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Review
. 2012 Oct;23(10):1617-30.
doi: 10.1681/ASN.2012010058. Epub 2012 Aug 2.

Treatment of idiopathic membranous nephropathy

Affiliations
Review

Treatment of idiopathic membranous nephropathy

Meryl Waldman et al. J Am Soc Nephrol. 2012 Oct.

Abstract

Exciting progress recently has been made in our understanding of idiopathic membranous nephropathy, as well as treatment of this disease. Here, we review important advances regarding the pathogenesis of membranous nephropathy. We will also review the current approach to treatment and its limitations and will highlight new therapies that are currently being explored for this disease including Rituximab, mycophenolate mofetil, and adrenocorticotropic hormone, with an emphasis on results of the most recent clinical trials.

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Figures

Figure 1.
Figure 1.
Current consensus guidelines for treatment of IMN, adapted from Cattran et al. Possible positions of MMF and rituximab in treatment scheme based on available data (but not currently in guidelines). SAE, severe adverse event.

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References

    1. Beck LH, Jr, Bonegio RG, Lambeau G, Beck DM, Powell DW, Cummins TD, Klein JB, Salant DJ: M-type phospholipase A2 receptor as target antigen in idiopathic membranous nephropathy. N Engl J Med 361: 11–21, 2009 - PMC - PubMed
    1. Heymann W, Hackel DB, Harwood S, Wilson SG, Hunter JL: Production of nephrotic syndrome in rats by Freund’s adjuvants and rat kidney suspensions. Proc Soc Exp Biol Med 100: 660–664, 1959 - PubMed
    1. Kerjaschki D, Farquhar MG: The pathogenic antigen of Heymann nephritis is a membrane glycoprotein of the renal proximal tubule brush border. Proc Natl Acad Sci USA 79: 5557–5561, 1982 - PMC - PubMed
    1. Kerjaschki D, Miettinen A, Farquhar MG: Initial events in the formation of immune deposits in passive Heymann nephritis. gp330-anti-gp330 immune complexes form in epithelial coated pits and rapidly become attached to the glomerular basement membrane. J Exp Med 166: 109–128, 1987 - PMC - PubMed
    1. Adler S, Salant DJ, Dittmer JE, Rennke HG, Madaio MP, Couser WG: Mediation of proteinuria in membranous nephropathy due to a planted glomerular antigen. Kidney Int 23: 807–815, 1983 - PubMed

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