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Essential role and therapeutic targeting of the glomerular endothelial glycocalyx in lupus nephritis.


ABSTRACT: Lupus nephritis (LN) is a major organ complication and cause of morbidity and mortality in patients with systemic lupus erythematosus (SLE). There is an unmet medical need for developing more efficient and specific, mechanism-based therapies, which depends on improved understanding of the underlying LN pathogenesis. Here we present direct visual evidence from high-power intravital imaging of the local kidney tissue microenvironment in mouse models showing that activated memory T cells originated in immune organs and the LN-specific robust accumulation of the glomerular endothelial glycocalyx played central roles in LN development. The glomerular homing of T cells was mediated via the direct binding of their CD44 to the hyaluronic acid (HA) component of the endothelial glycocalyx, and glyco

SUBMITTER: Kadoya H 

PROVIDER: S-EPMC7566710 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature