Conversion from cyclosporine-based immunosuppression to tacrolimus/mycophenolate mofetil in patients with refractory and ongoing acute renal allograft rejection.

Abstract:

AIM OF THE STUDY:was to examine the influence of conversion from cyclosporine-based therapy to tacrolimus/mycophenolate mofetil (MMF) on renal graft survival in patients with refractory rejection and on the recurrence of rejection in patients converted at the time of the first episode of rejection. PATIENTS AND METHODS:A total of 64 renal graft recipients were converted to tacrolimus/MMF: 30 patients (Group I) in whom acute allograft rejection was not resolved after anti-rejection therapy; 34 patients (Group II) with first acute rejection, in whom tacrolimus/MMF was an adjunctive therapy to corticosteroid treatment. RESULTS:In Group I, ten patients failed to recover graft function. Another 10 patients lost their grafts within 2 years after conversion. Two-year graft survival was 30%. Gastro-intestinal complications or leucopenia necessitated immunosuppressants dose reduction or interruption in 50% of the patients. In Group II, recurrence of acute rejection episode occurred in 12% of patients. Ten patients (30%) developed chronic rejection within 2 years after conversion. One and two year kidney graft survival was 97% and 93.6% respectively. CONCLUSIONS:Conversion to tacrolimus/MMF in patients with refractory rejection improved or stabilized renal function, but this effect was short-lasting. Intolerance of immunosuppressive drugs contributed greatly to the treatment inefficacy. Conversion to tacrolimus/MMF during the first acute rejection resulted in low risk of recurrent rejection. Nevertheless, progression to chronic graft nephropathy was observed.

journal_name

Ann Transplant

authors

Boratyńska M,Banasik M,Patrzałek D,Klinger M

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

51-6

issue

2

eissn

1425-9524

issn

2329-0358

journal_volume

11

pub_type

杂志文章,评审
  • Calcineurin inhibitor-based and free regimens have distinct gene expression patterns in subclinical graft fibrosis.

    abstract:BACKGROUND:Chronic nephrotoxic effects of calcineurin inhibitors may be responsible for late allograft dysfunction and reduced allograft half-life. Mammalian target of rapamycin inhibitors (mTOR-i's), a newer class of immunosuppressant, do not have the chronic nephrotoxic effects shown with calcineurin inhibitors (CNI)...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/aot.881869

    authors: Toz H,Sen S,Celik HA,Yilmaz M,Hur E,Hoscoskun C,Ozkahya M,Aydin HH

    更新日期:2011-04-01 00:00:00

  • Toxic tacrolimus blood levels with rifampin administration in a renal transplant recipient.

    abstract:BACKGROUND:Induction of the hepatic and intestinal cytochrome P450-3A4 system and intestinal P-glycoprotein is an unavoidable consequence of rifampin administration which requires substantial increase in tacrolimus dose when given concurrently. Chronic diarrhea is known to precipitate tacrolimus toxicity irrespective o...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Abdel Halim M,Al-Otaibi T,Gheith O,El-Kholy O,Abdel Tawab K,Said T,Nair P,Nampoory MR

    更新日期:2010-01-01 00:00:00

  • A randomized study comparing IGL-1 to the University of Wisconsin preservation solution in liver transplantation.

    abstract:BACKGROUND:Institut Georges Lopez-1 (IGL-1) is a new preservation solution with lower potassium and lower viscosity than University Wisconsin solution (UW). These characteristics which improve liver preservation lead us to evaluate clinical effects of IGL-1 in a randomized controlled study with UW. MATERIAL/METHODS:Fr...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Dondéro F,Paugam-Burtz C,Danjou F,Stocco J,Durand F,Belghiti J

    更新日期:2010-10-01 00:00:00

  • Left ventricle pseudoaneurysm in a transplanted heart from a car crash victim donor.

    abstract:BACKGROUND:Pseudoaneurysm is a very rare and unusual form of myocardial rupture, with complications such as chest trauma, inflammation, acute myocardial infarction, and infection. Although this rare complication has already been reported, it has never been found in a transplanted patient. CASE REPORT:We present the ca...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.890417

    authors: Urbanowicz T,Katarzyński S,Puślecki M,Budniak W,Araszkiewicz A,Łanocha M,Pyda M,Straburzyńska-Migaj E,Jemielity M

    更新日期:2014-06-26 00:00:00

  • Organ donation in Poland 2006.

    abstract::Organ transplantation program has been slowly developing over last 30 years. The number of DD (deceased donors) stabilized on the level of approximately 13/million of population. Multiorgan donation has been 45%, due to some problems with donor management. Polish Transplant Coordinating Center POLTRANSPLANT which is r...

    journal_title:Annals of transplantation

    pub_type: 社论

    doi:

    authors: Czerwinski J,Antoszkiewicz K,Malanowski P,Durlik M,Kaliciński P,Lisik W,Wałaszewski J,Rowiński W

