| publication name | Anti-PLA2R and anti-THSD7A as Diagnostic Serological Markers of Idiopathic Membranous Nephropathy: A Single Centre Study |
|---|---|
| Authors | Mohamed A. Fouad¹ ,Ahmed W Mahedy , Ahmed E Mansour , ¹, Nehad A Fouad |
| year | 2020 |
| keywords | |
| journal | |
| volume | Not Available |
| issue | Not Available |
| pages | Not Available |
| publisher | Not Available |
| Local/International | International |
| Paper Link | Not Available |
| Full paper | download |
| Supplementary materials | Not Available |
Abstract
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.