Histological Correlation between Tonsillar and Glomerular Lesions in Patients with IgA Nephropathy Justifying Tonsillectomy: A Retrospective Cohort Study Article Swipe
YOU?
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· 2024
· Open Access
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· DOI: https://doi.org/10.3390/ijms25105298
Tonsillectomy with steroid pulse therapy (SPT) has been established as an effective treatment for immunoglobulin A nephropathy (IgAN) in Japan. However, the underlying mechanisms supporting tonsillectomy remain unclear. This study assessed palatine tonsils from 77 patients with IgAN, including 14 and 63 who received SPT before and after tonsillectomy, respectively. Tonsils from 21 patients with chronic tonsillitis were analyzed as controls. Specific tonsillar lesions were confirmed in patients with IgAN, correlating with active or chronic renal glomerular lesions and SPT. T-nodule and involution of lymphoepithelial symbiosis scores in tonsils correlated with the incidence of active crescents and segmental sclerosis in the glomeruli, respectively. The study revealed an essential role of the tonsil–glomerular axis in early active and late chronic phases. Moreover, the SPT-preceding group demonstrated no changes in the T-nodule score, which correlated with active crescent formation, but exhibited a considerable shrinkage of lymphatic follicles that produced aberrant IgA1. The study underscores the involvement of innate and cellular immunity in IgAN and advocates for tonsillectomy as a necessary treatment alongside SPT for IgAN, based on a stepwise process.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/ijms25105298
- https://www.mdpi.com/1422-0067/25/10/5298/pdf?version=1715761000
- OA Status
- gold
- Cited By
- 2
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396891414
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396891414Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/ijms25105298Digital Object Identifier
- Title
-
Histological Correlation between Tonsillar and Glomerular Lesions in Patients with IgA Nephropathy Justifying Tonsillectomy: A Retrospective Cohort StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-13Full publication date if available
- Authors
-
Kensuke Joh, Hiroyuki Ueda, Kan Katayama, Hiroshi Kitamura, Kenichi Watanabe, Osamu HottaList of authors in order
- Landing page
-
https://doi.org/10.3390/ijms25105298Publisher landing page
- PDF URL
-
https://www.mdpi.com/1422-0067/25/10/5298/pdf?version=1715761000Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/1422-0067/25/10/5298/pdf?version=1715761000Direct OA link when available
- Concepts
-
Tonsillectomy, Medicine, Tonsil, Nephropathy, Tonsillitis, Pathology, Gastroenterology, Endocrinology, Diabetes mellitusTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2Per-year citation counts (last 5 years)
- References (count)
-
39Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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