CD8+ Cells and Glomerular Crescent Formation: Outside-in As Well As Inside-out

Overview

Journal J Clin Invest

Specialty General Medicine

Date 2018 Jul 10

PMID 29985169

Citations 5

Authors

A Richard Kitching

Maliha A Alikhan

Affiliations

Soon will be listed here.

Abstract

Crescentic glomerulonephritis, a complication of severe immune glomerular injury, is the pathological correlate of rapidly progressive glomerulonephritis, mediated by both humoral and cellular effectors. In the current issue of the JCI, Chen et al. have implicated Bowman's capsule in functionally isolating potentially immune effectors, specifically antigen-specific CD8+ T lymphocytes, from podocytes. They suggest that, in crescentic glomerulonephritis, immune-mediated glomerular endothelial injury results in inside-out injury to the glomerulus, with subsequent leukocyte migration through a weakened or ruptured Bowman's capsule, resulting in outside-in injury. Effector T cells then recognize nephritogenic antigens presented by podocytes or other cells within the urinary space, enhancing injury and crescent formation.

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