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Published on: August 23, 2024
MPO-ANCA crescentic glomerulonephritis complicated by membranous nephropathy: MPO demonstrated in epimembranous
Kei Matsumoto1, Hirokazu Honda1, Takanori Shibata1
1Division of Nephrology, Department of Medicine , Showa University School of Medicine , 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666 , Japan.
Abstract:
An elderly woman presented with haematuria and proteinuria accompanied by elevated serum myeloperoxidase (MPO)-specific anti-neutrophil cytoplasmic antibodies (MPO-ANCA). A renal biopsy revealed mild mesangial proliferation with fibrocellular crescent formation and a membranous glomerular lesion. Immunofluorescence microscopy using FITC-labelled rabbit anti-human MPO antibodies revealed granular MPO deposition along the glomerular capillary walls (GCW) with a staining profile similar to that of glomerular IgG deposition. The one-year follow-up renal biopsy revealed minimal IgG and undetectable MPO deposition. Both MPO and MPO-ANCA might have been responsible for the IgG immune depositions along the GCW in this patient.
Insights
This study shows myeloperoxidase (MPO) and MPO-specific anti-neutrophil cytoplasmic antibodies (MPO-ANCA) may cause IgG deposits in kidney glomeruli. These deposits were observed in an elderly woman with hematuria and proteinuria.
Area of Science:
- Nephrology
- Immunology
- Pathology
Background:
- Myeloperoxidase (MPO)-specific anti-neutrophil cytoplasmic antibodies (MPO-ANCA) are associated with glomerulonephritis.
- The role of MPO and MPO-ANCA in glomerular immune deposition is not fully understood.
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