{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T12:34:53Z","timestamp":1765542893156,"version":"3.48.0"},"reference-count":25,"publisher":"BMJ","issue":"6523","license":[{"start":{"date-parts":[[1986,3,22]],"date-time":"1986-03-22T00:00:00Z","timestamp":511833600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1986,3,22]]},"abstract":"<jats:p>Nephrotic syndrome in minimal change lipoid nephrosis and focal segmental glomerulosclerosis may be due to alteration of glomerular anionic sites by a lymphokine. Six adults with nephrotic syndrome who were resistant to treatment with corticosteroids and immunosuppressants were treated with cyclosporin A. In three patients with minimal change lipoid nephrosis who had been nephrotic for 3.5 to 23 years proteinuria resolved within 12 to 42 days. Subsequently, these patients became dependent on cyclosporin A. In three patients with focal segmental glomerulosclerosis who had been nephrotic for four to six years mean (SD) 24 hour urinary protein decreased from 14.7 (8.4) g to 3.6 (0.6) g within 20 to 25 days, serum albumin concentration rose, and oedema subsided. One patient died of myocardial infarction when still in partial remission after 11 weeks' treatment. Two patients remained proteinuric despite continuing treatment with cyclosporin A, but control of sodium balance was easy and serum albumin concentrations remained higher than without cyclosporin A. In all patients renal function improved during treatment. These preliminary results show that cyclosporin A may be effective in the treatment of patients with nephrotic syndrome that resists every other form of treatment and especially in the treatment of those with minimal change lipoid nephrosis. The results are in keeping with a T lymphocyte mediated mechanism of minimal change lipoid nephrosis and focal segmental glomerulosclerosis, but they also suggest that minimal change lipoid nephrosis and focal segmental glomerulosclerosis are separate entities.<\/jats:p>","DOI":"10.1136\/bmj.292.6523.789","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"789-792","source":"Crossref","is-referenced-by-count":53,"title":["Remission of idiopathic nephrotic syndrome after treatment with cyclosporin A."],"prefix":"10.1136","volume":"292","author":[{"given":"A","family":"Meyrier","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Simon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Perret","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M C","family":"Condamin-Meyrier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1986,3,22]]},"reference":[{"key":"ref_1","first-page":"637","article-title":"The nephrotic syndrome. 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Altered expression of B lymphocyte surface immunoglobulins in minimal change nephrotic syndrome and focal glomerulosclerosis. Nephron 1984;37:224-8.","journal-title":"Nephron"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/0090-1229(79)90133-8","article-title":"Lymphocyte subpopulations in minimal change nephrotic syndrome","volume":"14","author":"Kerpen, H.O.; Bhat, J.G.; Kanton, R.","year":"1979","unstructured":"Kerpen HO, Bhat JG, Kanton R, et al. Lymphocyte subpopulations in minimal change nephrotic syndrome. Clin Immnol Immnopathol 1979;14:130-6.","journal-title":"Clin Immnol Immnopathol"},{"key":"ref_15","first-page":"87","article-title":"The pathogenesis of minimal change nephropathy","volume":"7","author":"Mallick, N.P.","year":"1977","unstructured":"Mallick NP. The pathogenesis of minimal change nephropathy. 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Vol 1","first-page":"634","article-title":"Minimal change disease, mesangial prolifertive glomenslonephritis and focal sclerosis: individual entities or a spectrum of disease?","author":"Habib, R.; Churg, J.; Bernstein, J.","year":"1984","unstructured":"Habib R, Churg J, Bernstein J, et al. Minimal change disease, mesangial prolifertive glomenslonephritis and focal sclerosis: individual entities or a spectrum of disease? In: Robinson RR, ed. Proceedings ofdhe ninth congress ofnephroiogy. Vol 1. Berlin: Springer-Verlag, 1984:634-44."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/S0140-6736(85)91610-1","article-title":"Thromboembolic complications and haemostatic changes in cyclosporin-treated cadaveric kidney allograft recipients","volume":"i:","author":"Vanrenterghem, Y.; Roels, L.; Lerut, T.","year":"1985","unstructured":"Vanrenterghem Y, Roels L, Lerut T, et al. 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(British Medical journal 1886;i:214.)","journal-title":"(British Medical journal 1886"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.292.6523.789","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.292.6523.789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T12:29:49Z","timestamp":1765542589000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.292.6523.789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,3,22]]},"references-count":25,"journal-issue":{"issue":"6523","published-online":{"date-parts":[[1986,3,22]]},"published-print":{"date-parts":[[1986,3,22]]}},"alternative-id":["10.1136\/bmj.292.6523.789"],"URL":"https:\/\/doi.org\/10.1136\/bmj.292.6523.789","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"type":"print","value":"0267-0623"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1986,3,22]]}}}