Identification of IgA autoantibodies targeting mesangial cells redefines the pathogenesis of IgA nephropathy

Authors: Yoshihito Nihei, Kei Haniuda, Mizuki Higashiyama, Shohei Asami, Hiroyuki Iwasaki, Yusuke Fukao, Maiko Nakayama, Hitoshi Suzuki, Mika Kikkawa, Saiko Kazuno, Yoshiki Miura, Yusuke Suzuki, Daisuke Kitamura

Published: 2023-03-22

DOI: 10.1126/sciadv.add6734

Source: Full article


Abstract

Immunoglobulin A (IgA) nephropathy (IgAN) is the most common type of primary glomerulonephritis, often progressing to renal failure. IgAN is triggered by IgA deposition in the glomerular mesangium by an undefined mechanism. Here, we show that grouped ddY (gddY) mice, a spontaneous IgAN model, produce serum IgA against mesangial antigens, including βII-spectrin. Most patients with IgAN also have serum anti–βII-spectrin IgA. As in patients with IgAN, IgA