补充剂血清C3水平和质C3沉积物在抗质底膜疾病中的预测值
Pauline Caillard1,2, Cécile Vigneau3, Jean-Michel Halimi4
1Department of Nephrology, Dialysis, and Transplantation, University of Picardie Jules Verne, Amiens University Hospital, Amiens, France.
Frontiers in immunology
|July 21, 2023
概括
较低的血清C3水平和C3质沉积物表明更严重的抗GBM疾病. 这些因素与诊断时不需要透析的患者的存率降低有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 抗质底膜 (抗GBM) 疾病的发病包括补体系统的激活.
- 在抗GBM疾病患者的脏活检中经常观察到补充3 (C3) 的淋巴细胞沉积物.
研究的目的:
- 为了评估血清C3水平在抗GBM疾病的预后意义.
- 评估C3质沉积物在抗GBM疾病中的预后价值.
主要方法:
- 对150名抗GBM疾病患者 (1997-2017年) 的回顾性队列研究.
- 根据血清C3水平 (低<1.23g/L,高≥1.23g/L) 和C3球膜染色 (阳性,阴性) 分层的患者.
- 主要结局:脏存活率和患者存活率.
主要成果:
- 低血清C3组在呈现时与更严重的病相关 (较高的SCr,橄尿,性综合征).
- 与较不有利的组织学发现 (较少的细胞形式,较少的急性管间隙病变) 相关的C3质沉积物.
- 在非透析患者中,C3阳性组的12个月脏存活率明显较差 (50%vs. 91%).
结论:
- 低血清C3和C3球膜沉积与抗GBM疾病中疾病严重程度增加和组织学损伤相关.
- 存在C3沉积物预测抗GBM疾病患者的脏存活率较差,在诊断时没有透析.
相关概念视频
Nephrotic Syndrome II : Assessment and Medical Management
8
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
8
Serum Studies: Renal Function Tests
23
Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
23
Chronic Kidney Disease III: Interprofessional Care
43
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
43
Renal Corpuscle
2.8K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
2.8K
Nephrotic Syndrome I : Introduction
9
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
9
Complement System
2.4K
The complement system is a group of approximately 20 plasma proteins that strengthen the body's defenses against infections through opsonization, inflammation, and cell lysis. Opsonization involves coating pathogens with complement proteins, making them more recognizable and facilitating phagocyte engulfment. Certain complement proteins induce inflammation that attracts immune cells to the site of infection. Cell lysis involves the destruction of pathogens through the formation of a...
2.4K


