New treatments for autoimmune renal disease are required, and a develo
ping knowledge of its underlying immunopathogenesis has identified sit
es where immunotherapy is likely to be effective. Experience with intr
avenous immunoglobulin and lymphocyte depletion by monoclonal antibodi
es in systemic vasculitis and systemic lupus erythematosus is awaiting
confirmation by randomized trials. Treatments at or near clinical tes
ting include monoclonal antibody blockade of leucocyte-endothelial int
eractions and CD40 mediated B-cell activation, and immunoablation with
autologous stem-cell transplantation for more severe multisystem auto
immune disease. (C) 1998 Rapid Science Ltd.