FCN2和MASP1与IgA肾病预后风险分层的相关性
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苏州大学附属第一医院肾内科,江苏 苏州 215006

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江苏省自然科学基金(BK20231199);苏州市医疗卫生创新项目(SKY2022141);急诊医学重庆市重点实验室开放课题(2023KFKT07)


The correlation of FCN2 and MASP1 with prognostic risk stratification in IgA nephropathy
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Department of Nephrology,the First Affiliated Hospital of Soochow University,Suzhou 215006 ,China

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    摘要:

    目的:探讨补体凝集素途径相关因子纤维胶凝蛋白(ficolin,FCN)2 和甘露糖结合凝集素相关的丝氨酸蛋白酶 (mannose-binding lectin-associated serine protease,MASP)1在IgA肾病危险分层中的预测价值,并评估其在南京IgA肾病危险分层系统(Nanjing IgAN risk stratification system,NJIgAN-RSS)中的应用前景。方法:共纳入51例经肾活检确诊的原发性IgA肾病患者及20例健康对照者,通过酶联免疫吸附试验检测血清中FCN2和MASP1的浓度。根据NJIgAN-RSS模型,将患者分为低危组(RSS 0~1分)和中高危组(RSS 2~4分)。分析FCN2和MASP1与各临床病理指标间的相关性,并探讨它们在IgA肾病危险分层中的预测价值。结果:IgA肾病患者血清FCN2水平显著高于健康对照组,且与尿蛋白/尿肌酐比值(urine protein-to-creati- nine ratio,UPCR)、24 h 尿蛋白排泄量(urine protein excretion,UPE)及牛津病理分型中毛细血管内细胞增生呈正相关;而 MASP1与UPCR、UPE及尿红细胞呈正相关。eGFR和血清FCN2为IgA肾病中高危组的独立预测因子。结论:血清FCN2在IgA 肾病预后分层中具有较高的预测价值。

    Abstract:

    Objective:To explore the predictive value of ficolin(FCN)2 and mannose - binding lectin - associated serine protease (MASP)1 in the risk stratification of IgA nephropathy,and to assess their potential application in the Nanjing IgA nephropathy risk stratification system(NJIgAN-RSS). Methods:A total of 51 patients with primary IgA nephropathy confirmed by renal biopsy and 20 healthy controls were enrolled. Serum levels of FCN2 and MASP1 were measured by enzyme -linked immunosorbent assay(ELISA). Based on the NJIgAN - RSS,patients were divided into a low - risk group(RSS 0- 1)and a moderate - high - risk group(RSS 2- 4). Correlation analyses were conducted to evaluate the relationships between FCN2,MASP1,and various clinical and pathological indicators. Additionally,the predictive value of these biomarkers in the risk stratification of IgA nephropathy was explored. Results: Serum FCN2 levels in patients with IgA nephropathy were significantly elevated compared to those in healthy controls. Furthermore, FCN2 levels exhibited a positive correlation with the urine protein-to-creatinine ratio(UPCR),24 h urine protein excretion(UPE),and endocapillary hypercellularity. Additionally,MASP1 levels demonstrated a positive correlation with UPCR,UPE,and urinary red blood cells. Notably,both eGFR and serum FCN2 were identified as independent predictors for the medium - to - high - risk group in IgA nephropathy. Conclusion:Serum FCN2 possesses a high predictive value for prognostic risk stratification in IgA nephropathy.

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姜俞濛,卢国元,李建中. FCN2和MASP1与IgA肾病预后风险分层的相关性[J].南京医科大学学报(自然科学版),2025,(11):1616-1625

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  • 收稿日期:2025-04-26
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  • 在线发布日期: 2025-11-12
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