低氧诱导因子脯氨酸羟化酶抑制剂治疗地中海贫血伴肾性贫血1例

刘源, 李念夷, 张倩, 陈靖

复旦学报(医学版) ›› 2022, Vol. 49 ›› Issue (01) : 156-158.

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复旦学报(医学版) ›› 2022, Vol. 49 ›› Issue (01) : 156-158. DOI: 10.3969/j.issn.1672-8467.2022.01.023
个案报告

低氧诱导因子脯氨酸羟化酶抑制剂治疗地中海贫血伴肾性贫血1例

  • 刘源1,3, 李念夷2, 张倩1, 陈靖1
作者信息 +

Hypoxia-inducible factor prolyl hydroxylase inhibitor in the treatment of thalassemia with renal anemia: a case report

  • LIU Yuan1,3, LI Nian-yi2, ZHANG Qian1, CHEN Jing1
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摘要

本文报告1例低氧诱导因子脯氨酸羟化酶抑制剂(hypoxiainducible factor prolyl hydroxylase inhibitor,HIF-PHI)治疗地中海贫血合并肾性贫血的病例。患者为老年女性,患有β地中海贫血,突变基因CD41-42杂合,因高血压、糖尿病进展为尿毒症,并发肾性贫血。应用促红细胞生成素治疗后,患者贫血不能纠正,长期依赖输血,后改用HIF-PHI罗沙司他治疗有效。

Abstract

We reported a case of hypoxia-inducible factor prolyl hydroxylase inhibitor(HIF-PHI) in the treatment of thalassemia combined with renal anemia.The patient was an elderly female with β-thalassemia, heterozygous for the mutant gene CD41-42, and progressed to uremia due to hypertension and diabetes.After treatment with erythropoietin, the patient's renal anemia could not be corrected, and she relied on blood transfusion for a long time. HIF-PHI Roxadustat is effective in treating this patient.

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刘源, 李念夷, 张倩, 陈靖. 低氧诱导因子脯氨酸羟化酶抑制剂治疗地中海贫血伴肾性贫血1例[J]. 复旦学报(医学版), 2022, 49(01): 156-158 https://doi.org/10.3969/j.issn.1672-8467.2022.01.023
LIU Yuan, LI Nian-yi, ZHANG Qian, CHEN Jing. Hypoxia-inducible factor prolyl hydroxylase inhibitor in the treatment of thalassemia with renal anemia: a case report[J]. Fudan University Journal of Medical Sciences, 2022, 49(01): 156-158 https://doi.org/10.3969/j.issn.1672-8467.2022.01.023
中图分类号: R556.7   

参考文献

[1] SUGAHARA M, TANAKA T, NANGAKU M. Prolyl hydroxylase domain inhibitors as a novel therapeutic approach against anemia in chronic kidney disease[J]. Kidney Int, 2017, 92(2): 306-312.
[2] CHEN N, HAO C, LIU BC, et al. Roxadustat treatment for anemia in patients undergoing long-term dialysis[J]. N Engl J Med, 2019, 381(11): 1011-1022.
[3] CHEN N, HAO C, PENG X, et al. Roxadustat for anemia in patients with kidney disease not receiving dialysis[J]. N Engl J Med, 2019, 381(11): 1001-1010.
[4] SCHODEL J, RATCLIFFE PJ. Mechanisms of hypoxia signalling: new implications for nephrology [J]. Nat Rev Nephrol, 2019, 15(10): 641-659.
[5] TAHER AT, WEATHERALL DJ, CAPPELLINI MD. Thalassaemia[J]. Lancet, 2018, 391(10116): 155-167.

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