    更新日期:2007-01-01 00:00:00

  • Sulforaphane decreases kidney injury after transplantation in rats: role of mitochondrial damage.

    abstract:BACKGROUND:Sulforaphane is a naturally occuring antioxidative and anti-inflammatory isothiocyanat. In this study, its impact on experimental kidney transplantation was evaluated. MATERIAL AND METHODS:Male Brown Norway rats (n=112) were used as experimental animals. Donor kidneys were harvested and stored for 12 hours ...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.884013

    authors: Cekauskas A,Bruns H,Manikas M,Herr I,Gross ML,Zorn M,Jankevicius F,Strupas K,Schemmer P

    更新日期:2013-09-18 00:00:00

  • Physical activity long-term after liver transplantation yields better quality of life.

    abstract:BACKGROUND:Transplantation is the only effective method of treatment for end-stage and acute liver failure. Increased average survival time has been observed, and results from improved surgical technique and amended immunosuppression protocols. However, longer survival of patients after orthotopic liver transplantation...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/aot.882005

    authors: Rongies W,Stepniewska S,Lewandowska M,Smolis-Bak E,Dolecki W,Sierdzinski J,Trzepla E,Cholewinska G,Stankiewicz W

    更新日期:2011-07-01 00:00:00

  • Excellent outcome of renal transplantation using single old kidneys in old recipients.

    abstract::Aim of this monocentric study is to compare the outcome of 101 renal transplants performed in patients older than 55 years with single kidney retrieved from donors older than 50 years, with 263 transplants performed in patients younger than 55 years transplanted with young kidneys. Delayed graft function (DGF) had sim...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Bertoni E,Rosati A,Zanazzi M,Di Maria L,Becherelli P,Gallo M,Salvadori M

    更新日期:2004-01-01 00:00:00

  • Does Vitamin D Affect Chronic Renal Allograft Function in Pediatric Transplant Patients?

    abstract::BACKGROUND Correction of hypovitaminosis D is simple, but it is unclear whether it is associated with an accelerated decline of renal allograft function in pediatric renal transplantation patients. This retrospective single center cohort study aimed at analyzing the effect of vitamin D and covariates on the slope of 1...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Wile B,Yoo E,Alvarez Elias AC,Subramanian L,Eager K,Sharma AP,Filler G

    更新日期:2018-04-17 00:00:00

  • The reaction of the regional lymph nodes on the skin bacterial and allogeneic antigens.

    abstract::Transplantation of hands in humans has become an accepted therapeutic modality. A hand transplant is composed of various tissues of different degree of immunogenicity. In addition, skin contains own resident bacterial flora that may become virulent in the ischemic and rejecting graft. Discrimination between skin rejec...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Cakala M,Olszewski WL

    更新日期:2004-01-01 00:00:00

  • The impact of treated bacterial infections within one month before living donor liver transplantation in adults.

    abstract:BACKGROUND:The impact of treated preoperative bacterial infections on the outcome of living-donor liver transplantation (LDLT) is not well defined. The aim of this study was to determine the frequency of pre-transplant bacterial infections within one month before LDLT and their impact on the post-transplant morbidity a...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.892095

    authors: Hara T,Soyama A,Takatsuki M,Hidaka M,Carpenter I,Kinoshita A,Adachi T,Kitasato A,Kuroki T,Eguchi S

    更新日期:2014-12-23 00:00:00

  • A Pilot Trial to Examine the Changes in Carotid Arterial Inflammation in Renal Transplant Recipients as Assessed by 18F-Fluorodeoxyglucose (18F-FDG) Positron Emission Tomography Computed Tomography (PET/CT).

    abstract::BACKGROUND Inflammatory activity of the artery can be assessed by measuring 18F-fluorodeoxyglucose (18F-FDG) uptake with positron emission tomography computed tomography (PET/CT). Improvement in vascular function after renal transplantation has been reported, but no studies have used 18F-FDG PET/CT to examine the chan...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.909212

    authors: Yoon HE,Kim Y,Kim SD,Oh JK,Chung YA,Shin SJ,Yang CW,Seo SM

    更新日期:2018-06-15 00:00:00

  • The first Polish liver transplantation after Roux-en-Y gastric bypass surgery for morbid obesity: a case report and literature review.

    abstract:BACKGROUND:Morbid obesity is associated with liver pathology, most commonly non-alcoholic steatohepatitis (NASH) leading to cirrhosis. However, the morbid obesity impedes qualification for organ transplantation. CASE REPORT:We present a case report of a 56-year-old woman who underwent bariatric procedure followed by l...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,评审

    doi:10.12659/AOT.893797

    authors: Marszałek R,Ziemiański P,Łągiewska B,Pacholczyk M,Domienik-Karłowicz J,Trzebicki J,Wierzbicki Z,Jankowski K,Kosieradzki M,Wasiak D,Jonas M,Pruszczyk P,Durlik M,Lisik W,Chmura A

