PMID- 30348302 OWN - NLM STAT- MEDLINE DCOM- 20190301 LR - 20190301 IS - 1523-1755 (Electronic) IS - 0085-2538 (Linking) VI - 94 IP - 5 DP - 2018 Nov TI - Deep pockets are not necessarily a good thing in membranous nephropathy: evidence for a modifier allele. PG - 855-857 LID - S0085-2538(18)30488-5 [pii] LID - 10.1016/j.kint.2018.07.010 [doi] AB - Risk (or susceptibility) alleles for primary membranous nephropathy exist within the DQ and DR loci of the human leukocyte antigen (HLA) region of chromosome 6. The discussed study identifies a novel allele, HLA DRB1*1502, in a Han Chinese cohort that acts as a modifier allele by associating not with the phenotype of membranous nephropathy, but rather with the severity of disease. This commentary addresses the potential biologic aspects of these new data. CI - Copyright (c) 2018 International Society of Nephrology. Published by Elsevier Inc. All rights reserved. FAU - Beck, Laurence H Jr AU - Beck LH Jr AD - Department of Medicine, Renal Section, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts, USA. Electronic address: lhbeckjr@bu.edu. FAU - Salant, David J AU - Salant DJ AD - Department of Medicine, Renal Section, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts, USA. LA - eng PT - Comment PT - Journal Article PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Amino Acids) RN - 0 (HLA Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM CON - Kidney Int. 2018 Nov;94(5):974-982. PMID: 30173899 MH - *Alleles MH - Amino Acids/genetics MH - Glomerulonephritis, Membranous/*genetics MH - HLA Antigens MH - HLA-DRB1 Chains/genetics MH - Humans MH - Phenotype EDAT- 2018/10/24 06:00 MHDA- 2019/03/02 06:00 CRDT- 2018/10/24 06:00 PHST- 2018/06/29 00:00 [received] PHST- 2018/07/03 00:00 [accepted] PHST- 2018/10/24 06:00 [entrez] PHST- 2018/10/24 06:00 [pubmed] PHST- 2019/03/02 06:00 [medline] AID - S0085-2538(18)30488-5 [pii] AID - 10.1016/j.kint.2018.07.010 [doi] PST - ppublish SO - Kidney Int. 2018 Nov;94(5):855-857. doi: 10.1016/j.kint.2018.07.010.