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- Fehmi, Janev, et al.
(författare)
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Contactin-1 links autoimmune neuropathy and membranous glomerulonephritis
- 2023
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Ingår i: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 18:3 March
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Tidskriftsartikel (refereegranskat)abstract
- Membranous glomerulonephritis (MGN) is a common cause of nephrotic syndrome in adults, mediated by glomerular antibody deposition to an increasing number of newly recognised antigens. Previous case reports have suggested an association between patients with anti-contactin-1 (CNTN1)-mediated neuropathies and MGN. In an observational study we investigated the pathobiology and extent of this potential cause of MGN by examining the association of antibodies against CNTN1 with the clinical features of a cohort of 468 patients with suspected immune-mediated neuropathies, 295 with idiopathic MGN, and 256 controls. Neuronal and glomerular binding of patient IgG, serum CNTN1 antibody and protein levels, as well as immune-complex deposition were determined. We identified 15 patients with immune-mediated neuropathy and concurrent nephrotic syndrome (biopsy proven MGN in 12/12), and 4 patients with isolated MGN from an idiopathic MGN cohort, all seropositive for IgG4 CNTN1 antibodies. CNTN1-containing immune complexes were found in the renal glomeruli of patients with CNTN1 antibodies, but not in control kidneys. CNTN1 peptides were identified in glomeruli by mass spectroscopy. CNTN1 seropositive patients were largely resistant to first-line neuropathy treatments but achieved a good outcome with escalation therapies. Neurological and renal function improved in parallel with suppressed antibody titres. The reason for isolated MGN without clinical neuropathy is unclear. We show that CNTN1, found in peripheral nerves and kidney glomeruli, is a common target for autoantibody-mediated pathology and may account for between 1 and 2% of idiopathic MGN cases. Greater awareness of this cross-system syndrome should facilitate earlier diagnosis and more timely use of effective treatment.
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| 3. |
- Leone, G., et al.
(författare)
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Polyolefin thermoplastic elastomers from 1-octene chain-walking polymerization
- 2016
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Ingår i: Polymer. - : Elsevier BV. - 0032-3861. ; 100, s. 37-44
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Tidskriftsartikel (refereegranskat)abstract
- This work reports the polymerization of 1-octene to yield semicrystalline, branched poly(ethylene) like materials with high molecular weight and narrow molecular weight distribution. The polymerization of 1-octene was catalyzed by an alpha-diimine Ni(II) complex [(ArN)C(CH3)-(CH3) C(NAr)]NiBr2 [Ar = 2,6-(iPr)(2)C6H3], in combination with different aluminum alkyls, i.e., Et2AlCl, MAO and MMAO. The effect of the aluminum alkyl, monomer concentration, polymerization temperature and Al/Ni ratio on the activity, selectivity of monomer insertion, polymers microstructure, and structure/properties is investigated. The results indicate the possibility to tune the polymer microstructure, which in turn strongly affects the structure, thermal and mechanical polymer properties. Mechanical testing carried out by uniaxial stretching until failure and step-cycle tensile experiments served to establish these materials as a new class of polyolefin thermoplastic elastomers with different performances depending on the microstructure and crystallinity.
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