REVIEW PAPER
ANCA Glomerulonephritis after COVID-19 and post-COVID-19 vaccination – current state of knowledge
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1
Medical University, Lublin, Poland
2
Morphological Sciences Department, Institute of Medical Sciences, Medical College of the University, Rzeszów, Poland
3
Medical Centre, Łańcut, Poland
4
F. Chopin University Clinical Hospital, Rzeszów, Poland
5
Provincial Specialist Hospital, Research and Development Centre, Wrocław, Poland
6
Polish Red Cross Maritime Hospital, Gdynia, Poland
7
T. Marciniak Lower Silesian Specialist Hospital – Emergency Medicine Centre, Wrocław, Poland
8
Medical University of Silesia in Katowice, Poland
9
T. Marciniak Lower Silesian Specialist Hospital - Emergency Medicine Center in Wrocław, Poland
J Pre Clin Clin Res. 2024;18(1):67-73
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
In recent years, cases of secondary glomerulonephritis associated with anti-neutrophil
cytoplasmic antibodies (ANCA-GN) have been reported following COVID-19 infection or vaccination against SARS-CoV-2. The aim of the study was to analyze publications related to this issue and to highlight both the benefits of vaccination and the potential for secondary immune responses to both infection and vaccination against COVID-19.
Review methods:
A literature review was conducted on sources available up to December 2023, utilizing databases such
as PubMed, Cochrane, and Google Scholar. The analysis included cases of ANCA-associated glomerulonephritis (ANCA-GN) following SARS-CoV-2 infection and after COVID-19 vaccination
Brief description of the state of knowledge:
ANCA-associated vasculitis (AAV) is an inflammation of small and medium
vessels affecting all systems, including the kidneys. Various causes contribute to the development of AAV, including pathogenic microorganisms and individual abnormal reactions to vaccinations, which can lead to autoimmunization. Since the Covid-19 pandemic, cases of ANCA-GN have been observed in patients without prior autoimmune diseases. The rapid progression of the COVID-19 pandemic led to a significant acceleration in the development of dedicated vaccines, thereby preventing a considerable number of deaths caused by the infection.
Summary:
ANCA-associated glomerulonephritis post COVID-19 can be linked to both infection and vaccination, which may act as triggers for autoimmune responses. These mechanisms require further investigation. Vaccine-induced ANCA-GN following COVID-19 vaccination is rare, and vaccinations represent an appropriate strategy to combat this disease.
Tomasik JM, Sajdak P, Ziajor S, Turski M, Bednarski A, Dębik M, Stodolak M, Szydłowski Ł, Krużel A, Żurowska K, Kłos K. ANCA Glomerulonephritis
after COVID-19 and post-COVID-19 vaccination – current state of knowledge. J Pre-Clin Clin Res. 2024; 18(1): 67–73. doi: 10.26444/jpccr/186198
REFERENCES (65)
2.
He X, Wen Y, Hu R, Wu H, Ye W, Yue C, et al. Interstitial nephritis without glomerulonephritis in ANCA-associated vasculitis: a case series and literature review. Clin Rheumatol. 2022;41(11):3551–63.
https://doi. org/10.1007/S10067-022-06264-2.
3.
Molnár A, Studinger P, Ledó N. Diagnostic and Therapeutic Approach in ANCA-Associated Glomerulonephritis: A Review on Management Strategies. Front Med. 2022;9:884188.
https://doi.org/10.3389/ FMED.2022.884188.
4.
Scott J, Hartnett J, Mockler D, Little MA. Environmental risk factors associated with ANCA associated vasculitis: A systematic mapping review. Autoimmun Rev. 2020;19(11):102660.
https://doi.org/10.1016/J. AUTREV.2020.102660.
5.
Uddin K, Mohamed KH, Agboola AA, Naqvi WA, Hussaini H, Mohamed AS, et al. Antineutrophil Cytoplasmic Antibody (ANCA)- Associated Renal Vasculitis Following COVID-19 Vaccination: A Case Report and Literature Review. Cureus 2022;14(10): e30206.
https://doi. org/10.7759/CUREUS.30206.
6.
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus–Infected Pneumonia. NEJM 2020;382(13):1199–1207.
https://doi.org/10.1056/ NEJMOA2001316.
7.
