Membranous nephropathy: the current state of the problem

Membranous nephropathy (MN) is an autoimmune disease of the kidney glomeruli and one of the leading causes of nephrotic syndrome. The disease exhibits heterogenous outcomes with approximately 30 % of cases progressing to end-stage renal disease. The study of MN pathogenesis has steadily advanced owi...

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Main Authors: O.N. Sharapov, Sh.S. Abdullaev
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2023-06-01
Series:Počki
Subjects:
Online Access:https://kidneys.zaslavsky.com.ua/index.php/journal/article/view/406
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author O.N. Sharapov
Sh.S. Abdullaev
author_facet O.N. Sharapov
Sh.S. Abdullaev
author_sort O.N. Sharapov
collection DOAJ
description Membranous nephropathy (MN) is an autoimmune disease of the kidney glomeruli and one of the leading causes of nephrotic syndrome. The disease exhibits heterogenous outcomes with approximately 30 % of cases progressing to end-stage renal disease. The study of MN pathogenesis has steadily advanced owing to the identification of autoantibodies to the phospholipase A2 receptor (PLA2R) in 2009 and thrombospondin domain-containing 7A (THSD7A) on the podocyte surface in 2014. Approximately 50–80 and 3–5 % of primary MN cases are associated with either anti-PLA2R or anti-THSD7A antibodies, respectively. The presence of these autoantibodies is used for MN diagnosis; antibody levels correlate with disease severity and possess significant biomarker values in monitoring disease progression and treatment response.
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spelling doaj.art-ac238fcf0cf745ddb3d79466bbb550402023-09-27T17:47:28ZengZaslavsky O.Yu.Počki2307-12572307-12652023-06-0112211111810.22141/2307-1257.12.2.2023.406406Membranous nephropathy: the current state of the problemO.N. Sharapov0Sh.S. Abdullaev1Republican Specialized Scientific Practical Medical Center of Nephrology and Kidney Transplantation, Tashkent, Uzbekistan; Tashkent Pediatric Medical Institute, Tashkent, UzbekistanRepublican Specialized Scientific Practical Medical Center of Nephrology and Kidney Transplantation, Tashkent, Uzbekistan; Tashkent Pediatric Medical Institute, Tashkent, UzbekistanMembranous nephropathy (MN) is an autoimmune disease of the kidney glomeruli and one of the leading causes of nephrotic syndrome. The disease exhibits heterogenous outcomes with approximately 30 % of cases progressing to end-stage renal disease. The study of MN pathogenesis has steadily advanced owing to the identification of autoantibodies to the phospholipase A2 receptor (PLA2R) in 2009 and thrombospondin domain-containing 7A (THSD7A) on the podocyte surface in 2014. Approximately 50–80 and 3–5 % of primary MN cases are associated with either anti-PLA2R or anti-THSD7A antibodies, respectively. The presence of these autoantibodies is used for MN diagnosis; antibody levels correlate with disease severity and possess significant biomarker values in monitoring disease progression and treatment response.https://kidneys.zaslavsky.com.ua/index.php/journal/article/view/406membranous nephropathynephrotic syndromebasement membrane of the glomerulusproteinuriaantibodiespla2rthsd7areview
spellingShingle O.N. Sharapov
Sh.S. Abdullaev
Membranous nephropathy: the current state of the problem
Počki
membranous nephropathy
nephrotic syndrome
basement membrane of the glomerulus
proteinuria
antibodies
pla2r
thsd7a
review
title Membranous nephropathy: the current state of the problem
title_full Membranous nephropathy: the current state of the problem
title_fullStr Membranous nephropathy: the current state of the problem
title_full_unstemmed Membranous nephropathy: the current state of the problem
title_short Membranous nephropathy: the current state of the problem
title_sort membranous nephropathy the current state of the problem
topic membranous nephropathy
nephrotic syndrome
basement membrane of the glomerulus
proteinuria
antibodies
pla2r
thsd7a
review
url https://kidneys.zaslavsky.com.ua/index.php/journal/article/view/406
work_keys_str_mv AT onsharapov membranousnephropathythecurrentstateoftheproblem
AT shsabdullaev membranousnephropathythecurrentstateoftheproblem