PMID- 33490113 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220420 IS - 2296-9381 (Print) IS - 2296-9357 (Electronic) IS - 2296-9357 (Linking) VI - 6 IP - 5 DP - 2020 Sep TI - Advances in Pathogenesis of Idiopathic Membranous Nephropathy. PG - 330-345 LID - 10.1159/000507704 [doi] AB - BACKGROUND: Membranous nephropathy (MN), a major cause of nephrotic syndrome, has attracted people's attention in recent years for its growing prevalence. It is the second or third leading cause of ESRD in patients with primary glomerulonephritis and is the leading glomerulopathy that recurs after kidney transplantation. SUMMARY: MN can be classified as idiopathic membranous nephropathy (IMN) and secondary MN. The discovery of the M-type phospholipase A2 receptor (PLA2R) and thrombospondin type-1 domain-containing 7A (THSD7A) provides the new diagnostic methods and treatment strategies for IMN on the molecular level. The study on single nucleotide polymorphism of IMN genes, such as the single M-type phospholipase A2 receptor 1 (PLA2R1) gene and human leukocyte antigen (HLA) gene, explains the pathogenesis of the disease from the perspective of genetics and conforms to the trend of the era of precision medicine. KEY MESSAGES: This review focuses on advances in the pathogenesis of IMN, including molecular and genetic pathogenesis, as well as discussing the diagnostic and treatment guiding value brought by these new discoveries. CI - Copyright (c) 2020 by S. Karger AG, Basel. FAU - Xu, Zhifeng AU - Xu Z AD - Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Chen, Lu AU - Chen L AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Xiang, Huiling AU - Xiang H AD - Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Zhang, Chun AU - Zhang C AD - Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Xiong, Jing AU - Xiong J AD - Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. LA - eng PT - Journal Article PT - Review DEP - 20200602 PL - Switzerland TA - Kidney Dis (Basel) JT - Kidney diseases (Basel, Switzerland) JID - 101658365 PMC - PMC7745661 OTO - NOTNLM OT - Membranous nephropathy OT - Phospholipase A2 receptor OT - Podocyte autoantigen OT - Single nucleotide polymorphisms OT - Thrombospondin type-1 domain-containing 7A COIS- The authors have no conflicts of interest to declare. EDAT- 2021/01/26 06:00 MHDA- 2021/01/26 06:01 PMCR- 2021/09/01 CRDT- 2021/01/25 05:44 PHST- 2019/10/02 00:00 [received] PHST- 2020/04/02 00:00 [accepted] PHST- 2021/01/25 05:44 [entrez] PHST- 2021/01/26 06:00 [pubmed] PHST- 2021/01/26 06:01 [medline] PHST- 2021/09/01 00:00 [pmc-release] AID - kdd-0006-0330 [pii] AID - 10.1159/000507704 [doi] PST - ppublish SO - Kidney Dis (Basel). 2020 Sep;6(5):330-345. doi: 10.1159/000507704. Epub 2020 Jun 2.