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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Hematol+Oncol+Clin+North+Am
2015 ; 29
(3
): 479-94
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gab.com Text
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English Wikipedia
Paroxysmal nocturnal hemoglobinuria: a complement-mediated hemolytic anemia
#MMPMID26043387
DeZern AE
; Brodsky RA
Hematol Oncol Clin North Am
2015[Jun]; 29
(3
): 479-94
PMID26043387
show ga
Paroxysmal nocturnal hemoglobinuria is manifests with a chronic hemolytic anemia
from uncontrolled complement activation, a propensity for thrombosis and marrow
failure. The hemolysis is largely mediated by the alternative pathway of
complement. Clinical manifestations result from the lack of specific cell surface
proteins, CD55 and CD59, on PNH cells. Complement inhibition by eculizumab leads
to dramatic clinical improvement. While this therapeutic approach is effective,
there is residual complement activity resulting from specific clinical scenarios
as well as from upstream complement components that can account for suboptimal
responses in some patients. Complement inhibition strategies are an area of
active research.
|Anemia, Hemolytic/*immunology
[MESH]
|Antibodies, Monoclonal, Humanized/immunology/therapeutic use
[MESH]