肾病综合征
泼尼松龙
医学
微小变化病
肾功能
内科学
胃肠病学
局灶节段性肾小球硬化
狼疮性肾炎
肾小球肾炎
肌酐
膜性肾病
蛋白尿
肾炎
泌尿科
内分泌学
肾
疾病
作者
Dimitrios S. Goumenos,Pantelitsa Kalliakmani,Sotiris Tsakas,Irene Savidaki,John G. Vlachojannis
出处
期刊:Medicinal Chemistry
日期:2006-06-30
卷期号:2 (4): 391-393
被引量:5
标识
DOI:10.2174/157340606777724068
摘要
Cyclosporin-A (CsA) is often used in the treatment of nephrotic syndrome. The effectiveness of CsA and the value of C2 blood levels in the treatment of nephrotic syndrome, due to various glomerular diseases, were studied. Forty-two nephrotic patients (M/F 21/21), with well-preserved renal function (creatinine clearance 87+/-20 ml/min) were included in the study. The original diagnoses were minimal change disease (MCD), focal segmental glomerulosclerosis (FSGS), membranous nephropathy (MN), IgA nephropathy (IgAN), and lupus nephritis (LN). All patients were treated with prednisolone and CsA for 24 months. Cyclosporin-A C0 and C2 blood levels were determined at regular intervals. Remission of the nephrotic syndrome was observed in all patients with MCD, IgAN and LN, in 75% with FSGS and in 83% with MN. Relapses were observed in some patients with MCD (25%) and MN (36%). The C0 levels were 93+/-15 ng/ml and the corresponding C2 levels were 498+/-110 ng/ml. However, significantly lower (340+/-83 ng/ml) or higher (680+/-127 ng/ml) to the average C2 levels were found in 6 patients (14%). No relation of C0 and C2 levels with the remission and relapse rate of the nephrotic syndrome and with renal function impairment was observed. Small doses of CsA with prednisolone are effective in the treatment of nephrotic syndrome. Although an individual variation of C2 was observed for the same target C0 levels, no relation of C2 levels was found with the remission or relapse rate of the nephrotic syndrome.
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