“…Different techniques of B cell depletion in adriamycin-induced glomerulosclerosis led to decreased IgM deposition and an attenuation of albuminuria (Strassheim et al 2013 ). Similar results were reported on complement subfragments C4d and C1q potentially even preceding the development of sclerotic lesions (Lest et al 2019 ). The precise role of mesangial cells in FSGS and the trigger, which promotes mesangial cell proliferation and extracellular matrix deposition, are not delineated yet and need further examination in order to understand the complete process contributing to FSGS pathogenesis.…”
Focal segmental glomerulosclerosis (FSGS) represents a glomerular scar formation downstream of various different mechanisms leading to podocytopathy and podocyte loss. Recently, significant advances were made in understanding genetic factors, podocyte intrinsic mechanisms, and adaptive mechanisms causing FSGS. However, while most cases of nephrotic FSGS are being treated with immunosuppressants, the underlying immune dysregulation, involved immune cells, and soluble factors are only incompletely understood. Thus, we here summarize the current knowledge of proposed immune effector cells, secreted soluble factors, and podocyte response in immune-mediated (primary) FSGS.
“…Different techniques of B cell depletion in adriamycin-induced glomerulosclerosis led to decreased IgM deposition and an attenuation of albuminuria (Strassheim et al 2013 ). Similar results were reported on complement subfragments C4d and C1q potentially even preceding the development of sclerotic lesions (Lest et al 2019 ). The precise role of mesangial cells in FSGS and the trigger, which promotes mesangial cell proliferation and extracellular matrix deposition, are not delineated yet and need further examination in order to understand the complete process contributing to FSGS pathogenesis.…”
Focal segmental glomerulosclerosis (FSGS) represents a glomerular scar formation downstream of various different mechanisms leading to podocytopathy and podocyte loss. Recently, significant advances were made in understanding genetic factors, podocyte intrinsic mechanisms, and adaptive mechanisms causing FSGS. However, while most cases of nephrotic FSGS are being treated with immunosuppressants, the underlying immune dysregulation, involved immune cells, and soluble factors are only incompletely understood. Thus, we here summarize the current knowledge of proposed immune effector cells, secreted soluble factors, and podocyte response in immune-mediated (primary) FSGS.
“…28 In addition, we recently published a paper illustrating a role for complement activation in patients with FSGS. 29 Complement activation is commonly seen in kidney diseases characterized by endothelial damage and could thus be an indicator of endothelial injury. However, despite these studies supporting a role for the glomerular endothelium in FSGS, altered endothelial-podocyte crosstalk has not been comprehensively investigated in patients with FSGS.…”
Section: J O U R N a L P R E -P R O O F Discussionmentioning
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