Recurrent allograft C3 glomerulonephritis and unsuccessful eculizumab treatment

Copyright © 2017 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 187(2018) vom: 01. Feb., Seite 104-106
1. Verfasser: Kaartinen, Kati (VerfasserIn)
Weitere Verfasser: Martola, Leena, Räisänen-Sokolowski, Anne, Meri, Seppo
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2018
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Case Reports Journal Article C3 glomerulonephritis C3 nephritic factor Eculizumab Transplantation Antibodies, Monoclonal, Humanized Complement C3 Nephritic Factor Complement Inactivating Agents Immunosuppressive Agents mehr... eculizumab A3ULP0F556
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245 1 0 |a Recurrent allograft C3 glomerulonephritis and unsuccessful eculizumab treatment 
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520 |a There is a great lack of efficient treatments for membranoproliferative glomerulonephritis (MPGN) and recently emerged complement therapies have been proposed to be useful. We report a patient with a complement-mediated MPGN having recurrencies in kidney allografts and an unsuccessful treatment with complement inhibitor, eculizumab (anti-C5 monoclonal antibody). Nephritic factor (C3Nef), an autoantibody against C3bBb, in the patient serum activated C3 but not C5 showing that major damage was mediated by C3 activation with clearly less involvement of C5 explaining unresponsiveness to eculizumab. Analyzing C3Nef-mediated C3 and C5 activation separately could help in choosing the right patients for eculizumab therapy 
650 4 |a Case Reports 
650 4 |a Journal Article 
650 4 |a C3 glomerulonephritis 
650 4 |a C3 nephritic factor 
650 4 |a Eculizumab 
650 4 |a Transplantation 
650 7 |a Antibodies, Monoclonal, Humanized  |2 NLM 
650 7 |a Complement C3 Nephritic Factor  |2 NLM 
650 7 |a Complement Inactivating Agents  |2 NLM 
650 7 |a Immunosuppressive Agents  |2 NLM 
650 7 |a eculizumab  |2 NLM 
650 7 |a A3ULP0F556  |2 NLM 
700 1 |a Martola, Leena  |e verfasserin  |4 aut 
700 1 |a Räisänen-Sokolowski, Anne  |e verfasserin  |4 aut 
700 1 |a Meri, Seppo  |e verfasserin  |4 aut 
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