Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy

Membranous nephropathy (MN) is a common pathological type of adult nephrotic syndrome. According to the etiology, MN is divided into idiopathic membranous nephropathy (IMN) and secondary membranous nephropathy (SMN). IMN accounts for around 80% of MN patients. Glucocorticoid plus alkylating agents o...

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Main Authors: Chao Zhang, Hui Liao, Rong-shan Li
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2024-01-01
Series:Linchuang shenzangbing zazhi
Subjects:
Online Access:http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.01.010
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author Chao Zhang
Hui Liao
Rong-shan Li
author_facet Chao Zhang
Hui Liao
Rong-shan Li
author_sort Chao Zhang
collection DOAJ
description Membranous nephropathy (MN) is a common pathological type of adult nephrotic syndrome. According to the etiology, MN is divided into idiopathic membranous nephropathy (IMN) and secondary membranous nephropathy (SMN). IMN accounts for around 80% of MN patients. Glucocorticoid plus alkylating agents or calcineurin inhibitors (CNIs) are frequently prescribed. However, carcinogenic risk of alkylating agents and a high recurrence of disease after the dosing of CNIs have limited the applications of these two types of drugs. In the pathogenesis of MN, B cells play an important role of acting as antigen presenting cells. Rituximab (RTX), a novel immunosuppressive agent, is a monoclonal antibody specific to B cell surface antigen CD20. In many recent clinical studies, RTX alone or plus other drugs has demonstrated a definite efficacy for MN. Whether or not patients benefit more from a single drug or a combination therapy is yet to be determined.
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spelling doaj.art-dfc8f5d9e1b442398e9ae62e2ae0152f2024-02-28T07:44:01ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902024-01-01241656910.3969/j.issn.1671-2390.2024.01.01020220628Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathyChao Zhang0Hui Liao1Rong-shan Li2Department of Nephrology, the Fifth Hospital of Shanxi Medical University, Taiyuan 030012, ChinaDepartment of Pharmacy, the Fifth Hospital of Shanxi Medical University, Taiyuan 030012, ChinaDepartment of Nephrology, the Fifth Hospital of Shanxi Medical University, Taiyuan 030012, ChinaMembranous nephropathy (MN) is a common pathological type of adult nephrotic syndrome. According to the etiology, MN is divided into idiopathic membranous nephropathy (IMN) and secondary membranous nephropathy (SMN). IMN accounts for around 80% of MN patients. Glucocorticoid plus alkylating agents or calcineurin inhibitors (CNIs) are frequently prescribed. However, carcinogenic risk of alkylating agents and a high recurrence of disease after the dosing of CNIs have limited the applications of these two types of drugs. In the pathogenesis of MN, B cells play an important role of acting as antigen presenting cells. Rituximab (RTX), a novel immunosuppressive agent, is a monoclonal antibody specific to B cell surface antigen CD20. In many recent clinical studies, RTX alone or plus other drugs has demonstrated a definite efficacy for MN. Whether or not patients benefit more from a single drug or a combination therapy is yet to be determined.http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.01.010membranous nephropathyrituximabphospholipase a2 receptors
spellingShingle Chao Zhang
Hui Liao
Rong-shan Li
Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy
Linchuang shenzangbing zazhi
membranous nephropathy
rituximab
phospholipase a2 receptors
title Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy
title_full Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy
title_fullStr Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy
title_full_unstemmed Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy
title_short Therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy
title_sort therapeutic advances of rituximab alone or plus other drugs for membranous nephropathy
topic membranous nephropathy
rituximab
phospholipase a2 receptors
url http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.01.010
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