Renal cell carcinoma and paraneoplastic IgA nephropathy

Tamás Magyarlaki, B. Kiss, I. Buzogány, A. Fazekas, F. Sükösd, J. Nagy

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35 Citations (Scopus)

Abstract

Paraneoplastic nephropathy is rarely associated with human tumors. Little is known about the pathogenetic background of this relationship. To our knowledge, no conclusive study of the association of potentially 'immunogenic' renal cell carcinoma (RCC) and paraneoplastic nephropathy has been published. For this reason, we performed an immunohistochemical analysis of native resected kidneys of 60 patients with RCC, paying special attention to their pre- and postoperative records. Sixteen (27%) of the 60 tumor patients had immune complex nephropathy (11 IgA nephropathy [IgA NP] and 5 focal segmental glomerulosclerosis [FSGS]). Preoperative proteinuria and/or hematuria observed in 11 of 16 cases disappeared in 6 IgA NP patients within a 2- to 3-month follow-up after nephrectomy. Eleven of 16 tumors stained with the anti human immunoglobulin (IgA or IgM) of the same isotype as that present in glomerular immune complexes. In 3 IgA NP patients RCC-associated von Hippel-Lindau (VHL) protein and IgA staining were found simultaneously in the tumor and glomeruli, with the clinical and laboratory findings disappearing after nephrectomy. Immune injury of the glomeruli due to a tumor-induced antigen-antibody response was demonstrated in these 3 IgA NP patients.

Original languageEnglish
Pages (from-to)127-130
Number of pages4
JournalNephron
Volume82
Issue number2
DOIs
Publication statusPublished - Jan 1 1999

Keywords

  • Paraneoplastic IgA nephropathy
  • Renal cell carcinoma

ASJC Scopus subject areas

  • Physiology
  • Nephrology
  • Urology
  • Physiology (medical)

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  • Cite this

    Magyarlaki, T., Kiss, B., Buzogány, I., Fazekas, A., Sükösd, F., & Nagy, J. (1999). Renal cell carcinoma and paraneoplastic IgA nephropathy. Nephron, 82(2), 127-130. https://doi.org/10.1159/000045388