“…However, the subepithelium-like immunocomplex deposit-mediated downstream molecular pathways are poorly understood ( Miao et al, 2023a ; Miao et al, 2023b ). A recent study suggested that patients with primary MN exhibited significant upregulation of CD3, NF-ƙB p65, and COX-2 protein expression and significant downregulation of Nrf2 and HO-1 protein expression in kidney tissues ( Wang et al, 2023b ), indicating activation of the NF-ƙB signaling pathway and impairment of the Nrf2 signaling pathway. This was further demonstrated by the significant upregulation of the protein expression of the phosphorylated inhibitors kappa B alpha, NF-ƙB p65, and downstream gene products, including COX-2, MCP-1, inducible nitric oxide synthases, 12-lipoxygenase, p47 phox , and p67 phox ; additionally, the protein expression of Nrf2 and its downstream gene products, including HO-1, catalase, the glutamate-cysteine ligase catalytic subunit, glutamate-cysteine ligase modifier subunit, manganese superoxide dismutase, and NQO1, was significantly downregulated in the kidney tissues of CBSA-induced rats ( Wang et al, 2023b ).…”