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Author Spotlight: Network Pharmacology and Molecular Docking to Decipher the Action of Jiawei Shengjiang San Against Diabetic Kidney Disease
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Complement Activation in Patients With Diabetic Nephropathy.

Pascal Bus1, Jamie S Chua1, Céline Q F Klessens1

  • 1Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands.

Kidney International Reports
|May 5, 2018
PubMed
Summary
This summary is machine-generated.

Complement activation is linked to diabetic nephropathy (DN) presence and severity. Targeting the complement system may help prevent or treat DN in diabetic patients.

Keywords:
C4dcomplement activationdiabetic nephropathyhistological lesionsrenal pathology

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Area of Science:

  • Nephrology
  • Immunology
  • Pathology

Background:

  • Complement activation is implicated in diabetes complications but its role in diabetic nephropathy (DN) is unclear.
  • This study investigates the prevalence and significance of complement deposits in diabetic kidney disease.

Purpose of the Study:

  • To determine the prevalence of complement deposits (C4d, C1q, MBL, C5b-9) in renal tissue from diabetic patients with and without DN.
  • To assess the correlation between complement deposits and the presence and severity of DN.

Main Methods:

  • Analysis of 101 autopsied diabetic cases with DN, 59 without DN, and 41 non-diabetic controls.
  • Quantification of glomerular and arteriolar deposits of C4d, C1q, mannose-binding lectin (MBL), and C5b-9 by blinded researchers.

Main Results:

  • Increased prevalence of C4d and C1q deposits in glomeruli and arterioles of DN cases compared to non-DN diabetic cases.
  • Higher prevalence of C5b-9 deposits in diabetic patients (69%) versus controls (32%).
  • Glomerular C4d and C5b-9 deposits correlated significantly with DN severity.

Conclusions:

  • Complement activation is associated with the presence and progression of DN.
  • The complement system is a potential therapeutic target for managing diabetic kidney disease.