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The mucosal immune system and IgA nephropathy.

Loreto Gesualdo1, Vincenzo Di Leo2, Rosanna Coppo3

  • 1Nephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy. loreto.gesualdo@uniba.it.

Seminars in Immunopathology
|October 13, 2021
PubMed
Summary

Immunoglobulin A nephropathy (IgAN) pathogenesis involves mucosal immunity, particularly mucosa-associated lymphoid tissue (MALT). Therapies targeting gut microbes and mucosal responses may offer new treatment avenues for IgAN.

Keywords:
DietGut-kidney axisIgA nephropathyMicrobiotaMucosal immunityTonsil-kidney axis

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Area of Science:

  • Nephrology
  • Immunology
  • Gastroenterology

Background:

  • The exact cause of immunoglobulin A nephropathy (IgAN) remains unclear.
  • Emerging research highlights the critical involvement of mucosal immunity in IgAN pathogenesis.

Purpose of the Study:

  • This review examines the role of mucosa-associated lymphoid tissue (MALT) in IgAN development.
  • It explores the interplay between microbiota, genetics, food antigens, infections, and mucosal immunity.

Main Methods:

  • Literature review focusing on mucosal immunity in IgAN.
  • Analysis of the relationship between environmental factors and immune responses.

Main Results:

  • Mucosa-associated lymphoid tissue (MALT) plays a central role in initiating IgAN.
  • Interactions between gut microbiota, genetic predispositions, dietary antigens, and infections influence mucosal immune responses.

Conclusions:

  • Understanding the mucosal immune system's role is crucial for IgAN pathogenesis.
  • Targeting microbial factors and mucosal hyperresponsiveness presents potential therapeutic strategies for IgAN patients.