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Immunological, mediated with IgE and associated with herpesvirus infection, phenotypes of nephrotic syndrome among children

https://doi.org/10.24412/2500-1175-2021-1-24-34

Abstract

The development of nephrotic syndrome (NS) among children is accompanied by the observable changes of the immune status, which are manifested by the disbalance of lymphocytes subpopulations, dysimmunoglobulinemia and the disturbance of the metabolic activity of phagocytes. Immunological, associated with higher level of total IgE and HVI phenotypes of nephrotic syndrome among children were identified. NS of hyper IgE-phenotype is characterized by the increase of general IgE level in the peripheral blood. NS associated with HVI is characterized by the activation of humoral antiherpetic immunity, which was manifested by the presence of active HVI markers in the blood (Ab IgM and/or Ab IgG of low avidity to VH) on the background of clinical manifestations of HVI: the presence of fever, lymphadenopathy, enlargement of liver and spleen, skin and mucous rashes. The addition of antivirus drugs to the standard basic treatment of NS stopped the clinical signs of HVI exacerbation and optimized NS therapy.

About the Authors

R. A. Belovolova
City Hospital № 20; 1 Rostov State Medical University Ministry of Health and Social development of the Russian Federation
Russian Federation

Rostov-on-Don



G. M. Letifov
Rostov State Medical University Ministry of Health and Social development of the Russian Federation
Russian Federation

Rostov-on-Don



L. V. Mavrina
City Hospital № 20
Russian Federation

Rostov-on-Don



E. V. Belovolova
Rostov State Medical University Ministry of Health and Social development of the Russian Federation
Russian Federation

Rostov-on-Don



A. P. Titov
City Hospital № 20
Russian Federation

Rostov-on-Don



E. V. Churyukina
Rostov State Medical University Ministry of Health and Social development of the Russian Federation; Kuban State Medical University
Russian Federation

Ella V. Churyukina, PhD, Docent, Head of the Division of Allergic and Autoimmune diseases of Rostov State Medical University, Rostov-on-Don, Russian Federation; Associate Professor of the Department of Clinical Immunology, Allergology and laboratory diagnostics of Kuban State Medical University

Kommunisticheskiy avenue 27, flat 131, Rostov-onDon, 344091, Russia



L. F. Ovsyannikova
City Hospital № 20
Russian Federation

Rostov-on-Don



References

1. Baranov A.A., Sergeeva T.V. Ambulatornaya nephrologiya. M. Pediatr 2016. 200p.(In Russ.)

2. Belmer S.V., Malkoch A.V. Nephroticheskiy sindrom u detey: opredelenie i printsipi terapii. Lechashchiy vrach 2004.9.P.1-4 (In Russ.)

3. Ignatova M.S. Algoritm lecheniya nephroticheskоgo sindroma pri pervichnom glomerulonephrite u detei: posobie dlya vrachei. 2001. 24 p.(In Russ.)

4. Loyman E., Tsygin A.N., Sarkisyan A.A. Detskaya nephrologiya. Prakticheskoe rukovodstvo. M.Litera 2010. 370 p.(In Russ.)

5. Mukhin N.A. Nephrologiya. Natsionalnoe rukovodstvo M.GEOTAR-Media. 2009. 716 p.(In Russ.).

6. Nephroticheskiy sindrom u detei. Klinicheskie rekomendatsii. -Soyuz pediatrov Rossii. 2016. 30p. (In Russ.)

7. Jalanko H. Pathogenesis of proteinuria: lessons learned from nephrin and podocin. Pediatr Nephrol. 2003; 18: Р. 487–491.

8. Savenkova N.D., Papayan A.V. Nephroticheskiy sindrom v praktike pediatra. Rukovodstvo dlya vrachei. . SPb. Eskulap. 1999. 235p.(In Russ.)

9. Ignatova V.S., Dlin V.V. Nephroticheskiy sindrom: proshloe, nastoyashchee i budushcheye. Rossiyskiy vestnik perinatologii i pediatrii. 2017, T. 62(6). P.29-64 (In Russ.)

10. Alipov N.N. Immunnyye bolezni pochek. Effektivnaya meditsina. https://www.rosmedzdrav.ru/xurol/urol-0041.shtml. (In Russ.)

11. Jalanko H. Pathogenesis of proteinuria: lessons learned from nephrin and podocin. Pediatr Nephrol. 2003. N 18.– Р. 487–491.

