羟氯喹在IgA肾病中的应用

    Application of hydroxychloroquine for IgA nephropathy

    • 摘要: IgA肾病是全世界范围内最常见的肾小球疾病,根据改善全球肾脏病预后组织治疗IgA肾病指南推荐,肾素-血管紧张素-醛固酮系统抑制剂(renin-angiotensin-aldosterone system inhibitors,RAASi)的应用能有效减少IgA肾病的蛋白尿及控制血压,从而延缓疾病的进展。临床上糖皮质激素或免疫抑制剂也有一定的使用,在免疫抑制剂中,羟氯喹(hydroxychloroquine,HCQ)是一种免疫调节药物,广泛应用于抗疟疾和治疗自身免疫性疾病。近年来有研究显示,HCQ能有效减轻IgA肾病患者的持续性蛋白尿,本文搜索了相应的文献报道,综合分析HCQ在IgA肾病中的应用价值。

       

      Abstract: Globally IgA nephropathy has been the most common glomerular disease.According to the guidelines of Kidney Disease:Improving Global Outcomes(KDIGO) for treating IgA nephropathy,renin-angiotensin-aldosterone system inhibitors(RAASi) may effectively alleviate proteinuria and control blood pressure,thereby significantly delaying the progression of the disease.Glucocorticoids or immunosuppressants are routinely applied.Hydroxychloroquine(HCQ) is an immunomodulatory agent for malaria and autoimmune diseases.Recent studies have demonstrated that HCQ was efficacious for persistent proteinuria in patients with IgA nephropathy.The relevant literature reports were retrieved for comprehensively reviewing the application characteristics of HCQ for IgA nephropathy.

       

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