glomerulopathies –iga nephropathy iga nephropathy - umf :肾小球疾病的免疫球蛋白iga肾病免疫球蛋白iga肾病- umf–

glomerulopathies –iga nephropathy iga nephropathy - umf :肾小球疾病的免疫球蛋白iga肾病免疫球蛋白iga肾病- umf–

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时间:2018-07-26

glomerulopathies –iga nephropathy iga nephropathy - umf :肾小球疾病的免疫球蛋白iga肾病免疫球蛋白iga肾病- umf–_第1页
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1、Glomerulopathies–IgAnephropathyIgAnephropathy-PathogenesisGlomerulopathies–IgAnephropathyIgAnephropathy-PathogenesisMesangialIgApromotesglomerularinflammationaseriesofevents…….cancauseendstagerenaldiseaseGlomerulopathies–IgAnephropathyGlomerulopathies–IgAnephropathyIgAnephropathy-Pathog

2、enesisWhatspecificmechanismsinfluencethedepositionofIgAanditsinitiationofinflammation?Glomerulopathies–IgAnephropathyGlomerulopathies–IgAnephropathyIgAnephropathy-PathogenesistightlyTcellcontrolledprocessesinhealthmostpolymericIgAisproducedinthemucosalimmunesystemisinvolvedinmucosaldefenset

3、hebonemarrowproducesmonomericIgA,whichreachesthecirculationGlomerulopathies–IgAnephropathyGlomerulopathies–IgAnephropathyIgAnephropathy-PathogenesisinIgAnephropathysynthesisofpolymericIgAisincreasedinthebonemarrowanddecreasedinthemucosaGlomerulopathies–IgAnephropathyGlomerulopathies–IgAneph

4、ropathyGlomerulopathies–IgAnephropathyIgAnephropathy-PathogenesisYesitisGlomerulopathies–IgAnephropathyIgAnephropathy-PathogenesisWhymightthishappen?ThisprocessisverytightlyTcellregulatedInresponsetoamucosalantigen,Tcellsreachthecirculation,butwillreturntothemucosatosynthesizepolymericIgAif

5、theyexpressalpha4beta7,themucosalhomingreceptorIfontheotherhand,asystemicantigenisconfronted,Tcellswillhometothemarrowiftheyexpressthealpha4beta1systemichomingreceptorGlomerulopathies–IgAnephropathyGlomerulopathies–IgAnephropathyGlomerulopathies–IgAnephropathyIgAnephropathy-PathogenesisinIg

6、Anephropathy-theseprocessesisabnormalthereisanexaggerationofsystemichomingreceptorexpression,whichwoulddriveTcellsnotbacktothemucosabuttowardsthemarrowtheabnormalsiteofIgA1production,whichisoneofthefeaturesofIgAnephropathyGlomerulopathies–IgAnephropathyGlomerulopathies–IgAnephropathyIgAnep

7、hropathy-PathogenesisinIgAnephropathy-theseprocessesisabnormalbutnotonlythereisanexaggerationofsystemichomingreceptorexpression,whichwoulddriveTcellsnotbacktothemucosabuttowardsthemarrowtheabnormalsiteofIgA1production,whichisoneofthefeaturesofIgAnephrop

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