ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2015, Vol. 24 ›› Issue (3): 275-279.

• 论文 • 上一篇    下一篇

利妥昔单抗在抗中性粒细胞胞质抗体相关性血管炎治疗中的应用

  

  • 出版日期:2015-06-28 发布日期:2015-07-01

Rituximab in the treatment of ANCA-associated vasculitides

  • Online:2015-06-28 Published:2015-07-01

摘要:

摘 要 抗中性粒细胞胞质抗体相关性血管炎(AAV)常累及多个系统,典型的病理改变为寡免疫复合物坏死性血管炎,免疫抑制剂治疗有效,但易复发,长期预后差。利妥昔单抗(RTX)能特异性地清除B淋巴细胞,临床研究显示RTX能有效治疗和预防AAV复发。本文综述RTX治疗AAV的作用机制、临床研究进展。

关键词: 抗中心粒细胞胞质抗体相关性血管炎, 利妥昔单抗, 治疗

Abstract:

ABSTRACT The anti-neutrophil cytoplasm antibody associated vasculitis (AAV) is a multisystem autoimmune disorders and the typical histopathology is a focal segmental and necrotizing crescentic glomerulonephritis without immunoglobulin deposition in vessel walls. Immunosuppressive therapy has limited efficacy, and most of patients subsequently have a relapse, and poor in long-term prognosis. Rituximab, an anti-CD20 B cell-depleting therapy, effects on B lymphocytes, and cure AAV. In this paper, we will discuss mechanism of Rituximab action on systemic vasculitis, and summarizes its clinical research progress and value clinical application.

Key words: ANCA-associated vasculitis, Rtuximab, Therapy