狼疮性肾炎的精准免疫治疗

Precision Immunotherapy in Lupus Nephritis

  • 摘要: 狼疮性肾炎(lupus nephritis, LN)是系统性红斑狼疮的常见严重并发症之一。其病理类型复杂、临床表现多样, 给病情控制带来了严峻挑战。传统免疫抑制剂是治疗LN的经典药物, 然而其存在疗效差异显著、复发风险高、不良反应明显等局限性。近年来, 以生物制剂为代表的免疫治疗药物开启了LN精准治疗的新时代, 此类药物凭借靶向性强、安全性高等特点, 重塑了LN的治疗格局。本文阐述LN精准免疫治疗的现状并对其未来发展进行展望, 以期为该病的临床诊疗提供借鉴。

     

    Abstract: Lupus nephritis (LN) is one of the common and severe complications of systemic lupus erythematosus. Characterized by diverse pathological patterns and variable clinical manifestations, LN presents significant challenges for disease management. Conventional immunosuppressive agents, while representing the classic therapeutic approach for LN, are associated with substantial limitations, including variable efficacy, high risk of relapse, and notable adverse effects. In recent years, the introduction of immunotherapeutic agents, particularly biologics, has inaugurated a new era of precision treatment for LN. By virtue of their high target specificity and favorable safety profiles, these agents are reshaping the therapeutic landscape of LN. This article reviews the current status and future prospects of precision immunotherapy for LN, aiming to provide insights for its clinical management.

     

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