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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Soc+Nephrol
2016 ; 27
(6
): 1665-77
Nephropedia Template TP
gab.com Text
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A Familial C3GN Secondary to Defective C3 Regulation by Complement Receptor 1 and
Complement Factor H
#MMPMID26471127
Chauvet S
; Roumenina LT
; Bruneau S
; Marinozzi MC
; Rybkine T
; Schramm EC
; Java A
; Atkinson JP
; Aldigier JC
; Bridoux F
; Touchard G
; Fremeaux-Bacchi V
J Am Soc Nephrol
2016[Jun]; 27
(6
): 1665-77
PMID26471127
show ga
C3 glomerulopathy is a recently described form of CKD. C3GN is a subtype of C3
glomerulopathy characterized by predominant C3 deposits in the glomeruli and is
commonly the result of acquired or genetic abnormalities in the alternative
pathway (AP) of the complement system. We identified and characterized the first
mutation of the C3 gene (p. I734T) in two related individuals diagnosed with
C3GN. Immunofluorescence and electron microscopy studies showed C3 deposits in
the subendothelial space, associated with unusual deposits located near the
complement receptor 1 (CR1)-expressing podocytes. In vitro, this C3 mutation
exhibited decreased binding to CR1, resulting in less CR1-dependent cleavage of
C3b by factor 1. Both patients had normal plasma C3 levels, and the mutant C3
interacted with factor B comparably to wild-type (WT) C3 to form a C3 convertase.
Binding of mutant C3 to factor H was normal, but mutant C3 was less efficiently
cleaved by factor I in the presence of factor H, leading to enhanced C3 fragment
deposition on glomerular cells. In conclusion, our results reveal that a CR1
functional deficiency is a mechanism of intraglomerular AP dysregulation and
could influence the localization of the glomerular C3 deposits.