Immune podocytes in the immune microenvironment of lupus nephritis (Review)

Systemic lupus erythematosus (SLE) is a systemic autoimmune disorder caused by the loss of tolerance to endogenous nuclear antigens such as double‑stranded DNA, leading to the proliferation of T cells and subsequent activation of B cells, which results in serious organ damage and life‑threatening complications such as lupus nephritis. Lupus nephritis (LN) develops as a frequent complication of SLE, accounting for >60% of SLE cases, and is characterized by proteinuria and heterogeneous histopathological findings. Glomerular injury serves a role in proteinuria as podocyte damage is the leading contributor. Numerous studies have reported that podocytes are involved in the immune response that promotes LN progression. In LN, immune complex deposition stimulates dendritic cells to secrete inflammatory cytokines that activate T cells and B cells. B cells secrete autoantibodies that attack and damage the renal podocytes, leading to renal podocyte injury. The injured podocytes trigger inflammatory cells through the expression of toll‑like receptors and trigger T cells through major histocompatibility complexes and CD86, thereby participating in the local immune response and the exacerbation of podocyte injury. Based on the existing literature, the present review summarizes the research progress of podocytes in LN under the local immune microenvironment of the kidney, explores the mechanism of podocyte injury under the immune microenvironment, and evaluates podocytes as a potential therapeutic target for LN.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Molecular medicine reports - 28(2023), 5 vom: 15. Nov.

Sprache:

Englisch

Beteiligte Personen:

Liu, Ruiling [VerfasserIn]
Wen, Xiaoting [VerfasserIn]
Peng, Xinyue [VerfasserIn]
Zhao, Miaomiao [VerfasserIn]
Mi, Liangyu [VerfasserIn]
Lei, Jiamin [VerfasserIn]
Xu, Ke [VerfasserIn]

Links:

Volltext

Themen:

Immune microenvironment
Immune podocyte
Immunosuppressants
Journal Article
Lupus nephritis
Review
Treatment strategy

Anmerkungen:

Date Completed 18.09.2023

Date Revised 03.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.3892/mmr.2023.13091

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362082316