The severity of renal injuries was higher in the conventionally h

The severity of renal injuries was higher in the conventionally housed group although the housing conditions did not affect the prevalence of IgA nephropathy. ddY mice that had IgA nephropathy and were housed in the conventional conditions had higher levels of

TLR9 and MyD88 transcripts than the mice that had IgA nephropathy and were housed in SPF conditions. Moreover, nasal challenge with CpG-oligodeoxynucleotides, which are ligands for TLR9, aggravated renal injury, led to strong T-helper cell (Th)1 polarization, and increased serum and mesangial IgA. It appears that activation HSP signaling pathway of the TLR9/MyD88 pathway by common antigens may affect the severity of IgA nephropathy.13 The authors evaluated the correlation between steady-state mRNA levels of ECM using specific cDNA probes for the α1(IV) chain, laminin A, B1 and B2 chains, and heparan sulfate proteoglycan (HSPG) and glomerular injuries in ddY mice. Increased expression of ECM genes for the α1(IV) chain, laminin A, B1 and B2 chains, and HSPG was observed in renal tissue of ddY mice. Staining

MG 132 of type IV collagen, laminin and HSPG was observed in renal tissue of ddY mice at each age. Increased proteinuria in 40 week old ddY mice might be related to the decrease in glomerular basement membrane HSPG which acts as the anionic site in such areas. Marked proliferation and/or expansion of glomerular resident cells and mesangial matrices were observed in 40 week old ddY mice. The intensity of IgA and C3 deposits in glomeruli was parallel to the levels of mRNA for such components.

It appears that increased mRNA levels for such matrices coincided with the development of renal injuries in ddY mice. Evaluation of steady-state mRNA levels of ECM in renal tissue of ddY mice is considered to be useful in determining mechanisms of progression in patients with IgA nephropathy.14 However, it is not known whether IgA deposits influence the expression of ECM components in patients with IgA nephropathy. Tsushima et al.15 reported that the deposits of IgA and/or C3 did Bcl-w not influence major components of the glomerular capillary walls in ddY mice. It can be concluded that the factors initiating the collapse and/or sclerosis of glomerular capillary walls might be factors other than the deposition of glomerular IgA in patients with IgA nephropathy. Basic treatments for IgA nephropathy patients are as follows: (i) diet therapy (low protein and low salt diet); and (ii) drug therapy (antiplatelet drug, fish oil, steroids, immunosuppressants and antihypertensive drugs such as angiotensin-converting enzyme inhibitors and angiotensin receptor blockers). The authors attempted to confirm whether such treatments are effective for IgA nephropathy in ddY mice, and also performed new therapeutic trials using ddY mice. Ohmuro et al.

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