Relapse of membranous nephropathy with cancer immunotherapy.

Relapse of membranous nephropathy with cancer immunotherapy.
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通过癌症免疫疗法的膜性肾病复发。

DOI:
10.1093/ckj/sfz074
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发表时间:
2021-01
影响因子:
4.6
通讯作者:
Kim Y
Kim Y
中科院分区:
医学2区
文献类型:
--
作者:
Kim Y

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单克隆抗体技术的进步使工程抗体的应用能够干扰特定的免疫途径。检查点抑制剂通过利用患者自身的免疫系统攻击癌细胞,在治疗某些癌症方面显示出令人鼓舞的效果。检查点抑制剂释放了免疫系统的刹车,并可能导致免疫相关疾病。理论上,这可能对自身免疫性疾病患者不利。在这里,我描述了一个病例肾病综合征复发的患者与膜性肾病的历史在程序性死亡配体1抑制剂治疗肺癌。据推测,免疫系统的增强通过导致免疫耐受的逃避和易感性的增加而引发肾病综合征的复发。
Advances in monoclonal antibody technology have enabled the application of engineered antibodies to interfere with specific immune pathways. Checkpoint inhibitors have shown promising results in treating certain cancers by employing patients’ own immune systems to attack cancer cells. Checkpoint inhibitors release the brake on the immune system and can cause immune-related diseases. Theoretically this could be disadvantageous in patients with autoimmune diseases. Here I describe a case of nephrotic syndrome relapse in a patient with a history of membranous nephropathy during programmed death-ligand 1 inhibitor therapy for lung cancer. It is postulated that enhancement of the immune system triggered the relapse of nephrotic syndrome by leading to an escape of immune tolerance and increased susceptibility.
DOI: 10.1016/s0272-6386(99)70138-1
发表时间: 1999-06-01
影响因子: 13.2
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通讯作者: Cattran, DC
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