周涵, 梁伟, 丁国华. 贝利尤单抗在狼疮肾炎中的临床应用[J]. 临床肾脏病杂志, 2022, 22(10): 861-865. DOI: 10.3969/j.issn.1671-2390.2022.10.011
    引用本文: 周涵, 梁伟, 丁国华. 贝利尤单抗在狼疮肾炎中的临床应用[J]. 临床肾脏病杂志, 2022, 22(10): 861-865. DOI: 10.3969/j.issn.1671-2390.2022.10.011
    Zhou Han, Liang Wei, Ding Guo-hua. Clinical application of belimumab in lupus nephritis[J]. Journal of Clinical Nephrology, 2022, 22(10): 861-865. DOI: 10.3969/j.issn.1671-2390.2022.10.011
    Citation: Zhou Han, Liang Wei, Ding Guo-hua. Clinical application of belimumab in lupus nephritis[J]. Journal of Clinical Nephrology, 2022, 22(10): 861-865. DOI: 10.3969/j.issn.1671-2390.2022.10.011

    贝利尤单抗在狼疮肾炎中的临床应用

    Clinical application of belimumab in lupus nephritis

    • 摘要: 贝利尤单抗是一种对B淋巴细胞刺激因子有特异性的人源性单克隆抗体,近期贝利尤单抗已成为美国食品药品监督管理局批准的第一个治疗成人活动性狼疮肾炎(lupus nephritis,LN)的药物。LN影响高达60%的系统性红斑狼疮患者,常规治疗依赖于激素和免疫抑制剂,但有肾脏反应的患者比例低,部分LN患者发展为终末期肾病,特别是Ⅳ型LN患者,其风险约30%。贝利尤单抗在LN中的临床应用也在逐步展开,本文就贝利尤单抗在LN中的研究进展进行综述。

       

      Abstract: As a human monoclonal antibody specific for B lymphocyte stimulator(BLyS),belimumab has recently become the first drug approved by the US Food and Drug Administration(FDA)for managing adult active lupus nephritis(LN). LN affects up to 60% of patients with systemic lupus erythematosus(SLE)and conventional treatment relies largely on hormones and immunosuppressants. However,the proportion of patients with a renal response has remained low. Some LN patients have a 30% risk of developing end-stage renal disease,especially those with type IV LN. Clinical application of belimumab is gaining popularity in LN. This review summarized the latest research advances of belimumab in LN.

       

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