タナカ リョウジロウ   Ryojiro Tanaka
  田中 亮二郎
   所属   川崎医科大学  医学部 臨床医学 小児科学
   職種   特任教授
論文種別 総説
言語種別 英語
査読の有無 査読あり
表題 Genetics of immunoglobulin A nephropathy.
掲載誌名 正式名:Annals of the Academy of Medicine, Singapore
略  称:Ann Acad Med Singap
ISSNコード:03044602/03044602
掲載区分国外
巻・号・頁 29(3),pp.364-9
著者・共著者 R Tanaka, K Iijima, H Nakamura, N Yoshikawa
発行年月 2000/05
概要 INTRODUCTION:Immunoglobulin (Ig) A nephropathy is the most common primary glomerulonephritis in the world and about 20% to 50% of patients with it develop progressive renal failure. There is considerable evidence to show that IgA nephropathy is influenced by genetic factors. The purpose of this review is to provide useful information concerning genetics of IgA nephropathy.METHODS AND RESULTS:Epidemiological, familial clustering, human leukocyte antigen and IgA immune system (immunoglobulin class switch gene, I alpha 1 germ-line transcript regulatory region gene) studies have led to the hypothesis of genetic susceptibility to IgA nephropathy. Moreover, research on renin angiotensin system, platelet activating factor acetylhydrolase, neuropeptide Y Y1 receptor and others genes has demonstrated that genetic factors influence the pathological severity and natural course of IgA nephropathy.CONCLUSIONS:The evidence presented in this review strongly supports the role of genetic factors in IgA nephropathy. Detection of genetic risk factors for IgA nephropathy will allow us to study further the pathogenesis of IgA nephropathy and devise effective therapy.
PMID 10976391