Dupont E, Toussaint C
Nephrologie. 1981;2(1):27-33.
Corticosteroids are efficient in many kidney diseases but their use is commonly empirical. Their anti-inflammatory effects are often difficult to dissociate from their immunological effects. These consist in inhibiting lymphocyte proliferation without greatly affecting their cytotoxicity and antibody synthesis. Corticosteroids induce lymphopenia and influence the distribution of lymphocytes subpopulations. This leads to prevention of cells homing in target organ and markedly affects immunoregulation. This latter action may explain the beneficial effects of corticosteroids in diseases with profound disturbances in immunity.
皮质类固醇在许多肾脏疾病中有效,但它们的使用通常是经验性的。它们的抗炎作用往往难以与免疫作用区分开来。这些作用包括抑制淋巴细胞增殖,而对其细胞毒性和抗体合成影响不大。皮质类固醇可导致淋巴细胞减少,并影响淋巴细胞亚群的分布。这会阻止细胞归巢至靶器官,并显著影响免疫调节。后一种作用可能解释了皮质类固醇在免疫严重紊乱疾病中的有益作用。