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膜性肾病的免疫诊断

IMMUNODIAGNOSIS IN MEMBRANOUS NEPHROPATHY.

作者信息

Ratajczak Magdalena, Poleszak Ewa, Chrościcki Tomasz

机构信息

EUROIMMUN POLAND A PERKINELMER COMPANY, WROCLAW, POLAND.

DEPARTMENT OF APPLIED AND SOCIAL PHARMACY, LABORATORY OF PRECLINICAL TESTING, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND.

出版信息

Wiad Lek. 2020;73(9 cz. 1):1861-1866.

Abstract

One of the diseases leading to chronic end-stage renal disease is membranous nephropathy (MN). The main cause of this disease is the formation of antibodies to foreign and native antigens. Membranous nephropathy can be conventionally divided into 2 types: primary form (when the primary disease is unknown) and secondary form. Detection of appropriate antibodies is one of the methods to recognize and differentiate primary and secondary forms. A large role in non-invasive diagnosis of MN and differentiation of the primary form from the secondary play antinuclear antibodies (ANA), antibodies against granulocyte cytoplasm (ANCA), antiglomerular basement antibodies (anti-GBM) and phospholipase A2 receptor antibodies (anti-PLA2R). Differentiation matters when choosing a treatment choice. In the primary form, it is immunosuppression, and in the form of secondary treatment, it consists in curing or controlling diseases that can cause symptoms of MN. The aim: Analysis of serological methods helpful in immunodiagnosis of membranous nephropathy.

摘要

导致慢性终末期肾病的疾病之一是膜性肾病(MN)。这种疾病的主要原因是针对外来和自身抗原产生抗体。膜性肾病通常可分为2种类型:原发性(原发性疾病不明)和继发性。检测相应抗体是识别和区分原发性和继发性类型的方法之一。抗核抗体(ANA)、抗粒细胞胞浆抗体(ANCA)、抗肾小球基底膜抗体(抗GBM)和磷脂酶A2受体抗体(抗PLA2R)在MN的非侵入性诊断以及原发性与继发性的鉴别中起重要作用。在选择治疗方案时,鉴别很重要。在原发性类型中,治疗方法是免疫抑制,而在继发性类型中,治疗在于治愈或控制可引起MN症状的疾病。目的:分析有助于膜性肾病免疫诊断的血清学方法。

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