PMID- 38522142 OWN - NLM STAT- MEDLINE DCOM- 20240410 LR - 20240410 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 131 DP - 2024 Apr 20 TI - A cluster of type I interferon-regulated genes associates with disease activity and prognosis in patients with IgA nephropathy. PG - 111920 LID - S1567-5769(24)00438-7 [pii] LID - 10.1016/j.intimp.2024.111920 [doi] AB - The exact pathogenesis of IgA nephropathy (IgAN) is complex and so far, not well defined. Since it has been shown that microbial infections could induce high levels of type I interferon (IFN-I) and there is an evident link between mucosal infection and gross hematuria in IgAN, we hypothesized that IFN-I may play a role in the pathogenic process. In this study, we investigated the type I interferon status in IgAN based on the expression of 17 IFN-regulated genes (IRGs) in whole blood from 59 IgAN patients in a cross-sectional study, of which 34 patients followed longitudinally. Analysis of the IFN-score showed that there was a significant elevated IFN-score in the IgAN patients compared with healthy controls (n = 28, p = 9.80 x 10(-3)), and we observed an elevated IFN-score in the group with less tubular atrophy/interstitial fibrosis (p = 1.07 x 10(-2)) and with a lower proportion of mesangial hypercellularity (p = 1.23 x 10(-2)). In the longitudinal analysis, Cox regression analysis revealed that a higher IFN level was associated with a better renal outcome in IgAN after adjustments for gender and age (hazard ratio, 0.90; 95 % confidence interval, 0.81 to 0.97; p = 4.20 x 10(-2)). In conclusion, our finding suggested that IFN score may represent a novel type of biomarker in IgAN, which requires further exploration on its mechanism and therapeutic targeting. CI - Copyright (c) 2024 Elsevier B.V. All rights reserved. FAU - Qu, Shu AU - Qu S AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Gan, Ting AU - Gan T AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Wang, Yan-Na AU - Wang YN AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Qi, Yuan-Yuan AU - Qi YY AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Zhang, Yue-Miao AU - Zhang YM AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Berthier, Celine C AU - Berthier CC AD - Division of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. FAU - Liu, Li-Jun AU - Liu LJ AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Shi, Su-Fang AU - Shi SF AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Lv, Ji-Cheng AU - Lv JC AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Zhang, Hong AU - Zhang H AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. FAU - Zhou, Xu-Jie AU - Zhou XJ AD - Renal Division, Peking University First Hospital, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China; Research Units of Diagnosis and Treatment of Immune-mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China. Electronic address: zhouxujie@bjmu.edu.cn. LA - eng PT - Journal Article DEP - 20240323 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 0 (Interferon Type I) SB - IM MH - Humans MH - *Glomerulonephritis, IGA/genetics/drug therapy MH - *Interferon Type I/genetics/therapeutic use MH - Cross-Sectional Studies MH - Prognosis MH - Kidney/pathology OTO - NOTNLM OT - Immunoglobulin A nephropathy OT - Interferon signature OT - Interferon-regulated genes OT - Oxford Classification OT - Prognosis COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/03/25 00:42 MHDA- 2024/04/10 06:43 CRDT- 2024/03/24 19:01 PHST- 2023/11/28 00:00 [received] PHST- 2024/03/17 00:00 [revised] PHST- 2024/03/20 00:00 [accepted] PHST- 2024/04/10 06:43 [medline] PHST- 2024/03/25 00:42 [pubmed] PHST- 2024/03/24 19:01 [entrez] AID - S1567-5769(24)00438-7 [pii] AID - 10.1016/j.intimp.2024.111920 [doi] PST - ppublish SO - Int Immunopharmacol. 2024 Apr 20;131:111920. doi: 10.1016/j.intimp.2024.111920. Epub 2024 Mar 23.