Chinese Journal of Dermatology ›› 2020, Vol. 53 ›› Issue (8): 668-672.doi: 10.35541/cjd.20180845

• Reviews • Previous Articles    

Treatment of systemic immunoglobulin light chain amyloidosis

Fu Yujuan, Zhou Jiong, Zheng Min#br#

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  1. Department of Dermatology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, China

  • Received:2018-10-29 Revised:2019-05-25 Online:2020-08-15 Published:2020-07-31
  • Contact: Zheng Min E-mail:minz@zju.edu.cn

Abstract: 【Abstract】 Systemic immunoglobulin light chain amyloidosis is a protein misfolding disease caused by the? highly organized amyloid fibrillar aggregates that lead to irreversible organ dysfunction. This review summarizes systemic therapies for this disease according to the disease risk stratification. Patients with low-risk systemic immunoglobulin light chain amyloidosis are eligible for chemotherapy combined with autologous hematopoietic stem cell transplantation. Patients with high-risk systemic immunoglobulin light chain amyloidosis can be treated with protease inhibitors (such as bortezomib, carfilzomib and ixazomib), immunomodulatory agents (such as lenalidomide, pomalidomide) and new immunological agents (such as daratumumab and NEOD001).

Key words: Amyloidosis, Immunoglobulin light chains, Clinical protocols