Yang Y, Peng F, Wang R, Guan K, Jiang T, Xu G, et al. The deadly coronaviruses: The 2003 SARS pandemic and the 2020 novel coronavirus epidemic in China. J Autoimmun. 2020;109:102434.
https://doi. org/10.1016/J.JAUT.2020.102434.
8.
COVID-19 cases | WHO COVID-19 dashboard n.d.
https://data.who. int/dashboards/covid19/cases?n=c (accessed 2024.01.20.).
9.
Ahmadian E, Hosseiniyan Khatibi SM, Razi Soofiyani S, Abediazar S, Shoja MM, Ardalan M, etal. Covid-19 and kidney injury: Pathophysiology and molecular mechanisms. Rev Med Virol. 2021;31(3):e2176. https:// doi.org/10.1002/RMV.2176.
10.
Cheng Y, Luo R, Wang K, et al. Kidney disease is associated with in- hospital death of patients with COVID-19. Kidney Int. 2020;97(5):829–838.
https://doi.org/10.1016/j.kint....
11.
Izci Duran T, Turkmen E, Dilek M, Sayarlioglu H, Arik N. ANCA- associated vasculitis after COVID-19. Rheumatol Int. 2021;41(8):1523–1529.
https://doi.org/10.1007/S00296....
12.
Gambella A, Barreca A, Biancone L, Roccatello D, Peruzzi L, Besso L, et al. Spectrum of Kidney Injury Following COVID-19 Disease: Renal Biopsy Findings in a Single Italian Pathology Service. Biomolecules. 2022;12(2):298.
https://doi.org/10.3390/BIOM12....
13.
Banjongjit A, Thammathiwat T, Townamchai N, Kanjanabuch T. SARS- CoV-2 infection associated with antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis (ANCA-GN): a systematic review and two case reports. J Nephrol. Published online 6 November 2023:1–11.
https://doi.org/10.1007/S40620....
14.
Lurie N, Saville M, Hatchett R, Halton J. Developing Covid-19 Vaccines at Pandemic Speed. NEJM. 2020;382(21):1969–1973.
https://doi. org/10.1056/NEJMP2005630.
15.
Cheng H, Peng Z, Luo W, Si S, Mo M, Zhou H, et al. Efficacy and safety of covid-19 vaccines in phase iii trials: A meta-analysis. Vaccines 2021;9(6):582.
https://doi.org/10.3390/VACCIN....
16.
Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. NEJM. 2020;383(27):2603–2615.
https://doi.org/10.1056/NEJMOA....
17.
Turkmen K, Ozer H, Tesar V. An update on dıagnosıs and treatment of ANCA assocıated renal vasculıtıs. Int Urol Nephrol. 2023;55(11):2817–2827.
https://doi.org/10.1007/S11255....
18.
Geetha D, Jefferson JA. ANCA-Associated Vasculitis: Core Curriculum 2020. Am J Kidney Dis. 2020;75(1):124–137.
https://doi.org/10.1053/J. AJKD.2019.04.031.
19.
Aydin Z, Turkmen K, Dede F, Yasar E, Ozturk S, Aydin M, et al.
Demographic, clinical and laboratory characteristics of rapidly
progressive glomerulonephritis in Turkey: Turkish Society of
Nephrology-Glomerular Diseases (TSN-GOLD) Working Group. Clin
Exp Nephrol. 2021;25(2):173–183.
https://doi.org/10.1007/S10157...-
01978-6
20.
Tanna A, Pusey CD. The Histopathological Classification of ANCA-associated Glomerulonephritis Comes of Age. J Rheumatol. 2017;44(3):265–267.
https://doi.org/10.3899/JRHEUM....
21.
Jennette JC, Falk RJ, Bacon PA, Basu N, Cid MC, Ferrario F, et al. 2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum. 2013;65(1):1–11. https:// doi.org/10.1002/ART.37715.
22.
Kitching AR, Anders HJ, Basu N, Brouwer E, Gordon J, Jayne DR, et al. ANCA-associated vasculitis. Nat Rev Dis Primers. 2020 6:1 2020;6(1):1–27.
https://doi.org/10.1038/s41572....
23.
Wallace ZS, Stone JH. Personalized Medicine in ANCA-Associated Vasculitis ANCA Specificity as the Guide? Front Immunol. 2019;10:2855.
https://doi.org/10.3389/FIMMU.....
24.
