Unmet medical needs in lupus nephritis: solutions through evidence-based, personalized medicine.

作者: Hans-Joachim Anders , Marc Weidenbusch , Brad Rovin

DOI: 10.1093/CKJ/SFV072

关键词: Alternative medicinePersonalized medicineMedicineKidney diseaseRituximabPathologyIntensive care medicineLupus nephritisEvidence-based practiceTranslational researchRandomized controlled trial

摘要: Lupus nephritis (LN) remains a kidney disease with significant unmet medical needs despite extensive clinical and translational research over the past decade. These include need to (i) predict individual risk for LN in patient systemic lupus erythematosus, (ii) identify best therapeutic option an patient, (iii) distinguish chronic damage from active immunologic injury, (iv) develop efficient treatments acceptable or no side effects improve design of randomized trials so that effective drugs demonstrate efficacy. This review discusses underlying reasons these options how overcome them future.

参考文章(97)
Brad H. Rovin, Samir V. Parikh, Anthony Alvarado, The kidney biopsy in lupus nephritis: is it still relevant? Rheumatic Diseases Clinics of North America. ,vol. 40, pp. 537- 552 ,(2014) , 10.1016/J.RDC.2014.04.004
Nuala A. Helsby, Chung-Yee Hui, Michael A. Goldthorpe, Janet K. Coller, May Ching Soh, Peter J. Gow, Janak Z. De Zoysa, Malcolm D. Tingle, The combined impact of CYP2C19 and CYP2B6 pharmacogenetics on cyclophosphamide bioactivation. British Journal of Clinical Pharmacology. ,vol. 70, pp. 844- 853 ,(2010) , 10.1111/J.1365-2125.2010.03789.X
Patricia López, Jesús Gómez, Lourdes Mozo, Carmen Gutiérrez, Ana Suárez, Cytokine polymorphisms influence treatment outcomes in SLE patients treated with antimalarial drugs Arthritis Research & Therapy. ,vol. 8, pp. 1- 9 ,(2006) , 10.1186/AR1897
Michelle Petri, Daniel J. Wallace, Alberto Spindler, Vishala Chindalore, Kenneth Kalunian, Eduardo Mysler, C. Michael Neuwelt, Gabriel Robbie, Wendy I. White, Brandon W. Higgs, Yihong Yao, Liangwei Wang, Dominique Ethgen, Warren Greth, Sifalimumab, a human anti-interferon-α monoclonal antibody, in systemic lupus erythematosus: a phase I randomized, controlled, dose-escalation study. Arthritis & Rheumatism. ,vol. 65, pp. 1011- 1021 ,(2013) , 10.1002/ART.37824
Eduardo F. Mysler, Alberto J. Spindler, Renato Guzman, Marc Bijl, David Jayne, Richard A. Furie, Frédéric A. Houssiau, Jorn Drappa, David Close, Romeo Maciuca, Kajal Rao, Saba Shahdad, Paul Brunetta, Efficacy and safety of ocrelizumab in active proliferative lupus nephritis: results from a randomized, double-blind, phase III study. Arthritis & Rheumatism. ,vol. 65, pp. 2368- 2379 ,(2013) , 10.1002/ART.38037
Elaine V. Lourenço, Maida Wong, Bevra H. Hahn, M. Fernando Palma-Diaz, Brian J. Skaggs, Laquinimod Delays and Suppresses Nephritis in Lupus-Prone Mice and Affects Both Myeloid and Lymphoid Immune Cells Arthritis & Rheumatology. ,vol. 66, pp. 674- 685 ,(2014) , 10.1002/ART.38259
Bevra H. Hahn, Maureen A. McMahon, Alan Wilkinson, W. Dean Wallace, David I. Daikh, John D. FitzGerald, George A. Karpouzas, Joan T. Merrill, Daniel J. Wallace, Jinoos Yazdany, Rosalind Ramsey-Goldman, Karandeep Singh, Mazdak Khalighi, Soo-In Choi, Maneesh Gogia, Suzanne Kafaja, Mohammad Kamgar, Christine Lau, William J. Martin, Sefali Parikh, Justin Peng, Anjay Rastogi, Weiling Chen, Jennifer M. Grossman, American College of Rheumatology guidelines for screening, treatment, and management of lupus nephritis Arthritis Care and Research. ,vol. 64, pp. 797- 808 ,(2012) , 10.1002/ACR.21664
A.I. Sánchez-Fructuoso, M.L. Maestro, N. Calvo, M. Viudarreta, I. Pérez-Flores, S. Veganzone, V. De la Orden, D. Ortega, M. Arroyo, A. Barrientos, The prevalence of uridine diphosphate-glucuronosyltransferase 1A9 (UGT1A9) gene promoter region single-nucleotide polymorphisms T-275A and C-2152T and its influence on mycophenolic acid pharmacokinetics in stable renal transplant patients. ANNUAL MEETING OF THE MADRID TRANSPLANTATION SOCIETY. ,vol. 41, pp. 2313- 2316 ,(2009) , 10.1016/J.TRANSPROCEED.2009.06.038
Valerie A Luyckx, John F Bertram, Barry M Brenner, Caroline Fall, Wendy E Hoy, Susan E Ozanne, Bjorn E Vikse, Effect of fetal and child health on kidney development and long-term risk of hypertension and kidney disease The Lancet. ,vol. 382, pp. 273- 283 ,(2013) , 10.1016/S0140-6736(13)60311-6
Adriana Migliorini, Hans-Joachim Anders, A novel pathogenetic concept—antiviral immunity in lupus nephritis Nature Reviews Nephrology. ,vol. 8, pp. 183- 189 ,(2012) , 10.1038/NRNEPH.2011.197