Glucocorticoid therapy of nephritis and the problem of drug resistance

Mukhin, N.A.; Liashko, V.N.; Grinberg, K.N.

Terapevticheskii Arkhiv 53(6): 34-37

1981


ISSN/ISBN: 0040-3660
PMID: 7281030
Document Number: 174659
A study of the number of 3H-dexamethasone binding sites in a cutaneous fibroblast culture of 14 nephritis patients with pronounced nephrotic syndrome showed that the number of binding sites was half that in patients who appeared to be resistant to long-term treatment with high doses of glucocorticoids. The same tendency was found in normal subjects. Evidently, some cases of resistance to glucocorticoid therapy are associated with a primary, genetically determined deficiency of cell receptors for the hormones, which can be used as an additional test in forecasting the therapeutic effects of high corticosteroid doses.

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