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   <dc:title>Low factor H-related 5 levels contribute to infection-triggered haemolytic uraemic syndrome and membranoproliferative glomerulonephritis</dc:title>
   <dc:creator>Gómez Delgado, Irene</dc:creator>
   <dc:creator>Gutiérrez-Tenorio, Josué</dc:creator>
   <dc:creator>Fraga Rodríguez, Gloria María</dc:creator>
   <dc:creator>Cavero Escribano, Teresa</dc:creator>
   <dc:creator>Arjona, Emilia</dc:creator>
   <dc:creator>Sánchez-Corral, Pilar</dc:creator>
   <dc:creator>Universitat Autònoma de Barcelona</dc:creator>
   <dc:subject>CFHR5</dc:subject>
   <dc:subject>Complement</dc:subject>
   <dc:subject>HCV</dc:subject>
   <dc:subject>HUS</dc:subject>
   <dc:subject>MPGN</dc:subject>
   <dc:subject>Streptococcus</dc:subject>
   <dc:subject>Pneumoniae</dc:subject>
   <dcterms:abstract>Dysregulation of the alternative complement pathway is a major pathogenic mechanism in two rare renal diseases: atypical haemolytic uraemic syndrome (aHUS) and membranoproliferative glomerulonephritis (MPGN). We report on a 66-year-old male with chronic hepatitis C virus (HCV) infection and a combined liver-kidney transplant that was diagnosed with MPGN at the age of 63 years and a 5-year-old boy who presented with aHUS at the age of 21 months following a Streptococcus pneumoniae infection. Both patients carried similar frameshift variants in the complement CFHR5 gene that segregate with reduced levels of factor H-related 5 (FHR-5). We conclude that low FHR-5 levels may predispose to viral and bacterial infections that then trigger different renal phenotypes.</dcterms:abstract>
   <dcterms:issued>2020</dcterms:issued>
   <dc:type>Altres</dc:type>
   <dc:relation>Ministerio de Economía y Competitividad PI16/00723</dc:relation>
   <dc:relation>Ministerio de Economía, Industria y Competitividad SAF2014-52339P</dc:relation>
   <dc:relation>Ministerio de Economía y Competitividad BES-2015-073833</dc:relation>
   <dc:relation>Clinical Kidney Journal ; Vol. 14 (march 2020), p. 707-709</dc:relation>
   <dc:rights>open access</dc:rights>
   <dc:rights>Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.</dc:rights>
   <dc:rights>https://creativecommons.org/licenses/by-nc/4.0/</dc:rights>
   <dc:publisher/>
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