to COL4A6) consisting of six alpha chains (α1-α6) which assemble in heterotrimers (three α chains coiled together) forming a protomer [4][5]. There are three major mutations in α3, α4 or α5 generating defective type IV collagen networks and preventing proper structure of glomerular basement membrane [6][7].…”
Section: Introductionmentioning
confidence: 99%
“…The α1α1α2 (IV) protomer is ubiquitously distributed in all basement membranes during embryogenesis, later are replacing by the protomer α3α4α5 (IV) in glomerular basement membrane and protomer α5α5α6 in other tissues [13]. The α3α4α5 (IV) is known to be more cross-linked protomer [14][15], resulting in a stronger and more resistant heterotrimer [16] Collagen IV network has a crucial role for development of glomerular basement membrane during ontogenesis, which helps to support tissue integrity besides cell signaling, morphogenesis and tissue regeneration [4]. There is an interaction in the biogenesis of collagen produced by podocytes and the glomerular basement membrane.…”
Section: Introductionmentioning
confidence: 99%