mortality/aging
• spontaneous mortality is seen, with a median age of survival of about 16 weeks
• mice administered anti-C5 antibody show improved survival rate, with 13 of 16 mice surviving compared to 3 of 16 mice on isotype-control treatment surviving, however withdrawal of anti-C5 mAb treatment after 16 weeks results in mice succumbing to the disease
• mice treated with anti-C5 mAb for 24 weeks show improved survival, with about 30% mortality
• mice treated with anti-C3b antibodies show improved survival rate, with 13 of 14 mice surviving compared to 3 of 14 on isotype control mAb treatment
• mice treated with anti-CFB antibodies show improved survival rate, with 16 of 17 mice surviving compared to 3 of 17 on isotype control mAb treatment
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renal/urinary system
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• elevation in urinary albumin (normalized to urinary creatinine), indicting glomerular injury
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• increase in podocyte foot process width
• decrease in foot process number
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• the glomerular basement membrane contains electron-lucent subendothelial spaces (rarefactions), with or without flocculent material
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• thickening and contortion of the glomerular basement membrane
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• kidneys show multiple glomerular lesions, including membranoproliferative glomerulopathy, hypertrophy of mesangial cells, segmental to global glomerular sclerosis, fibrin deposition with necrosis and leukocyte infiltration, and epithelial crescents
• mice treated with anti-C5 mAb for 24 weeks show a reduction in glomerular hypertrophy, glomerular and tubular injury score, and neutrophil and macrophage infiltration
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• endothelium with a reduction in fenestrae
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• mesangium is expanded
• both mesangial and subepithelial electron-dense deposits are seen
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• hypertrophy of mesangial cells
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• segmental to global glomerular sclerosis
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• a little IgG deposition in seen in the glomeruli, which could be secondary to tissue damage and subsequent neoepitope generation or vascular leak
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• kidneys show tubular and interstitial changes consistent with tubular necrosis, degeneration, and tubulitis
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• elevation in BUN and sCysC, markers of glomerular infiltration, indicating failing kidneys
• mice dosed with anti-C5, anti-C3b, or anti-CFB antibodies show improvement in kidney function, as measured by BUN and sCysC
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liver/biliary system
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• livers show bile duct hyperplasia
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• livers show inflammation in the portal region
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homeostasis/metabolism
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• mice show deposition of C3 and C5b-9 (MAC) in glomeruli, both in the capillary wall and in the mesangium suggesting local complement activation and deposition in the kidneys
• livers show C3 deposition
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• mice show deposition of C5b-9 (MAC) in glomeruli, both in the capillary wall and in the mesangium
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• elevation in urinary albumin (normalized to urinary creatinine), indicting glomerular injury
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immune system
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• mice show deposition of C3 and C5b-9 (MAC) in glomeruli, both in the capillary wall and in the mesangium suggesting local complement activation and deposition in the kidneys
• livers show C3 deposition
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• mice show deposition of C5b-9 (MAC) in glomeruli, both in the capillary wall and in the mesangium
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• livers show inflammation in the portal region
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hematopoietic system
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• slight, but significant, decrease in red blood cells
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• slight, but significant, decrease in total hemoglobin, but unaltered serum levels of free hemoglobin
• however, no change in hematocrit and mice do not present with classic signs of thrombotic microangiopathy and schistocytes are not seen
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endocrine/exocrine glands
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• livers show bile duct hyperplasia
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cardiovascular system
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• endothelium with a reduction in fenestrae
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cellular
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• hypertrophy of mesangial cells
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Mouse Models of Human Disease |
DO ID | OMIM ID(s) | Ref(s) | |
membranoproliferative glomerulonephritis | DOID:2920 |
OMIM:305800 |
J:369997 |