Table 2.
Indications for therapeutic apheresis in diseases involved kidney and their pathogenic factors.
Medical disciplines | Diseases | Pathogenic factors |
---|---|---|
Primary kidney diseases | FSGS | Circulatory permeability factors |
MN | PLA2R Ab and THSD7A Ab | |
Anti-GBM glomerulonephritis (Goodpasture’s syndrome) | Anti-GBM Ab | |
Secondary kidney diseases | ANCA-associated vessel vasculitis | Anti-MPO or anti-PR3 Ab |
TTP | ADAMTS-13 Ab, ICs | |
aHUS | Complement regulatory components or autoantibodies | |
SLE | Anti-dsDNA Ab, anti-nuclear Ab, ICs | |
KT | ABO-incompatible KT | Blood group isoagglutinins |
HLA-incompatible KT | HLA and non-HLA alloantibodies | |
Ab-mediated allograft rejection | HLA and non-HLA alloantibodies |
FSGS: Focal segmental glomerulosclerosis; MN: membranous nephropathy; PLA2R: M-type phospholipase A2 receptor; THSD7A: thrombospondin type 1 domain-containing protein 7 A, Ab: antibody; GBM: glomerular basement membrane; ANCA: antineutrophil cytoplasmic antibodies; MPO: myeloperoxidase; PR3: proteinase 3; TTP: thrombotic thrombocytopenic purpura; ADAMTS-13: a disintegrin-like and metalloprotease with thrombospondin type 1 motifs-13; ICs: immune complexes; aHUS: atypical hemolytic uremic syndrome; SLE: systemic lupus erythematosus; KT: kidney transplantation; HLA: anti-human leukocyte antigen.