Hirahashi Junichi
Apheresis and Dialysis Center, Keio Univerisity School of Medicine, Tokyo 1608582, Japan.
J Clin Med. 2017 Jul 19;6(7):70. doi: 10.3390/jcm6070070.
IgA nephropathy is a common disease that causes end-stage renal failure and requires renal replacement therapy. The main purpose of therapeutic intervention in this disease is not limited to improvement of prognosis and prevention of transition to end-stage renal failure, but also prevention of the occurrence of cardiovascular lesions, which increases risk in patients with chronic kidney disease. Steroids and immunosuppressants have been widely used as remission induction therapies; however, the balance between their therapeutic benefits and detrimental side-effects are controversial. In this regard, it is critical to identify alternative therapies which would provide holistic life-long benefits. Currently, the potential of ω-3 fatty acids as anti-inflammatory and inflammation-convergent drugs-especially the remarkable progress of the multifunctional ω-3 polyunsaturated fatty acids (PUFAs)-has garnered attention. In this section, we outline the background and current status of ω-3 PUFA-based treatment in IgA nephropathy.
IgA肾病是一种导致终末期肾衰竭且需要肾脏替代治疗的常见疾病。对该疾病进行治疗干预的主要目的不仅限于改善预后和预防向终末期肾衰竭转变,还包括预防心血管病变的发生,而心血管病变会增加慢性肾病患者的风险。类固醇和免疫抑制剂已被广泛用作缓解诱导疗法;然而,它们的治疗益处与有害副作用之间的平衡存在争议。在这方面,确定能带来全面终身益处的替代疗法至关重要。目前,ω-3脂肪酸作为抗炎和炎症趋化药物的潜力——尤其是多功能ω-3多不饱和脂肪酸(PUFAs)取得的显著进展——已引起关注。在本节中,我们概述了基于ω-3多不饱和脂肪酸治疗IgA肾病的背景和现状。