Excessive activation of the alternative complement pathway in autosomal dominant polycystic kidney disease

Z Su1, X Wang, X Gao

  • 1Kidney Institute, Department of Nephrology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China.

Insights

The complement system, specifically the alternative pathway, is implicated in autosomal dominant polycystic kidney disease (ADPKD) progression. Targeting this pathway with agents like rosmarinic acid (RMA) shows therapeutic potential for ADPKD.

Area of Science:

  • Nephrology
  • Immunology
  • Molecular Biology

Background:

  • The complement system plays a role in immune complex-mediated kidney diseases.
  • Its specific involvement in autosomal dominant polycystic kidney disease (ADPKD) pathogenesis is not well understood.

Purpose of the Study:

  • To investigate the role of the complement system in ADPKD.
  • To explore the therapeutic potential of targeting the complement system in ADPKD.

Main Methods:

  • Urine glycoproteome screening identified complement factors.
  • Immunostaining and Western blot analyzed protein expression in kidney tissues.
  • Pharmacological inhibition of the complement system using rosmarinic acid (RMA) in ADPKD mouse and rat models.

Main Results:

  • Elevated levels of complement factor B (CFB) and complement component 9 (C9) were observed in ADPKD patients.
  • CFB and C9 expression was higher in ADPKD kidneys compared to other chronic kidney diseases.
  • RMA treatment significantly reduced kidney dysfunction, cystogenesis, inflammation, and fibrosis in animal models.

Conclusions:

  • Excessive alternative complement pathway activation is linked to ADPKD progression.
  • Therapeutic strategies targeting the complement system may offer a novel treatment for ADPKD.
Abstract

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