Abstract
C1q nephropathy (C1qN) is an uncommon, idiopathic glomerular disease characterized by dominant or codominant C1q deposition primarily in mesangium in patients without evidence of systemic lupus erythematosus, membranoproliferative glomerulonephritis, or infection. It generally presents as a nephrotic syndrome in older children and young adults but is also uncommonly discovered in renal allograft of the transplant patient. There is a wide range of variations in the clinical picture, and biopsy is often diagnostic. Management is conservative with variable outcomes depending on clinical and histological factors. The kidney transplant recipients usually have stable creatinine with no or stable proteinuria and no loss of graft function.
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References
Walport MJ. Complement: first of two parts. N Engl J Med. 2001;344(14):1058–66.
Mueller W, Hanauske-Abel H, Loos M. Biosynthesis of the first component of complement by human and Guinea pig peritoneal macrophages: evidence for an independent production of the C1 subunits. J Immunol. 1978;121:1578–84.
Jennette JC, Hipp CG. C1q nephropathy: a distinct pathologic entity usually causing nephrotic syndrome. Am J Kidney Dis. 1985;6:103–10.
Berger SP, Roos A, Daha MR. Complement and the kidney: what the nephrologist needs to know in 2006? Nephrology Dialysis Transplantation. 2005;20:2613–9.
Vizjak A, Ferluga D, Rožič M, et al. Pathology, clinical presentations, and outcomes of C1q nephropathy. J Am Soc Nephrol. 2008;19:2237–44.
Lim IS, Yun KW, Moon KC, Cheong HI. Proteinuria in a boy with infectious mononucleosis, C1q nephropathy, and Dent's disease. Journal of Korean Medical Science. 2007;22(5):928–31. View at: Publisher Site|Google Scholar
Isaac J, Shihab FS. De novo C1q nephropathy in the renal allograft of a kidney pancreas transplant recipient: BK virus-induced nephropathy? Nephron. 2002;92:431–6.
Said SM, Cornell LD, Valeri AM, et al. C1q deposition in the renal allograft: a report of 24 cases. Mod Pathol. 2010;23(8):1080–8.
Srivastava T, Chadha V. C1q nephropathy presenting as rapidly progressive crescentic glomerulonephritis. Clinical and Experimental Nephrology. 2009;13(4):263–74.
Said SM, Cornell LD, Valeri AM, Sethi S, Fidler ME, Cosio FG, Nasr SH. C1q deposition in the renal allograft: a report of 24 cases. Mod Pathol. 2010;23(8):1080–8. https://doi.org/10.1038/modpathol.2010.92. Epub 2010 May 14
Malleshappa P, Ranganath R, Chaudhari AP, Ayiangar A, Lohitaksha S. C1q nephropathy presenting as acute renal failure. Saudi J Kidney Dis Transpl. 2011;22(2):324–6.
Joe Devasahayam, Gowrishankar Erode-Singaravelu, Zeenat Bhat, Tony Oliver, Arul Chandran, Xu Zeng, Paramesh Dakshinesh, and Unni Pillai. C1q nephropathy: the unique underrecognized pathological entity.
Sharman A, Furness P, Feehally J. Distinguishing C1q nephropathy from lupus nephritis. Nephrology Dialysis Transplantation. 2004;19(6):1420–6. https://doi.org/10.1093/ndt/gfh139.
Markowitz GS, Schwimmer JA, Stokes MB, et al. C1q nephropathy: a variant of focal segmental glomerulosclerosis. Kidney Int. 2003;64(4):1232–40.
Jennette JC, Falk RJ. C1q nephropathy. In: Massry SG, Glassock R, editors. Textbook of nephrology. 4th ed. Philadelphia: Lippincott-Williams & Wilkins; 2000. p. 730–3.
Jennette JC, Hipp CG. Immunohistopathologic evaluation of C1q in 800 renal biopsy specimens. Am J Clin Pathol. 1985;83:415–20.
Mii A, Shimizu A, Masuda Y, Fujita E, Aki K, Ishizaki M, Sato S, Griesemer A, Fukuda Y. Current status and issues of C1q nephropathy. Clin Exp Nephrol. 2009;13(4):263–74. https://doi.org/10.1007/s10157-009-0159-5. Epub 2009 Apr 17. PMID: 19373520
Sinha A, Nast CC, Hristea I, Vo AA, Jordan SC. Resolution of clinical and pathologic features of C1q nephropathy after rituximab therapy. Clin Exp Nephrol. 2011;15:164–70.
Markowitz GS, Schwimmer JA, Stokes MB, Nasr S, Seigle RL, Valeri AM, D'Agati VD. C1q nephropathy: a variant of focal segmental glomerulosclerosis. Kidney Int. 2003;64(4):1232–40. https://doi.org/10.1046/j.1523-1755.2003.00218.x.
Fukuma Y, Hisano S, Segawa Y, Niimi K, Tsuru N, Kaku Y, Hatae K, Kiyoshi Y, Mitsudome A, Iwasaki H. Clinicopathologic correlation of C1q nephropathy in children. Am J Kidney Dis. 2006;47(3):412–8. https://doi.org/10.1053/j.ajkd.2005.11.013.
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Sharma, K.L., Singh, R.B., Zhong, W. (2022). C1q Nephropathy in Kidney Transplant Recipients. In: Aziz, F., Parajuli, S. (eds) Complications in Kidney Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-031-13569-9_43
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DOI: https://doi.org/10.1007/978-3-031-13569-9_43
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