基础医学与临床 ›› 2007, Vol. 27 ›› Issue (2): 206-209.

• 临床园地 • 上一篇    下一篇

抗CD20单克隆抗体治疗活动性系统性红斑狼疮

李洁 曾学军   

  1. 中国协和医科大学内科 中国协和医科大学内科
  • 收稿日期:2006-01-17 修回日期:2006-06-30 出版日期:2007-02-25 发布日期:2007-02-25
  • 通讯作者: 李洁

  

  • Received:2006-01-17 Revised:2006-06-30 Online:2007-02-25 Published:2007-02-25

摘要: 本文对抗CD20单克隆抗体,美罗华(Rituximab)治疗系统性红斑狼疮(SLE)免疫病理生理,临床疗效及不良反应进行分析总结。美罗华治疗近百例活动性SLE患者的结果显示,80%的SLE活动指数有明显下降,狼疮性肾炎得到临床缓解;90%的患者耐受性好。约10%的患者在输注美罗华期间有轻度过敏反应,个别患者发生严重的机会性感染。初步临床研究提示,美罗华治疗SLE是可行的,其疗效和安全性有待于大样本临床验证。

Abstract: To discuss the clinical efficacy,immunological consequences and adverse effects of anti-CD20 monoclonal antibody in systemic lupus erythematosus .A total of nearly 100 patients have been reported,and about 80% of them achieved marked reduction in global disease activity,clinical remission in lupus nephritis.Anti-CD20 monoclonal antibody was well tolerated in 90% of the patients,though10% of them had hypersensitivity reactions and 4 patients had severe infection.