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M型磷脂酶A2受体及其抗体在特发性膜性肾病诊治中的作用

  

  1. 河北医科大学第二医院 肾内科, 河北 石家庄 050000
  • 出版日期:2018-10-05 发布日期:2018-11-12
  • 通讯作者: 通信作者:李绍梅, Email: lishaomeitougao@126.com
  • 作者简介:李绍梅,女,主任医师、教授、硕士研究生导师,现任河北医科大学第二医院肾内科主任。河北省医学会肾脏病学分会副主任委员,中国医师协会肾脏内科医师分会委员,石家庄市医学会肾脏病学分会常务委员,河北省血液净化质量控制委员会常务委员。从事临床、科研和教学工作。尤其在腹膜透析临床诊疗方面具有较深造诣。先后承担河北省科技厅、省卫计委课题3项,政府资助省级优秀人才项目1项,在国内核心期刊发表论文60余篇。主编学术专著4部。

Role of M-type phospholipase A2 receptor and its antibody in  diagnosis and treatment of idiopathic membranous nephropathy

  1. Department of Nephrology, The Second Hospital of Hebei Medical University, Shijiazhuang  050000, China
  • Online:2018-10-05 Published:2018-11-12
  • Contact: Corresponding author: Li shaomei, Email: lishaomeitougao@126.com

摘要: M型磷脂酶A2受体(MType phospholipase A2 receptor,  PLA2R)作为特发性膜性肾病(Idiopathic membranous nephropathy,  IMN)的一种特异度自身抗体已被广泛证实,为IMN发病机制的研究开辟了新的思路。大量的临床资料表明,PLA2R及其抗体在膜性肾病的发病过程中起重要作用,且与疾病的活动性、严重程度及预后相关,甚至可以预测疾病复发,指导治疗时机的选择。本文对PLA2R及其抗体在IMN诊断和治疗过程中的应用价值进行综述。

关键词: 肾小球肾炎,  , 膜性 , M型磷脂酶A2受体, 抗M型磷脂酶A2受体抗体

Abstract: M-type phospholipase A2 receptor (PLA2R) has been widely confirmed as a specific autoantibody for Idiopathic membranous nephropathy (IMN),  which has opened up a new train of thought the pathogenesis of IMN . A large number of clinical data indicate that PLA2R and its antibody play an important role in the pathogenesis of IMN,  and are related to the activity,  severity and prognosis of the disease. It can even predict disease recurrence and guide the timing of treatment. This article reviews the application value of PLA2R and its antibody in the diagnosis and treatment of IMN.

Key words: glomerulonephritis, , membranous;Mtype phospholipase A2 receptor;antiPLA2R