Lyons PA, Peters JE, Alberici F, Liley J, Coulson RMR, Astle W, et al. Genome-wide association study of eosinophilic granulomatosis with polyangiitis reveals genomic loci stratified by ANCA status. Nat Commun. 2019 10:1 2019;10(1):1–13.
https://doi.org/10.1038/s41467....
25.
Li W, Huang H, Cai M, Yuan T, Sheng Y. Antineutrophil Cytoplasmic Antibody-Associated Vasculitis Update: Genetic Pathogenesis. Front Immunol. 2021;12:624848.
https://doi.org/10.3389/FIMMU.....
26.
Jeffs LS, Nitschke J, Tervaert JWC, Peh CA, Hurtado PR. Viral RNA in the influenza vaccine may have contributed to the development of ANCA-associated vasculitis in a patient following immunisation. Clin Rheumatol. 2016;35(4):943–951.
https://doi.org/10.1007/S10067....
27.
Huugen D, Xiao H, Van Esch A, Falk RJ, Peutz-Kootstra CJ, Buurman WA, et al. Aggravation of Anti-Myeloperoxidase Antibody-Induced Glomerulonephritis by Bacterial Lipopolysaccharide: Role of Tumor Necrosis Factor-α. Am J Pathol. 2005;167(1):47–58.
https://doi.org/10.1016/S0002-....
28.
Lee SW, Kim DY, Ahn SH, Park YB, Han KH, Park JY. HBsAg-negative and anti-HBc-positive in eosinophilic granulomatosis with polyangiitis: a retrospective pilot study. Rheumatol Int. 2018;38(8):1531–1538. https:// doi.org/10.1007/S00296-018-4043-Z.
29.
Fujita M, Hatachi S, Yagita M. Acute Chlamydia pneumoniae infection in the pathogenesis of autoimmune diseases. Lupus. 2009;18(2):164–168.
https://doi.org/10.1177/096120....
30.
Stegeman CA, Cohen Tervaert JW, Sluiter WJ, Manson WL, De Jong PE, Kallenberg CGM. Association of chronic nasal carriage of Staphylococcus aureus and higher relapse rates in Wegener granulomatosis. Ann Intern Med. 1994;120(1):12–17.
https://doi.org/10.7326/0003-4....
31.
Rovin BH, Adler SG, Barratt J, Bridoux F, Burdge KA, Chan TM,
et al. KDIGO 2021 Clinical Practice Guideline for the Management
of Glomerular Diseases. Kidney Int. 2021;100(4):S1–276.
https://doi.
org/10.1016/J.KINT.2021.05.021
32.
Söderberg D, Segelmark M. Neutrophil extracellular traps in ANCA- associated vasculitis. Front Immunol. 2016;7(JUN):256.
https://doi. org/10.3389/FIMMU.2016.00256.
33.
Rath P, Shriber S, Hastings A, C Marshall T, Lane J, P Wiles S, et al. A rare case of antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis in the setting of COVID-19 infection. Chest. 2022;162(4):A65– A66.
https://doi.org/10.1016/J.CHES... 2022.08.038.
34.
Liu Y, Sawalha AH, Lu Q. COVID-19 and autoimmune diseases. Curr Opin Rheumatol. 2021;33(2):155–162.
https://doi.org/10.1097/ BOR.0000000000000776.
35.
Zuo Y, Yalavarthi S, Shi H, Gockman K, Zuo M, Madison JA, et al. Neutrophil extracellular traps in COVID-19. JCI Insight. 2020;5(11):e138999.
https://doi.org/10.1172/JCI.IN....
36.
Prabhahar A, Naidu GSRSNK, Chauhan P, Sekar A, Sharma A, Sharma A, et al. ANCA-associated vasculitis following ChAdOx1nCoV19 vaccination: case-based review. Rheumatol Int. 2022;42(4):749–758.
https://doi.org/10.1007/S00296....
37.
Yadav R, Shah S, Chhetri S. ANCA-associated vasculitis following Johnson and Johnson COVID-19 vaccine. Ann Med Surg. 2022;79:104123.
https://doi.org/10.1016/J.AMSU....
38.
Uppal NN, Kello N, Shah HH, Khanin Y, De Oleo IR, Epstein E, et al. De Novo ANCA-Associated Vasculitis With Glomerulonephritis in COVID-19. Kidney Int Rep. 2020;5(11):2079–2083.
https://doi. org/10.1016/J.EKIR.2020.08.012.
39.
