Inflammation plays a critical role in 2,8-dihydroxyadenine nephropathy

Autor: Bouderlique, Elise, Tang, Ellie, Perez, Joëlle, Ea, Hang-Korng, Renaudin, Felix, Coudert, Amélie, Vandermeersch, Sophie, Bazin, Dominique, Haymann, Jean-Philippe, Saint-Jacques, Camille, Frochot, Vincent, Daudon, Michel, Letavernier, Emmanuel
Jazyk: English<br />French
Rok vydání: 2021
Předmět:
Zdroj: Comptes Rendus. Chimie, Vol 25, Iss S1, Pp 393-405 (2021)
Druh dokumentu: article
ISSN: 1878-1543
DOI: 10.5802/crchim.92
Popis: Adenine phosphoribosyltransferase (APRT) deficiency is a genetic disease characterized by an increased production of 2,8 dihydroxyadenine (2,8-DHA) precipitating in urine, leading to a crystalline nephropathy and end-stage renal disease. Here, we describe the high prevalence of granuloma (88%) in biopsies from patients with APRT deficiency. A murine model of 2,8-DHA nephropathy was generated, showing that anakinra or dexamethasone, combined with allopurinol, improved renal function to a larger extent than allopurinol alone, the standard therapy. Inflammation plays a critical role in the development of 2,8-DHA nephropathy, and therapy based upon drugs targeting innate immunity could improve renal function recovery.
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