12. Prikhodina L., Poltavets N., Galeeva N., Zaklyazminskaya E., Dlin V. Podocin gene (NPHS2) mutations in children with sporadic steroid-resistant nephrotic syndrome. Pediatr Nephrol 2007; N 22(9). Р. 1486.

13. Huber T.B., Simons M., Hartleben B., Sernetz L., Schmidts M., Gundlach E. et al. Molecular basis of the functional podocin-nephrin complex: mutation in the NPHS2 gene disrupt nephrin targeting to the lipid raft microdomains. Hum Mol Genet 2003, N 12.Р. 3397–3405. DOI:10.1093/hmg/ddg360

14. Koziell A., Grech V., Hussain S., Lee G., Lenkkeri U., Tryggvason K., Scambler P. Genotype/phenotype correlations of NPHS1 and NPHS2 mutations in nephrotic syndrome advocate a functional inter-relationship in glomerular filtration Hum Mol Genet 2002; N11: Р. 379–388.

15. Landenkari A.-T., Kestila M., Holmberg Ch. Nephrin gene (NPHS1) in patients with minimal change nephrotic syndrome (MCNS) Kidney Int 2004: N65: P. 1856–1863.

16. Barkhatova T.V. Rasprostpanen-nost markerov gerpesvirusnykh infektsiy pri khronicheskoy patologii pochek u detei.. Meditsinskiiy almanakh 2011, 6: P. 196-199. (In Russ.)

17. Lyndin A.A. GVI i eye rol v porazhenii pochek. Rossiiskiy vestnik perinatologii i pediatrii 2010, 6: P. 69-76 (In Russ.)

18. Lutoshkin I.S. Kliniko-patogeneticheskoe znachenie i taktika lecheniya persistirueshey gerpesvirusnoy infektsii u detei s gormonrezistentnym i gormonchuvstvitelnymi variantami nephroticheskogo syndroma; avtoreferat diss.kand.med.nauk. M.2005. 26 p.(In Russ.)

19. Dlin V.V. Virusassotsiirovanniy glomerulonephrit. Vestnik slugby krovi Rossii. 2008,1.P.37-38.(In Russ.).

20. Necheporenko N.V., Savenkova N.D., Kalinina N.M. Rol gerpesvirusnoy infektsii pri glomerulonephrite i nephroticheskom sindrome u detey. Rossiyskiy vestnik perinatologii i pediatrii 2017, 62(1) P.19-25 (In Russ.)

21. Ignatova M.S., Dlin V.V., Nikitina T.A. i dr. Virusnaya infektsiya Epshtein-Barr u bolnoy s gormonorezistentnym nephroticheskim syndromom: etiologicheskiy factor ili factor progressirovaniya glomerulonephrita. Nephrologia i dializ -2005. T.7. 1.P.70-72.(In Russ.)

22. Dossier C., Sellier-Lecler A.L., Rousseau A., Michel Y., Gautheret-Dejean A., Englender M. et al. Prevalence of herpesviruses at onset of idiopathic nephritic syndrome Pediatr Nephrol. 2014. V. 29. N. 12. P. 2325– 2331.

23. Necheporenko N.V., Savenkova N.D., Kalinina N.M Kliniko-immunologicheskaya kharakteristika i terapiya nephroticheskogo syndroma, assotsiirovannogo s gerpesvirusnoy infekciey tipov 1,2,4,5 u detey s atopiey. Nephrologiya 2016.T.20,№3 P.69-77 (In Russ.)

24. Kuselman A.I., Solov'eva I.L., Cherdantsev A.P. Gerpesvirusniye infektsii u detey. Rukovodstvo dlay vrachey pod red. A.I. Kusel'mana. Ul'yanovsk, UlGU2017. 280 p. (In Russ.)

25. Belovolova R.A., Mavrina L.V., Belovolova E.V., Ovsyannikova L.F. Gerpesvirusnaya infektsia u detei s khronicheskoy patologiey pochek. Novosti “Vektor-Best” 2017;4(86).P.2-4 (In Russ.)

