“…IgA1-producing plasma cells are, in contrast, not increased in the jejunal mucosa of patients with primary IgA nephropathy [44]. The mesangial IgA deposits in Berger’s disease are usually associated with C3 binding in the same location, whereas C1q and C4 are mostly lacking [24, 29, 31, 32, 45, 46, 47, 48, 49, 50, 51, 52, 53], sometimes interpreted as activation of the alternative complement pathway. IgA rheumatoid factors have been demonstrated in the serum of IgA nephropathy patients [54], but are not considered to play any primary role in the pathogenesis of the renal disease [55, 56].…”