Kidney Diseases (Aug 2024)

The Pathogenesis of Nephrotic Syndrome: A Perspective from B Cells

  • Shifan Zhu,
  • Jiayu Zhang,
  • Langping Gao,
  • Qing Ye,
  • Jianhua Mao

DOI
https://doi.org/10.1159/000540511

Abstract

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Background: Nephrotic syndrome is a special type of chronic kidney disease, the specific pathogenesis of which remains unclear. An increasing number of studies have suggested that B cells play an important role in the pathogenesis of nephrotic syndrome. Summary: Idiopathic nephrotic syndrome is a common kidney disease in children. While previously believed to be primarily caused by T-cell disorders, recent research has shifted its focus to B cells. Studies have shown that B cells play a significant role in the pathogenesis of NS, potentially even more so than T cells. This article provides a comprehensive review of the involvement of B cells in the development of idiopathic nephrotic syndrome. Key Messages: B cells are involved in the pathogenesis of nephrotic syndrome by producing autoantibodies and various cytokines.

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