Spleen tyrosine kinase: a crucial player and potential therapeutic target in renal disease
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Accepted version
Accepted version
Author(s)
Tam, FWK
Ma, TK-W
Mcadoo, SP
Type
Journal Article
Abstract
Spleen tyrosine kinase (Syk), a 72 kDa cytoplasmic non-receptor protein-tyrosine kinase, plays an important role in signal transduction in a variety of cell types. Ever since its discovery in the early 1990s, there has been accumulating evidence to suggest a pathogenic role of Syk in various allergic disorders, autoimmune diseases and malignancies. Additionally, there is emerging data from both pre-clinical and clinical studies that Syk is implicated in the pathogenesis of proliferative glomerulonephritis, including anti-glomerular basement membrane (anti-GBM) disease, ANCA-associated glomerulonephritis (AAGN), lupus nephritis (LN), and immunoglobulin A nephropathy (IgAN). Moreover, recent animal studies have shed light on the importance of Syk in mediating acute renal allograft rejection, Epstein Barr virus (EBV)-associated post-transplant lymphoproliferative disease (PTLD) and kidney fibrosis. Fostamatinib, an oral Syk inhibitor, has undergone clinical testing in rheumatoid arthritis (RA), refractory immune thrombocytopenic purpura (ITP), leukemia, and lymphoma. The recent STOP-IgAN trial showed that the addition of non-selective immunosuppressive therapy to intensive supportive care did not improve clinical outcomes in high-risk IgAN patients. A Syk-targeted approach may be beneficial and is currently being evaluated in a phase II randomized controlled trial. In this review, we will discuss the pathogenic role of Syk and potential use of Syk inhibitor in a variety of renal diseases.
Editor(s)
McAdoo, SPM
Ma, TK-M
Date Issued
2016-08
Date Acceptance
2016-04-24
Citation
Nephron Experimental Nephrology and Genetics, 2016, 133 (4)
ISSN
1660-8151
Publisher
Karger
Journal / Book Title
Nephron Experimental Nephrology and Genetics
Volume
133
Issue
4
Copyright Statement
© 2016 The Authors. This article is licensed under the Creative Commons AttributionNonCommercial-NoDerivatives
4.0 International License (CC BYNC-ND)
(http://www.karger.com/Services/OpenAccessLicense).
Usage and distribution for commercial purposes as well as any distribution
of modifi ed material requires written permission.
4.0 International License (CC BYNC-ND)
(http://www.karger.com/Services/OpenAccessLicense).
Usage and distribution for commercial purposes as well as any distribution
of modifi ed material requires written permission.
Sponsor
Imperial College Healthcare Charity
Medical Research Council (MRC)
Kidney Research UK
Vasculitis UK
The Academy of Medical Sciences
Grant Number
9999
G0901997
SP/MEKC/5/2014
ID 1503
N/A
Subjects
antibodies
interstitial fibrosis
glomerulonephrides
acute renal rejection
Immunoglobuin A nephropathy
Publication Status
Published
Date Publish Online
2016-07-30