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Less can be more: Low-dose steroids could effectively treat severe kidney inflammation
Medical Xpress / University Hospital of Bonn / Science Translational Medicine ^ | Oct. 15, 2025 | Junping Yin et al

Posted on 10/27/2025 8:55:24 PM PDT by ConservativeMind

Will it be possible to treat severe kidney inflammation with fewer drugs in the future? A new study gives cause for hope. The researchers show that even low, repeated doses of steroids could be enough to stop inflammation in particularly aggressive crescentic glomerulonephritis (cGN).

The findings could fundamentally change the treatment of many patients—and significantly reduce side effects.

cGN is one of the most dangerous forms of kidney inflammation. Without treatment, it can lead to terminal kidney failure within a few weeks. The standard therapy to date consists of high doses of glucocorticoids (steroids), which strongly suppress the immune system. Although these drugs are effective, they are often associated with significant side effects, including diabetes, osteoporosis, and severe infections.

The team has now investigated in more detail how steroids work in the kidney—and why lower doses may achieve the same effect.

Using modern single-cell and spatial gene sequencing and disease models in mice, the researchers identified a specific subgroup of pro-inflammatory neutrophils as immune cells that significantly promote kidney damage. These cells originate directly in the inflamed kidney tissue and remain active there longer than normal neutrophils.

"Our study shows that doctors do not necessarily need extremely high doses of steroids to suppress these cells—small, repeated doses may be sufficient," explains Prof. Kurts.

In the mouse model, the researchers were able to show that low, regularly administered glucocorticoids block the formation of these harmful cells—even without an initial high dose. Kidney biopsies from patients treated with low doses also showed fewer of these immune cells.

"Single-cell sequencing allowed us to track the harmful neutrophils directly in the inflamed kidney," says Dr. Junping Yin. "This opens up new ways to use steroids in a more targeted and safer manner."

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: healthcare; inflammation; kidney
The paper is behind a paywall, but an available addendum gives the low dose steroid as prednisone given at “0.75mg/kg body weight, at indicated timepoints.”
1 posted on 10/27/2025 8:55:24 PM PDT by ConservativeMind
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To: Mazey; ckilmer; goodnesswins; Jane Long; jy8z; ProtectOurFreedom; matthew fuller; telescope115; ...

The “Take Charge Of Your Health” Ping List

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2 posted on 10/27/2025 8:56:02 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Our cat has been on low dose Prednisolone for years, and we were told it can LEAD TO kidney failure.


3 posted on 10/28/2025 3:34:49 AM PDT by MayflowerMadam (It's hard not to celebrate the fall of bad people. - Bongino)
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To: ConservativeMind
I wish these nimrods wouldn't use "steroids" in the headlines when they're talking about corticosteroids because as soon as The Sheeple hear "steroids," they immediately think:

... which is about anabolic–androgenic steroids. Corticosteroids (cortisone, among others) are ANTI-ANABOLIC, which means their use leads to muscle atrophy and weakening.

Not at all the same thing.

4 posted on 10/28/2025 11:52:53 AM PDT by Paal Gulli
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