    更新日期:2015-02-25 00:00:00

  • Late onset post transplantation lymphoproliferative disorders: analysis of international data from 5 studies.

    abstract:BACKGROUND:Organ transplantation increases the risk of cancer including lymphomas through various and insidious mechanisms. In this study, we aimed to gather and analyze data of 5 international studies on late onset lymphoproliferative disorders after renal and liver transplantation. MATERIAL/METHODS:We conducted a co...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,评审

    doi:

    authors: Khedmat H,Taheri S

    更新日期:2009-10-01 00:00:00

  • Local expression of myocardial galectin-3 does not correlate with its serum levels in patients undergoing heart transplantation.

    abstract:BACKGROUND:Galectins are a family of soluble lectins expressed in a variety of tissues, which play many important regulatory roles in inflammation, immunity, and cancer. The up-regulation of galectin-3 in hypertrophied hearts and the development of fibrosis have been shown in experimental studies. Increased galectin-3 ...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.889396

    authors: Beiras-Fernandez A,Weis F,Rothkopf J,Kaczmarek I,Ledderose C,Dick A,Keller T,Beiras A,Kreth S

    更新日期:2013-11-22 00:00:00

  • Diagnosis and treatment of steroid resistant cellular rejection in heart transplant recipients--single center experience.

    abstract:OBJECTIVES:Aim of the study was to assess frequency and risk factors of steroid resistant cellular rejection (SRR) in heart transplant recipients, to determine methods of its treatment, and to evaluate influence of steroid resistant rejection and method of its treatment on short- and long-term results. METHODS:All pts...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Zakliczyński M,Nozyński J,Zakliczyńska H,Kozłowska K,Trzcińska I,Szewczyk M,Konecka-Mrówka D,Foremny J,Swierad M,Przybylski R,Pisarska H,Wojarski J,Durmała J,Zembala M

    更新日期:2003-01-01 00:00:00

  • Effects of Addition of Early Enteral Nutritional Support During the Postoperative Phase in Patients after Living-Donor Liver Transplantation.

    abstract:BACKGROUND:Early initiation of enteral nutrition is recommended after some surgical procedures. This study retrospectively analyzed the effects of addition of early enteral nutrition (EEN) support during the postoperative phase in patients after living-donor liver transplantation (LDLT). MATERIAL AND METHODS:The subje...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.893421

    authors: Ei S,Shinoda M,Itano O,Obara H,Kitago M,Hibi T,Yagi H,Abe Y,Matsubara K,Ono Y,Kawachi S,Hoshino K,Kuroda T,Tanabe M,Kitagawa Y

    更新日期:2015-06-25 00:00:00

  • Outcomes of Non-Cryopreserved Versus Cryopreserved Peripheral Blood Stem Cells for Autologous Stem Cell Transplantation in Multiple Myeloma.

    abstract::BACKGROUND Autologous stem cell transplantation (ASCT) has become a standard procedure in multiple myeloma (MM) patients. Cryopreservation (CRYO) of stem cells may be associated with adverse reactions of dimethyl sulfoxide. Previous studies showed that stem cell storage at 4°C (non-cryopreserved [NC] method) may have ...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.927084

    authors: Piriyakhuntorn P,Tantiworawit A,Rattanathammethee T,Hantrakool S,Chai-Adisaksopha C,Rattarittamrong E,Norasetthada L

    更新日期:2020-12-11 00:00:00

  • Attitudes to xenotransplantation: scientific enthusiasm, assumptions and evidence.

    abstract::The use of xenografts could relieve the chronically inadequate supply of human organs for transplantation, but doubts have been expressed about the general acceptability of transplanting animal organs into human. Some researchers and clinicians have chosen to ignore negative attitudes towards clinical xenotransplantat...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Mohacsi PJ,Thompson JF,Quine S

    更新日期:1998-01-01 00:00:00

  • The limits of human athletic performance.

    abstract::For each individual, there is a limit to the capacity to perform exercise. The limitation, however, depends on the nature of the task and is also influenced by a number of other factors. Muscle strength is determined largely by muscle mass, specifically muscle cross-sectional area, but is also influenced by neural dri...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,评审

    doi:

    authors: Maughan RJ

    更新日期:2005-01-01 00:00:00

  • Dose-normalization for exposure to mycophenolic acid and the early clinical outcome in patients taking tacrolimus after heart transplantation.

    abstract:BACKGROUND:The early phase of MPA exposure has rarely been investigated after solid organ transplantation, especially in heart transplantation patients. We evaluated the association between exposure to mycophenolic acid (MPA), a main metabolite of mycophenolate mofetil (MMF), and clinical events within 3 months after h...

