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10.1177/2054358117698667

http://scihub22266oqcxt.onion/10.1177/2054358117698667
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C5433659!5433659!28540057
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suck abstract from ncbi


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pmid28540057      Can+J+Kidney+Health+Dis 2017 ; 4 (ä): ä
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  • Rituximab in Minimal Change Disease: Mechanisms of Action and Hypotheses for Future Studies #MMPMID28540057
  • Madanchi N; Bitzan M; Takano T
  • Can J Kidney Health Dis 2017[]; 4 (ä): ä PMID28540057show ga
  • Treatment with rituximab, a monoclonal antibody against the B-lymphocyte surface protein CD20, leads to the depletion of B cells. Recently, rituximab was reported to effectively prevent relapses of glucocorticoid-dependent or frequently relapsing minimal change disease (MCD). MCD is thought to be T-cell mediated; how rituximab controls MCD is not understood. In this review, we summarize key clinical studies demonstrating the efficacy of rituximab in idiopathic nephrotic syndrome, mainly MCD. We then discuss immunological features of this disease and potential mechanisms of action of rituximab in its treatment based on what is known about the therapeutic action of rituximab in other immune-mediated disorders. We believe that studies aimed at understanding the mechanisms of action of rituximab in MCD will provide a novel approach to resolve the elusive immune pathophysiology of MCD.
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