Correlation of disease activity in proliferative glomerulonephritis with glomerular spleen tyrosine kinase expression
File(s)Kidney International_2015.pdf (2.41 MB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Spleen tyrosine kinase (SYK) is an important component of the intracellular signaling pathway for various immunoreceptors. Inhibition of SYK has shown promise in preclinical models of autoimmune and glomerular disease. However, the description of SYK expression in human renal tissue, which would be desirable ahead of clinical studies, is lacking. Here we conducted immunohistochemical analysis for total and phosphorylated SYK in biopsy specimens from >120 patients with a spectrum of renal pathologies, including thin basement membrane lesion, minimal change disease, membranous nephropathy, IgA nephropathy, lupus nephritis, ANCA-associated glomerulonephritis, antiglomerular basement membrane disease, and acute tubular necrosis. We found significant SYK expression in proliferative glomerulonephritis and that glomerular expression levels correlated with presenting serum creatinine and histological features of disease activity that predict outcome in IgA nephropathy, lupus nephritis, ANCA-associated glomerulonephritis, and antiglomerular basement membrane disease. SYK was phosphorylated within pathological lesions, such as areas of extracapillary and endocapillary proliferation, and appeared to localize to both infiltrating leucocytes and to resident renal cells within diseased glomeruli. Thus SYK is associated with the pathogenesis of proliferative glomerulonephritides, suggesting that these conditions may respond to SYK inhibitor treatment.
Date Issued
2015-07-01
Date Acceptance
2014-12-11
Citation
Kidney International, 2015, 88 (1), pp.52-60
ISSN
0085-2538
Publisher
Elsevier
Start Page
52
End Page
60
Journal / Book Title
Kidney International
Volume
88
Issue
1
Copyright Statement
© 2015, Rights Managed by Nature Publishing Group
Sponsor
Medical Research Council (MRC)
Medical Research Council (MRC)
National Institute for Health Research
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000357138000010&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
G0901997
G0400443
NF-SI-0611-10055
Subjects
Science & Technology
Life Sciences & Biomedicine
Urology & Nephrology
ANCA
anti-GBM disease
glomerulonephritis
IgA nephropathy
immunohistochemistry
lupus nephritis
FC-GAMMA RECEPTORS
RHEUMATOID-ARTHRITIS
OXFORD CLASSIFICATION
SYK INHIBITOR
P38 MAPK
LUPUS
MACROPHAGES
NEUTROPHILS
INFLAMMATION
ACTIVATION
Publication Status
Published
Date Publish Online
2015-12-16