Chan L, Chaudhary K, Saha A, Chauhan K, Vaid A, Zhao S, et al. AKI in hospitalized patients with COVID-19. J Am Soc Nephrol. 2021;32(1):151–160.
https://doi.org/10.1681/ASN.20....
40.
Głowacka M, Lipka S, Młynarska E, Franczyk B, Rysz J. Acute Kidney Injury in COVID-19. Int J Mol Sci. 2021;22(15):8081.
https://doi. org/10.3390/IJMS22158081.
41.
Tahir A, Walia J, Daly T, Gradzka A, Banai R, Tahir A, et al. Rapidly Progressive Glomerulonephritis: A COVID-19 Case Report. Cureus. 2023;15(4):e37767.
https://doi.org/10.7759/CUREUS....
42.
Smadja DM, Mentzer SJ, Fontenay M, Laffan MA, Ackermann M, Helms J, et al. COVID-19 is a systemic vascular hemopathy: insight for mechanistic and clinical aspects. Angiogenesis. 2021;24(4):755–788.
https://doi.org/10.1007/S10456....
43.
Almaani S, Fussner LA, Brodsky S, Meara AS, Jayne D. ANCA- Associated Vasculitis: An Update. J Clin Med. 2021;10(7):1446. https:// doi.org/10.3390/JCM10071446.
44.
Jalalzadeh M, Valencia-Manrique JC, Boma N, Chaudhari A, Chaudhari S, Jalalzadeh M, et al. Antineutrophil Cytoplasmic Antibody-Associated Glomerulonephritis in a Case of Scleroderma After Recent Diagnosis With COVID-19. Cureus. 2021;13(1): e12485.
https://doi.org/10.7759/ CUREUS.12485.
45.
Briones E, Méndez GP, Laguna J, Vargas M, Briones E, Méndez GP, et al. Association of COVID-19 and glomerulonephritis with ANCA and anti-glomerular basement membrane antibodies: Report of one case. Rev Med Chil. 2022;150(6):828–831.
https://doi.org/10.4067/S0034-....
46.
Lee JY, Hwang HS. Acquired antineutrophil cytoplasmic antibody- associated glomerulonephritis after COVID-19 infection. Kidney Res Clin Pract. 2023;42(3):405–408.
https://doi.org/10.23876/j.krc....
47.
Pokharel A, Metcalf BD, Li W, Kanaan HD, Zhang PL. COVID-19 Infection Can be Associated with Pauci-Immune Type of Crescentic Glomerulonephritis: A Case Report. AJCP. 2023;160(Supplement_1):S105–S106.
https://doi.org/10.1093/AJCP/ AQAD150.232.
48.
Thammathiwat T, Banjongjit A, Iampenkhae K, Townamchai N, Kanjanabuch T. ANCA Associated Glomerulonephritis Following SARS-CoV-2 Vaccination: A Case Series and Systematic Review. Vaccines. 2023;11(5):983.
https://doi.org/10.3390/VACCIN....
49.
Shakoor MT, Birkenbach MP, Lynch M. ANCA-Associated Vasculitis Following Pfizer-BioNTech COVID-19 Vaccine. Am J Kidney Dis. 2021;78(4):611–613.
https://doi.org/10.1053/J.AJKD....
50.
Sekar A, Campbell R, Tabbara J, Rastogi P. ANCA glomerulonephritis after the Moderna COVID-19 vaccination. Kidney Int. 2021;100(2):473– 474.
https://doi.org/10.1016/J.KINT....
51.
Anderegg MA, Liu M, Saganas C, Montani M, Vogt B, Huynh-Do U, et al. De novo vasculitis after mRNA-1273 (Moderna) vaccination. Kidney Int. 2021;100(2):474–476.
https://doi.org/10.1016/J.KINT....
52.
Ting JA, Barbir EB, McRae SA, Schachter M, De Luca L, Riazy M, et al. Double-Positive Anti–Glomerular Basement Membrane Antibody and Myeloperoxidase Antineutrophil Cytoplasmic Autoantibody– Associated Glomerulonephritis Post COVID-19 mRNA vaccine: A Case Series of 4 Patients. Can J Kidney Health Dis. 2023;10:20543581231153217.
https://doi.org/10.1177/205435....
53.
