IdeS in anti-glomerular basement membrane disease: Is this the new deal?

Cédric Rafat1, Yosu Luque2

  • 1Urgences Néphrologiques et Transplantation Rénale, Assistance Publique-Hôpitaux de Paris, Hôpital Tenon, Paris, France.

Kidney International
|October 26, 2019
PubMed

IdeS, a proteinase from Streptococcus pyogenes, cleaves IgG antibodies with a unique specificity. Herein, the authors report the dramatic efficacy of IdeS on the levels of anti-glomerular membrane autoantibodies in 3 three patients with Goodpasture disease refractory to standard therapy. The levels of anti-glomerular membrane autoantibodies were reduced to near-zero levels within 2 hours of the injection. However, all patients ultimately required permanent hemodialysis as a result of the late intervention in the course of the disease.

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