26. Yarilin A.A. Osnovy immunologii. Uchebnik..M.’Meditsina’ 1999. P.169-434 (In Russ.).

27. Wenderfer S.E. Viral-associated glomerulopathies Pediatr Nephrol. 2015; N 30: (11). Р. 1929–1938.

28. Berns J.S., Blum R.D. Viral nephropathies: core curriculum Am J Kidney Dis 2008: N 52: (2): P. 370–381. DOI: 10.1053/j.ajkd.2008.01.036.

29. Faulhaber J.R., Nelson P.J. Virus-induced cellular immune mechanisms of injury to the kidney. Clin J.Am Soc Nephrol. 2007; Suppl. (1): Р. 2–5.

30. Totolyan A.A. Immunoglobulin E; struktura, produktsiya, biologicheskie effekty i diagnosticheskoe ispol'zovanie. Allergologiya 1998; 2. P.4-7 (In Russ.)

31. Katoh N., Kraft S., Wessendorf J.H., Bieber T. The high-affinity IgE receptor (FcεRI) blocks apoptosis in normal human monocytes J Clin Invest, 2000, Vol.105. P. 183–190.

32. Delespesse G., Sarfati M., Wu C.Y., Fournier S., Letellier M. The low affinity receptor for IgE Immunol Rev. 1992. V. 125. P. 77–97.

33. Gushchin I.S. Klucheviye zveniya allergicheskogo protsessa, uazvimiye dlya farmakologicheskogo vozdeistviya. Phiziologiya i patologiya immunnoy systemi. 2004:1. P.36-43.(In Russ.)

34. Zheleznikova G.F. Immunoglobulin E: biologicheskaya rol' pri infekcionnykh zabolevaniyakh. Meditsinskaya immunologiya. 2002;t.4;4-5.P. 515-534. (In Russ.)

35. Tur I.I., Savenkova N.D., Nazarov P.G. i dr. Sravnitelnoye issledovaniye IgE-antitel, interleikina-4, gamma-interferona v krovi u detey s nephroticheskim sindromom s minimalnimi izmeneniyami i atopicheskim dermatitom. Nephrologiya 2007;4.P.69-74.(In Russ.)

36. Fedicheva N.A.,Khanferyan R.A., Agaeva Z.A. Prognosticheskaya otsenka urovnya IgE i tsitokinovogo balansa pri khronicheskom nephrite. Kubanskiy nauchniy meditsinskiy vestnik. 2009;7. P.151-154. (In Russ.)

37. Churyukina E. V., Sizyakina L. P. Patogeneticheskiye aspecti formirovania razlichnix variantov bronchialjnoi asthmy. Russian Allergological Journal. 2017;14(1-1). P.194-196. (in Russ.)

38. Kokryakova N.N. Patogeneticheskiye osobennosti razlichnykh variantov khronicheskogo glomerulonephrita. Nephrologiya . 2005;9;1. P.58-62. (In Russ.)

39. Bocharova K.A. Differentsialnaya diagnostika giper-IgE-sindroma (sindrom Iova) i giper-IgE-sostoyaniy. Mezhdunarodniy nauchno-issledovatelskiy zhurnal. Meditsinskiye nauki. 2012:11. P.68-71. (In Russ.)

40. Zurochka A.V., Khaidukov S.V., Kudryavtsev I.V., Chereshnev V.A. Protochaya citometriya v meditsine i biologii. Ekaterinburg, 2013. P.155-212. (In Russ.).

41. Poryadin G.V.,Sharpan Yu.V., Orshanko A.M., Salmasi Zh.M. Patofiziologicheskiye i kliniko-diagnosticheskiye aspekty latentnoy sensibilizatsii. Lechebnoe delo. 2010 ;1. P.88-92. (In Russ.)

42. Belovolova R.A., Mavrina L.V., Domboyan S.Kh. Vozrastniye osobennosti. Struktura gerpesvirusnoy infitsirovannosti i yee rol' pri khronicheskikh vospalitelnikh zabolevaniyakh kishechnika i pochek u detei. Allergologiya i immunologiya v pediatrii. 2018;3(54): P.21-30. (In Russ.)


Review

For citations:


Belovolova R.A., Letifov G.M., Mavrina L.V., Belovolova E.V., Titov A.P., Churyukina E.V., Ovsyannikova L.F. Immunological, mediated with IgE and associated with herpesvirus infection, phenotypes of nephrotic syndrome among children. Allergology and Immunology in Paediatrics. 2021;(1):24-34. https://doi.org/10.24412/2500-1175-2021-1-24-34

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