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Primary membranous nephropathy (pMN) is an autoimmune kidney disease that is characterised by the deposition of immune complexes on the basement membrane of the glomeruli. The best-known associated autoantibodies target the phospholipase A2 receptor (PLA2R) and thrombospondin type 1 domain containing 7A (THSD7A). In recent years, a large number of new potential markers have been identified in pMN patients, including antibodies against the neural epidermal growth factor-like 1 (NELL1) glycoprotein. In a study by Sethi et al. from 2020, anti-NELL1 antibodies were detected in the renal glomeruli of 16 % of pMN patients.
Euroimmun offers two immunofluorescence assays for the detection of anti-NELL1 antibodies for research use. The Anti-NELL1 IIFT uses cells transfected with NELL1 antigen. In addition to NELL1-transfected cells, the Membranous Nephropathy Mosaic 2 also contains BIOCHIPs with PLA2R- and THSD7A-transfected cells.