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Updated: May 21, 2025

Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
Published on: June 8, 2022
Ras-MAPK pathway in patients with lupus nephritis
Changming Zhang1,2, Xiaoman Jing2, Yangyang Zhang1
1National Clinical Research Center of Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
RASopathy mutations can cause lupus nephritis, a condition primarily affecting the kidneys. Genetic screening for RASopathy is recommended for early-onset lupus patients.
Area of Science:
- Genetics
- Immunology
- Nephrology
Background:
- RASopathy is caused by pathogenic mutations in genes of the Ras/mitogen-activated protein kinase (Ras-MAPK) pathway.
- This study investigates five unrelated patients with Systemic Lupus Erythematosus (SLE) carrying RASopathy-associated mutations.
Purpose of the Study:
- To identify and characterize RASopathy-associated mutations in patients with SLE.
- To investigate the activity of the Ras-MAPK pathway in these patients.
Main Methods:
- Whole-exome/whole-genome sequencing was used to identify pathogenic variants.
- Ras-MAPK pathway activity was assessed in peripheral blood mononuclear cells (PBMC) via RNA sequencing and in kidneys using the NephroSeq database.
Main Results:
- Five pathogenic variants in four Ras-MAPK genes (NRAS, ARAF, KRAS, PTPN11) were identified.
- Kidney injury, including nephrotic syndrome and lupus nephritis, was the primary clinical manifestation.
- The Ras-MAPK pathway was found to be activated in both PBMC and kidney tissues of patients with lupus nephritis.
Conclusions:
- Kidney involvement is a significant feature of RASopathy's clinical spectrum.
- Genetic screening for RASopathy should be considered in patients presenting with early-onset lupus.
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