The immune system and kidney disease: basic concepts and clinical implications
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The immune system and kidney disease: basic concepts and clinical implications. / Kurts, Christian; Panzer, Ulf; Anders, Hans-Joachim; Rees, Andrew J.
In: NAT REV IMMUNOL, Vol. 13, No. 10, 01.10.2013, p. 738-53.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The immune system and kidney disease: basic concepts and clinical implications
AU - Kurts, Christian
AU - Panzer, Ulf
AU - Anders, Hans-Joachim
AU - Rees, Andrew J
PY - 2013/10/1
Y1 - 2013/10/1
N2 - The kidneys are frequently targeted by pathogenic immune responses against renal autoantigens or by local manifestations of systemic autoimmunity. Recent studies in rodent models and humans have uncovered several underlying mechanisms that can be used to explain the previously enigmatic immunopathology of many kidney diseases. These mechanisms include kidney-specific damage-associated molecular patterns that cause sterile inflammation, the crosstalk between renal dendritic cells and T cells, the development of kidney-targeting autoantibodies and molecular mimicry with microbial pathogens. Conversely, kidney failure affects general immunity, causing intestinal barrier dysfunction, systemic inflammation and immunodeficiency that contribute to the morbidity and mortality of patients with kidney disease. In this Review, we summarize the recent findings regarding the interactions between the kidneys and the immune system.
AB - The kidneys are frequently targeted by pathogenic immune responses against renal autoantigens or by local manifestations of systemic autoimmunity. Recent studies in rodent models and humans have uncovered several underlying mechanisms that can be used to explain the previously enigmatic immunopathology of many kidney diseases. These mechanisms include kidney-specific damage-associated molecular patterns that cause sterile inflammation, the crosstalk between renal dendritic cells and T cells, the development of kidney-targeting autoantibodies and molecular mimicry with microbial pathogens. Conversely, kidney failure affects general immunity, causing intestinal barrier dysfunction, systemic inflammation and immunodeficiency that contribute to the morbidity and mortality of patients with kidney disease. In this Review, we summarize the recent findings regarding the interactions between the kidneys and the immune system.
KW - Animals
KW - Autoantibodies
KW - Autoantigens
KW - Autoimmunity
KW - Cytokines
KW - Dendritic Cells
KW - Gene Expression
KW - Humans
KW - Immune System
KW - Inflammation
KW - Kidney
KW - Kidney Diseases
KW - T-Lymphocytes
U2 - 10.1038/nri3523
DO - 10.1038/nri3523
M3 - SCORING: Journal article
C2 - 24037418
VL - 13
SP - 738
EP - 753
JO - NAT REV IMMUNOL
JF - NAT REV IMMUNOL
SN - 1474-1733
IS - 10
ER -