Can Prednisone treat lupus nephritis well? Prednisone treatment of lupus
nephritis is mainly to eliminate symptoms by immunosuppression, the effect is
worth for sure, but the latter part of the majority of patients should be aware
of the effect: easy to relapse. Below in detail.
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Prednisone treatment of lupus nephritis mainly through:
1. The anti-inflammatory effect: to reduce and prevent tissue response to
inflammation, thereby reducing the performance of inflammation. Hormone
suppression of inflammatory cells, including macrophages and leukocytes at sites
of inflammation agglomeration, and inhibit phagocytosis, lysosomal enzyme
release and synthesis and release of chemical mediators of inflammation.
2. The immunosuppressive effects: to prevent or inhibit the cell-mediated
immune response, delayed hypersensitivity reactions, reducing T lymphocytes,
monocytes, eosinophils numbers, reduced ability to bind to cell surface
immunoglobulin receptors and inhibit the synthesis and release of interleukin,
thereby reducing the T lymphocytes to lymphoblastoid cell transformation, and
reduce the primary immune response to expansion. May reduce the immune complexes
through basement membrane, and can reduce the concentration of complement
components and immunoglobulins.
Many patients taking prednisone treatment has some effect, but the side
effect is great, and palliative. Mainly due to the prednisone can suppress the
immune response, but not the clearance of immune complexes, can not repair the
damaged kidney inherent cells, so often there will be the phenomenon of
recurrent disease. It is proposed to consider the side effects of other drugs,
this kidney hospital based on the current immunosuppressive drugs and
technology, the introduction of foreign latest, more suitable for
immunosuppression side effects of a series of low effective drugs and
technologies, First to block the immune response, followed by tolerance. Immune
complex deposition in the kidneys, a short section may be completely eliminated,
allowing the body to strive to meet the pathogenic foreign material deposited on
the fact that the kidney tissue, to stop the immune response. Then it is to
enter the immune mediation stage, adjust the internal environment of the immune
system, enhance human immunity. On the basis of immune regulation, based on the
introduction of protective immunity in patients with stage repair podocytes and
mesangial cells. The last resort is immune clearance, which should take the
appropriate immunosorbent assay based on the actual situation of the patient,
plasma exchange and blood purification.
Through the above specification, effective treatment, symptoms can be
controlled not only the kidney may be able to repair, treatment of lupus
nephritis fundamentally.