Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Vasculitis syndromes

LAMP-2 illuminates pathogenesis of ANCA glomerulonephritis

The discovery that antibodies to a bacterial antigen can cross-react with a mammalian protein to cause pauci-immune necrotizing and crescentic glomerulonephritis opens up new possibilities for the diagnosis and treatment of this condition.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Renal biopsy specimen showing focal necrotizing glomerulonephritis in a patient with antineutrophil cytoplasmic antibody (ANCA)-associated microscopic polyangiitis.

References

  1. Kain, R. et al. Molecular mimicry in pauci-immune focal necrotizing glomerulonephritis. Nat. Med. 14, 1088–1096 (2008).

    Article  CAS  PubMed  Google Scholar 

  2. Falk, R. J., Terrell, R. S., Charles, L. A. & Jennette, J. C. Anti-neutrophil cytoplasmic autoantibodies induce neutrophils to degranulate and produce oxygen radicals in vitro. Proc. Natl Acad. Sci. USA 87, 4115–4119 (1990).

    Article  CAS  Google Scholar 

  3. Bosch, X., Guilabert, A. & Font, J. Antineutrophil cytoplasmic antibodies. Lancet 368, 404–418 (2006).

    Article  CAS  Google Scholar 

  4. Xiao, H. et al. Antineutrophil cytoplasmic autoantibodies specific for myeloperoxidase cause glomerulonephritis and vasculitis in mice. J. Clin. Invest. 110, 955–963 (2002).

    Article  CAS  PubMed  Google Scholar 

  5. Bosch, X., Guilabert, A., Espinosa, G. & Mirapeix, E. Immunotherapy for antineutrophil cytoplasmic antibody-associated vasculitis: challenging the therapeutic status quo? Trends Immunol. 29, 280–289 (2008).

    Article  CAS  Google Scholar 

  6. Pendergraft, W. F. 3rd et al. Autoimmunity is triggered by cPR-3105–201, a protein complementary to human autoantigen proteinase-3. Nat. Med. 10, 72–79 (2004).

    Article  CAS  Google Scholar 

  7. Stegeman, C. A., Tervaert, J. W., de Jong, P. E. & Kallenberg, C. G. Trimethoprim–sulfamethoxazole (co-trimoxazole) for the prevention of relapses of Wegener's granulomatosis. Dutch Co-Trimoxazole Wegener Study Group. N. Engl. J. Med. 335, 16–20 (1996).

    Article  CAS  Google Scholar 

  8. Kain, R. et al. A novel class of autoantigens of anti-neutrophil cytoplasmic antibodies in necrotizing and crescentic glomerulonephritis: the lysosomal membrane glycoprotein h-lamp-2 in neutrophil granulocytes and a related membrane protein in glomerular endothelial cells. J. Exp. Med. 181, 585–597 (1995).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xavier Bosch.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bosch, X., Mirapeix, E. LAMP-2 illuminates pathogenesis of ANCA glomerulonephritis. Nat Rev Nephrol 5, 247–249 (2009). https://doi.org/10.1038/nrneph.2009.51

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrneph.2009.51

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing