Human leucocyte antigens in idiopathic nephrotic syndrome in children View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1990-09

AUTHORS

Hans Ruder, Karl Schärer, Gerhard Opelz, Volker Lenhard, Rüdiger Waldherr, Dirk E. Müller-Wiefel, Anne-Margret Wingen, Jürgen Dippell

ABSTRACT

An association of the idiopathic nephrotic syndrome (NS) with certain human leucocyte antigens (HLA) has been reported repeatedly. The aim of this study is to characterize further the clinical and histological features of patients with NS in relation to their HLA phenotypes. HLA antigens were determined in 132 paediatric patients with NS. In 91 steroid-sensitive patients (usually associated with minimal glomerular changes), the antigen frequencies of HLA-DR3, HLA-DR7, and HLA-B8,-DR3 combined were significantly increased compared with controls. The strongest association was observed with the combined occurrence of HLA-B8,-DR3,-DR7 (relative risk 21.5). This association and that with HLA-DR3 alone were strongest in the presence of frequent relapses and steroid dependence compared with children without or with infrequent relapses. The pattern of HLA antigens was similar in the 57 steroid-sensitive patients with biopsy-proven minimal glomerular changes. In 41 children with steroid-resistant NS (usually associated with focal segmental glomerulosclerosis) a similar trend for increased antigen frequencies was found but the data were significant only for the combined occurrence of HLA-B8,-DR3 and-DR7. In all patients combined the frequency of the HLA associations was significantly lower when the age of onset was greater than 8 years compared with that of younger patients. It is concluded that the immunogenetic background of the steroid-sensitive and steroid-resistant NS is different and age-dependent. More... »

PAGES

478-481

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf00869824

DOI

http://dx.doi.org/10.1007/bf00869824

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029180659

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/2242309


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