Chowdhury Raad, Shah Sujal, Latcha Sheron, Lobato Luisa
Division of Kidney Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Department of Medical Oncology, Dana Farber Cancer Institute, Boston, Massachusetts.
Kidney360. 2024 Dec 1;5(12):1925-1937. doi: 10.34067/KID.0000000600. Epub 2024 Oct 2.
Systemic amyloidoses are a group of disorders that can be hereditary or acquired and have various renal manifestations and outcomes. Light chain amyloid has been considered the most common renal amyloid and, thus, has been the focus of substantial research and therapeutic interest but with improvement in diagnostic techniques. However, there has been growing interest in rarer forms of renal amyloid, including amyloid serum A protein, leukocyte chemotactic factor 2 amyloid, and transthyretin amyloid. In this review, we provide an update on diagnostics, renal outcomes, and therapeutic landscape in these specific types of amyloid.
系统性淀粉样变性是一组可遗传或后天获得的疾病,有多种肾脏表现和转归。轻链淀粉样变性一直被认为是最常见的肾脏淀粉样变性,因此一直是大量研究和治疗关注的焦点,但随着诊断技术的改进,人们对包括血清淀粉样蛋白A、白细胞趋化因子2淀粉样变性和转甲状腺素蛋白淀粉样变性等罕见形式的肾脏淀粉样变性的兴趣与日俱增。在本综述中,我们提供了这些特定类型淀粉样变性在诊断、肾脏转归和治疗方面的最新情况。