PLA2R1 Overexpression Causes Podocyte Injury by Inhibiting the Cell Cycle: A Clinical Cross-Sectional Investigation and Cellular Study.

IF 2.1 Q2 UROLOGY & NEPHROLOGY
Wei Liang, Hua Zhang, Yi Wu, Zhiwei Lai, Weiqiang Zhang, Yuhao Cao, Lishan Tan, Zibo Xiong, Guang Yang, Zuying Xiong
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引用次数: 0

Abstract

Aim: Phospholipase A2 receptor 1 (PLA2R1) is often overexpressed in 70% of primary membranous nephropathy (PMN) patients, with serum PLA2R1 antibodies and podocyte PLA2R1 antigens serving as key diagnostic markers. However, a minority of patients test positive for only the PLA2R1 antigen and negative for PLA2R1 antibodies, presenting distinct characteristics. This study investigated the underlying features and mechanisms in PLA2R1 antigen-positive PMN patients.

Methods: 26 patients' information was screened for analysis. And the effects of PLA2R1 overexpression on human podocytes (HPCs) was studied through cell experiments.

Results: Clinical observations revealed that the median age of the 26 patients was 48.5 years, and the median onset time was 135 days. There was a significant negative correlation between blood albumin and antigen intensity. Cell studies demonstrated that PLA2R1 overexpression inhibited the proliferation and viability of HPCs. RNA sequencing and FACS assays revealed that PLA2R1 overexpression arrests HPCs at the S and G2/M phases.

Conclusion: PLA2R1 overexpression affects the course of the PMN by inhibiting the podocyte cycle. This study suggests that PLA2R1-related PMN pathogenesis could involve an additional immune response, offering insights into PMN treatment development.

PLA2R1过表达通过抑制细胞周期导致足细胞损伤:临床横断面调查和细胞研究
目的:磷脂酶A2受体1 (PLA2R1)在70%的原发性膜性肾病(PMN)患者中经常过表达,血清PLA2R1抗体和足细胞PLA2R1抗原可作为关键诊断指标。然而,少数患者仅PLA2R1抗原检测阳性,PLA2R1抗体检测阴性,表现出明显的特点。本研究探讨PLA2R1抗原阳性PMN患者的潜在特征和机制。方法:筛选26例患者资料进行分析。通过细胞实验研究PLA2R1过表达对人足细胞(HPCs)的影响。结果:临床观察26例患者中位年龄为48.5岁,中位发病时间为135天。血白蛋白与抗原强度呈显著负相关。细胞研究表明,PLA2R1过表达抑制了HPCs的增殖和活力。RNA测序和FACS分析显示PLA2R1过表达在S期和G2/M期阻止HPCs。结论:PLA2R1过表达通过抑制足细胞周期影响PMN的进程。该研究表明,pla2r1相关的PMN发病机制可能涉及额外的免疫反应,为PMN治疗的发展提供了见解。
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来源期刊
CiteScore
3.90
自引率
5.00%
发文量
40
审稿时长
16 weeks
期刊介绍: International Journal of Nephrology and Renovascular Disease is an international, peer-reviewed, open-access journal focusing on the pathophysiology of the kidney and vascular supply. Epidemiology, screening, diagnosis, and treatment interventions are covered as well as basic science, biochemical and immunological studies. In particular, emphasis will be given to: -Chronic kidney disease- Complications of renovascular disease- Imaging techniques- Renal hypertension- Renal cancer- Treatment including pharmacological and transplantation- Dialysis and treatment of complications of dialysis and renal disease- Quality of Life- Patient satisfaction and preference- Health economic evaluations. The journal welcomes submitted papers covering original research, basic science, clinical studies, reviews & evaluations, guidelines, expert opinion and commentary, case reports and extended reports. The main focus of the journal will be to publish research and clinical results in humans but preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies and interventions.
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