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Anti-PLA2R and anti-THSD7A as Diagnostic Serological Markers of Idiopathic Membranous Nephropathy: A Single Centre Study

• 2020
العودة
معلومات البحث
المؤلفون Mohamed A. Fouad¹ ,Ahmed W Mahedy , Ahmed E Mansour , ¹, Nehad A Fouad
الكلمات المفتاحية Not Available
المجلة العلمية Not Available
الناشر Not Available
المجلد Not Available
العدد Not Available
الصفحات Not Available
publication.type International
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
Idiopathic Membranous Nephropathy (IMN) is a renal-limited autoimmune disease and approximately 80% of MNs. The study aimed to evaluate the role of circulation Anti-PLA2R and anti-THSD7A autoantibodies in the diagnosis and differentiation between primary and secondary MN. The study was conducted on 58 adult patients with biopsy- proven MGN. All were subjected to measurement of Anti-PLA2R1 Enzyme-Linked Immunosorbent Assay and anti-THSD7A was detected by indirect immunofluorescence assay. Among the 58 patients, 79.3% were diagnosed as IMN, 20.7% were SMN. Among IMN patients, 32 patients (69.6%) showed positive anti-PLA2R1 antibodies, 2 patients (4.3%) were positive for anti-THSD7A antibodies and the remaining 12 patients (26.1%) were negative for both types of antibodies. Patients with secondary MN were negative for two antibodies. The IMN patients had lower serum creatinine compared to the secondary MN patients (p=0.017). In conclusion, the study demonstrates that serum circulating autoantibodies against PLA2R is a fast, easy, sensitive, and non-invasiveness test for diagnosis of IMN, the combination between serum anti-THSD7A antibodies and anti-PLA2R antibody, may be more sensitive and specific for diagnosis of IMN.