New insights into the role of renal resident cells in the pathogenesis of lupus nephritis.

New insights into the role of renal resident cells in the pathogenesis of lupus nephritis.
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DOI:
10.3904/kjim.2017.383
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发表时间:
2018-03
期刊:
The Korean journal of internal medicine
影响因子:
--
通讯作者:
Tsokos GC
Tsokos GC
中科院分区:
其他
文献类型:
--
作者:
Kwok SK;Tsokos GC

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系统性红斑狼疮(SLE)是一种病因不明的自身免疫性疾病,其特征是产生自身抗体和终末器官损伤。狼疮性肾炎影响高达 70% 的 SLE 患者,是发病率和死亡率最重要的预测因素。 SLE 的免疫发病机制很复杂,大多数针对免疫细胞或其介质的生物制剂的临床试验未能显示对 SLE 患者的疗效。因此,越来越清楚的是,额外的局部因素会引起炎症和器官损伤。在这篇综述中,我们描述了肾脏驻留细胞(包括足细胞、系膜细胞和上皮细胞)在狼疮性肾炎发病机制中作用的最新进展。
Systemic lupus erythematosus (SLE), an autoimmune disease of unknown etiology, is characterized by the production of autoantibodies and end-organ damage. Lupus nephritis affects up to 70% of patients with SLE and is the most critical predictor of morbidity and mortality. The immunopathogenesis of SLE is complex and most clinical trials of biologics targeting immune cells or their mediators have failed to show efficacy in SLE patients. It has therefore become increasingly clear that additional, local factors give rise to the inflammation and organ damage. In this review, we describe recent advances in the role of renal resident cells, including podocytes, mesangial cells, and epithelial cells, in the pathogenesis of lupus nephritis.
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