Laskova A, Mohammed B, Ali F, Syritsa B. AB0629 Glomerulonephritis associated with ANCA after COVID-19 vaccine: a systematic review. Ann Rheu Dis. 2022;81(Suppl_1):1441–1432.
https://doi.org/10.1136/ ANNRHEUMDIS-2022-EULAR.3379.
54.
Hakroush S, Tampe B. Case Report: ANCA-Associated Vasculitis Presenting With Rhabdomyolysis and Pauci-Immune Crescentic Glomerulonephritis After Pfizer-BioNTech COVID-19 mRNA Vaccination. Front Immunol. 2021;12:762006.
https://doi.org/10.3389/ FIMMU.2021.762006
55.
Moronti V, Carubbi F, Sollima L, Piscitani L, Ferri C. End stage renal disease in patient with microscopic polyangiitis and atypical hemolytic-uremic syndrome arose 3 weeks after the third dose of anti-SARS-CoV2 vaccine mRNA-1273: A case report with literature revision. Medicine. 2023;102(50):e36560.
https://doi.org/10.1097/MD.000....
56.
Dube GK, Benvenuto LJ, Batal I. Antineutrophil Cytoplasmic Auto- antibody–Associated Glomerulonephritis Following the Pfizer- BioNTech COVID-19 Vaccine. Kidney Int Rep. 2021;6(12):3087–3089.
https://doi.org/10.1016/J.EKIR....
57.
Feghali EJ, Zafar M, Abid S, Santoriello D, Mehta S. De-novo Antineutrophil Cytoplasmic Antibody-Associated Vasculitis Following the mRNA-1273 (Moderna) Vaccine for COVID-19. Cureus. 2021;13(11):e19616.
https://doi.org/10.7759/CUREUS...
58.
Ritter A, Helmchen B, Gaspert A, Bleisch J, Fritschi B, Buchkremer F, et al. Clinical spectrum of gross haematuria following SARS-CoV-2 vaccination with mRNA vaccines. Clin Kidney J. 2022;15(5):961–973.
https://doi.org/10.1093/CKJ/SF....
59.
Villa M, Díaz-Crespo F, Pérez de José A, Verdalles Ú, Verde E, Almeida Ruiz F, et al. A case of ANCA-associated vasculitis after AZD1222 (Oxford–AstraZeneca) SARS-CoV-2 vaccination: casualty or causality? Kidney Int. 2021;100(4):937–938.
https://doi.org/10.1016/J. KINT.2021.07.026.
60.
Al-Yafeai Z, Horn BJM, Terraccaine W, Jose A, Krishnan P. A Case of Antineutrophil Cytoplasmic Antibodies (ANCA)-Associated Vasculitis Post COVID-19 Vaccination. Cureus. 2022;14(3):e23162.
https://doi. org/10.7759/CUREUS.23162.
61.
Cano-Gámez T, Teco-Cortes JA, Soto-Abraham MV, Álvarez- Hernández E. SARS-CoV-2 Vaccination as a Trigger for Perinuclear Antineutrophil Cytoplasmic Antibodies (p-ANCA) Associated With Rapidly Progressive Glomerulonephritis. Cureus. 2022;14(10):e29924.
https://doi.org/10.7759/CUREUS....
62.
Christodoulou M, Iatridi F, Chalkidis G, Lioulios G, Nikolaidou C, Badis K, et al. ANCA-Associated Vasculitis May Result as a Complication to Both SARS-CoV-2 Infection and Vaccination. Life. 2022;12(7):1072.
https://doi.org/10.3390/LIFE12....
63.
So D, Min KW, Jung WY, Han SW, Yu MY. Microscopic Polyangiitis Following mRNA COVID-19 Vaccination: A Case Report. J Korean Med Sci. 2022;37(19):e154.
https://doi.org/10.3346/JKMS.2....
64.
Suzuki M, Sekiguchi Y, Sasaki M, Inaba S, Oyama S, Inoue Y, et al. Antineutrophil Cytoplasmic Antibody-associated Vasculitis after COVID-19 Vaccination with Pfizer-BioNTech. Inter Med. 2022;61(19):2925–2929.
https://doi.org/10.2169/ INTERNALMEDICINE.9807-22.
65.
Kawamura T, Nakazawa D, Nishio S, Isozaki T, Komatsumoto M, Atsumi T. Development of ANCA-associated vasculitis followed by SARS-CoV-2 vaccination in a patient with HLA-DRB1*09:01 allele. doi.org/10.1093/ MRCR/RXAC093.