Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to Come

Inherited and acquired dysregulation of the complement alternative pathway plays an important role in multiple renal diseases. In recent years, the identification of disease-causing mutations and genetic variants in complement regulatory proteins has contributed significantly to our knowledge of the...

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Main Authors: Saskia F. Heeringa, Clemens D. Cohen
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2012/695131
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author Saskia F. Heeringa
Clemens D. Cohen
author_facet Saskia F. Heeringa
Clemens D. Cohen
author_sort Saskia F. Heeringa
collection DOAJ
description Inherited and acquired dysregulation of the complement alternative pathway plays an important role in multiple renal diseases. In recent years, the identification of disease-causing mutations and genetic variants in complement regulatory proteins has contributed significantly to our knowledge of the pathogenesis of complement associated glomerulopathies. In these diseases defective complement control leading to the deposition of activated complement products plays a key role. Consequently, complement-related glomerulopathies characterized by glomerular complement component 3 (C3) deposition in the absence of local immunoglobulin deposits are now collectively described by the term “C3 glomerulopathies.” Therapeutic strategies for reestablishing complement regulation by either complement blockade with the anti-C5 monoclonal antibody eculizumab or plasma substitution have been successful in several cases of C3 glomerulopathies. However, further elucidation of the underlying defects in the alternative complement pathway is awaited to develop pathogenesis-specific therapies.
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spelling doaj-art-ed8d4977539d46628292d0ff1e20c5c82025-08-20T03:21:12ZengWileyClinical and Developmental Immunology1740-25221740-25302012-01-01201210.1155/2012/695131695131Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to ComeSaskia F. Heeringa0Clemens D. Cohen1Division of Internal Medicine, University Hospital Zurich, Raemistrasse 100, 8006 Zurich, SwitzerlandDivision of Nephrology, University Hospital Zurich, Raemistrasse 100, 8006 Zurich, SwitzerlandInherited and acquired dysregulation of the complement alternative pathway plays an important role in multiple renal diseases. In recent years, the identification of disease-causing mutations and genetic variants in complement regulatory proteins has contributed significantly to our knowledge of the pathogenesis of complement associated glomerulopathies. In these diseases defective complement control leading to the deposition of activated complement products plays a key role. Consequently, complement-related glomerulopathies characterized by glomerular complement component 3 (C3) deposition in the absence of local immunoglobulin deposits are now collectively described by the term “C3 glomerulopathies.” Therapeutic strategies for reestablishing complement regulation by either complement blockade with the anti-C5 monoclonal antibody eculizumab or plasma substitution have been successful in several cases of C3 glomerulopathies. However, further elucidation of the underlying defects in the alternative complement pathway is awaited to develop pathogenesis-specific therapies.http://dx.doi.org/10.1155/2012/695131
spellingShingle Saskia F. Heeringa
Clemens D. Cohen
Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to Come
Clinical and Developmental Immunology
title Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to Come
title_full Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to Come
title_fullStr Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to Come
title_full_unstemmed Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to Come
title_short Kidney Diseases Caused by Complement Dysregulation: Acquired, Inherited, and Still More to Come
title_sort kidney diseases caused by complement dysregulation acquired inherited and still more to come
url http://dx.doi.org/10.1155/2012/695131
work_keys_str_mv AT saskiafheeringa kidneydiseasescausedbycomplementdysregulationacquiredinheritedandstillmoretocome
AT clemensdcohen kidneydiseasescausedbycomplementdysregulationacquiredinheritedandstillmoretocome