狼疮肾炎治疗新进展

    Recent advances in the treatment of lupus nephritis

    • 摘要: 狼疮肾炎(lupus nephritis,LN)是中国最常见的继发性免疫性肾小球肾炎,是系统性红斑狼疮(systemic lupus erythematosus,SLE)的一种常见和严重的并发症,是急性肾损伤和终末期肾病的重要原因。其临床表现多样,以肾脏为主要受累器官,常常伴有其他脏器的损害,严重威胁患者的身体健康和生命安全。LN主要的治疗目标是控制疾病,避免进展为慢性肾脏病。人们不仅关注LN的药物治疗的有效性,而且追求药物毒性的最小化,随着LN发病机制研究不断深入,人们致力于寻找新的致病靶点、生物标志物和治疗方法,控制特异性分子靶点的生物制剂受到很大关注,越来越多的新型免疫抑制剂应用于临床,并且由传统的序贯治疗逐渐转变为联合治疗,为LN患者提供了更多的治疗手段。

       

      Abstract: As the most common secondary immune glomerulonephritis in mainland China, lupus nephritis(LN) is a common and serious complication of systemic lupus erythematosus(SLE). It is also an important cause of acute kidney injury and end-stage renal disease(ESRD). Its clinical manifestations of organ injuries are diverse so as to seriously threaten patient health and imperil quality-of-life. The major treatment goal of LN is to control the disease and avoid progression into chronic kidney disease (CKD). Patients are not only concerned about the effectiveness of drug treatments for LN, but also pursue the minimization of drug toxicity. With the continuous in-depth pathogenetic understanding of LN, people are committed to searching for novel pathogenic targets, biomarkers, treatments and precise controls. Biological preparations of molecular targets have received much attention. More and more novel immunosuppressive agents are applied clinically. Traditional sequential therapy is gradually transformed into combination therapy so that more treatment options are available for LN patients.

       

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