Antiphospholipid Syndrome and Kidney Involvement

Background: Antiphospholipid syndrome (APS) is an autoimmune disease characterized by the development of autoantibodies and the impairment of the coagulation system. Knowledge about this syndrome is increasing over time, but kidney involvement, especially APS nephropathy, still represents a challenge for physicians. Summary: A “two hit” model has been hypothesized to explain APS pathophysiology, and the role played by some factors, such as the complement system, is becoming more and more clear. From a clinical point of view, along with thrombosis in any site and/or obstetric morbidities, that are the hallmarks of APS, a constellation of several other clinical symptoms is related to APS. These symptoms alone are not sufficient to fulfill Sydney criteria for APS and this could potentially lead to omitting some diagnoses. The mainstay of management of APS is antithrombotic therapy, but there are expectations for new drugs that regulate the immune system. APS could affect the kidneys in many ways and among them, APS nephropathy is an intriguing entity that has been overlooked in recent years. Novel studies on APS nephropathy are lacking. Key Messages: In this review, we discuss what we currently know about APS and its relationship with the kidney, with an eye toward the future perspectives. Multicenter studies on APS nephropathy are necessary in order to develop targeted therapies.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Antiphospholipid Syndrome and Kidney Involvement ; volume:48 ; number:1 ; year:2023 ; pages:666-677 ; extent:12
Kidney & blood pressure research ; 48, Heft 1 (2023), 666-677 (gesamt 12)

Urheber
De Simone, Emanuele
Sciascia, Savino
Fenoglio, Roberta
Oddone, Valentina
Barreca, Antonella
Roccatello, Dario

DOI
10.1159/000529229
URN
urn:nbn:de:101:1-2024010400011861317080
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:31 MESZ

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Beteiligte

  • De Simone, Emanuele
  • Sciascia, Savino
  • Fenoglio, Roberta
  • Oddone, Valentina
  • Barreca, Antonella
  • Roccatello, Dario

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