Panelists discuss how immunoglobulin A (IgA) nephropathy develops through a complex 4-hit cascade involving aberrant IgA1 glycosylation, anti-glycan antibody formation, immune complex deposition, and inflammatory kidney damage.
IgA Nephropathy: Pathogenesis and the 4-Hit Cascade
IgA nephropathy (IgAN) is characterized by the deposition of IgA1-containing immune complexes in the glomerular mesangium. The pathogenesis follows a 4-hit cascade:
4-Hit Cascade
Role of APRIL and Cytokines
A PRoliferation-Inducing Ligand (APRIL):
Key Cytokines in IgAN Pathogenesis:
These cytokines create a proinflammatory environment that perpetuates kidney injury and progressive loss of renal function in patients with IgAN.
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