Utility of different anti-IgG antibodies in recognition of punctate (powdery) podocyte staining by immunofluorescence in patients with diffuse podocyte foot process effacement

不同抗IgG抗体在弥漫性足细胞足突消失患者免疫荧光检测点状(粉末状)足细胞染色中的应用价值

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Abstract

Circulating anti-nephrin autoantibodies recently were recognized as a possible pathogenic factor in patients with steroid-resistant minimal change disease. In a kidney biopsy, these patients have punctate ("powdery") staining in the podocytes by immunofluorescence. Previously published data described such pattern of staining by using anti-IgG Dako antibody. In the routine practice, different laboratories use different anti-IgG antibodies from a variety of vendors. The aim of this work was to compare the ability to recognize the punctate staining in the podocyte by two different anti-IgG antibodies (Dako and Kent) that are in use in our routine renal pathology practice. Our data indicates that both anti-IgG antibodies recognize the punctate ("powdery) staining in the podocytes in a subset of patients with minimal change disease.

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