PMID- 37685941 OWN - NLM STAT- MEDLINE DCOM- 20230911 LR - 20230911 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 17 DP - 2023 Aug 23 TI - Present and Future of IgA Nephropathy and Membranous Nephropathy Immune Monitoring: Insights from Molecular Studies. LID - 10.3390/ijms241713134 [doi] LID - 13134 AB - IgA Nephropathy (IgAN) and Membranous Nephropathy (MN) are primary immune-mediated glomerular diseases with highly variable prognosis. Current guidelines recommend that greater immunologic activity and worse prognosis should guide towards the best treatment in an individualized approach. Nevertheless, proteinuria and glomerular filtration rate, the current gold standards for prognosis assessment and treatment guidance in primary glomerular diseases, may be altered with chronic damage and nephron scarring, conditions that are not related to immune activity. In recent years, thanks to the development of new molecular technologies, among them genome-wide genotyping, RNA sequencing techniques, and mass spectrometry, we have witnessed an outstanding improvement in understanding the pathogenesis of IgAN and MN. In addition, recent genome-wide association studies have suggested potential targets for immunomodulating agents, stressing the need for the identification of specific biomarkers of immune activity. In this work, we aim to review current evidence and recent progress, including the more recent use of omics techniques, in the identification of potential biomarkers for immune monitoring in IgAN and MN. FAU - Zanoni, Francesca AU - Zanoni F AD - Division of Nephrology, Dialysis and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Abinti, Matteo AU - Abinti M AUID- ORCID: 0009-0004-8351-2307 AD - Division of Nephrology, Dialysis and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. AD - Department of Clinical Sciences and Community Health, Universita degli Studi di Milano, 20122 Milan, Italy. FAU - Belingheri, Mirco AU - Belingheri M AD - Division of Nephrology, Dialysis and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Castellano, Giuseppe AU - Castellano G AD - Division of Nephrology, Dialysis and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. AD - Department of Clinical Sciences and Community Health, Universita degli Studi di Milano, 20122 Milan, Italy. LA - eng PT - Journal Article PT - Review DEP - 20230823 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Humans MH - *Glomerulonephritis, IGA/genetics MH - *Glomerulonephritis, Membranous/genetics MH - Genome-Wide Association Study MH - Monitoring, Immunologic MH - Kidney Glomerulus PMC - PMC10487514 OTO - NOTNLM OT - IgA nephropathy OT - antibodies OT - membranous nephropathy OT - monitoring OT - precision medicine COIS- The authors declare no conflict of interest. EDAT- 2023/09/09 11:43 MHDA- 2023/09/11 06:42 PMCR- 2023/08/23 CRDT- 2023/09/09 01:10 PHST- 2023/07/05 00:00 [received] PHST- 2023/08/13 00:00 [revised] PHST- 2023/08/17 00:00 [accepted] PHST- 2023/09/11 06:42 [medline] PHST- 2023/09/09 11:43 [pubmed] PHST- 2023/09/09 01:10 [entrez] PHST- 2023/08/23 00:00 [pmc-release] AID - ijms241713134 [pii] AID - ijms-24-13134 [pii] AID - 10.3390/ijms241713134 [doi] PST - epublish SO - Int J Mol Sci. 2023 Aug 23;24(17):13134. doi: 10.3390/ijms241713134.