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2016 ; 11
(4
): e0153252
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IFI27 Is a Useful Genetic Marker for Diagnosis of Immunoglobulin A Nephropathy
and Membranous Nephropathy Using Peripheral Blood
#MMPMID27100186
Nagasawa Y
; Okuzaki D
; Muso E
; Yamamoto R
; Shinzawa M
; Iwasaki Y
; Iwatani H
; Nakanishi T
; Isaka Y
; Nojima H
PLoS One
2016[]; 11
(4
): e0153252
PMID27100186
show ga
Diagnosis of chronic glomerulonephritis (CGN) depends primarily on renal biopsy,
which is expensive and requires hospitalization, creating a demand for
noninvasive diagnostic method for this disease. We used DNA microarray analysis
to search for genes whose expression levels in peripheral blood mononuclear cells
(PBMCs) could distinguish between patients with CGN and healthy volunteers (HVs).
We selected immunoglobulin A nephropathy (IgAN) and membranous nephropathy (MN)
as typical forms of CGN. The mRNA level of the gene encoding interferon
(IFN)-alpha-inducible protein 27, IFI27, which is preferentially expressed in
podocytes of glomeruli, was lower in PBMCs of IgAN and MN patients than in those
of HVs. This result was confirmed by quantitative real-time reverse transcription
polymerase chain reaction (qRT-PCR). Moreover, qRT-PCR analysis revealed that the
IFI27 mRNA level was reduced in PBMCs of patients with other types of chronic
glomerulonephritis. IFI27 immunohistochemical staining of biopsied specimens also
confirmed reduced expression of IFI27 protein in IgAN and MN patients. Based on
these results, we propose that IFI27 could serve as a noninvasive diagnostic
marker for CGNs using peripheral blood.