    journal_title:Annals of transplantation

    pub_type: 临床试验,杂志文章

    doi:10.12659/AOT.883812

    authors: Roan JN,Chou CH,Hsu CH,Wu SY,Huang YC,Yang YJ,Luo CY

    更新日期:2013-02-05 00:00:00

  • Risk Factors for Acute Graft-Versus-Host Disease After Allogeneic Haematopoietic Stem Cell Transplantation: A Single-Center Experience.

    abstract::BACKGROUND Acute graft-versus-host disease (aGVHD) remains the most common and challenging complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). An important obstacle to the therapeutic effect of aGVHD is the inability to identify risk factors for an individual patient at the onset of symp...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/aot.901495

    authors: Wang F,Cai B,Wang L,Gu Z,Luo L,Wei H,Zhao S,Guan L,Wang X,Wang L,Liu D,Gao C

    更新日期:2017-02-03 00:00:00

  • Ano-genital neoplasia in renal transplant patients.

    abstract::Ano-genital neoplasia is about 20 x more common in renal transplant patients than the general population. Neoplasms in the immunosuppressed are more morbid and mortal because: patients are younger; tumors are more undifferentiated; they have more and larger foci; more sites are involved; neoplasms tend to persist, rec...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,评审

    doi:

    authors: Sillman FH,Sentovich S,Shaffer D

    更新日期:1997-01-01 00:00:00

  • Malignancy after renal transplantation in the new era of immunosuppression.

    abstract:BACKGROUND:This retrospective single-center study was undertaken to assess the occurrence of de novo neoplasms in renal transplant recipients according to the immunosuppressive regimen and time after transplantation. MATERIAL/METHODS:Observation encompassed 1028 patients transplanted between the years 1983-2006 and fo...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Watorek E,Boratynska M,Smolska D,Patrzalek D,Klinger M

    更新日期:2011-04-01 00:00:00

  • Myocardial performance after brain death: studies in isolated hearts.

    abstract:OBJECTIVES AND METHODS:Brain death related hemodynamic instability and/or cardiac dysfunction is frequently described in the potential organ donor which may lead to exclusion of the heart from transplantation. The underlying mechanisms are controversely discussed. Therefore, in the present study, potential brain death ...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Szabó G,Hackert T,Buhmann V,Sebening C,Vahl CF,Hagl S

    更新日期:2000-01-01 00:00:00

  • Reactive oxygen species and molecular biology of ischemia/reperfusion.

    abstract::Ischemic reperfusion injury is a complex pathophysiological event associated with significant impairment of multiple vascular and cellular responses. Oxidative damage due to the presence of radical oxygen species is the essential step that initiates a wide range of intracellular stress signaling processes that culmina...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,评审

    doi:

    authors: Toledo-Pereyra LH,Lopez-Neblina F,Toledo AH

    更新日期:2004-01-01 00:00:00

  • Comparision of benefits of early, delayed, and no administration of G-CSF after autologous peripheral blood stem cell transplantation in lymphoma patients.

    abstract:BACKGROUND:Autologous peripheral blood stem cell transplantation (PBSCT) is commonly used in the treatment of lymphoma patients. G-CSF is widely used to boost white blood cell recovery. However, there are no clear data indicating which strategy of using G-CSF provides the most benefit. The aim of our study was to compa...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.12659/AOT.883965

    authors: Wyleżoł I,Snarski E,Markiewicz M,Kyrcz-Krzemień S,Jędrzejczak WW,Walewski J

    更新日期:2013-07-02 00:00:00

  • Minimally Invasive Surgery Is Feasible in Patients with Liver and Kidney Transplantation.

    abstract::BACKGROUND Minimally invasive surgery (MIS) has rapidly advanced, but its use in transplant patients has lagged. We share our experience of MIS for patients after kidney and liver transplantation and compare our results with similar studies in the literature. MATERIAL AND METHODS This study included 14 MIS (12 laparos...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:10.12659/AOT.922602

    authors: Hsu DW,Chang CM,Hsu CS,Yin WY

    更新日期:2020-06-16 00:00:00

  • Expression pattern of extracellular matrix proteins in the pancreas of various domestic pig breeds, the Goettingen Minipig and the Wild Boar.

    abstract:UNLABELLED:In spite of progress in biotechnology, isolation of porcine pancreatic islets remains a difficult task with unpredictable results. One reason could be the lack of knowledge as to the expression of extracellular matrix proteins in porcine exocrine and endocrine tissues, particularly in "islet capsules". Such ...

    journal_title:Annals of transplantation

    pub_type: 杂志文章

    doi:

    authors: Meyer T,Czub S,Chodnewska I,Beutner U,Hamelmann W,Klöck G,Zimmermann U,Thiede A,Ulrichs K

    更新日期:1997-01-01 00:00:00

  • Chronic renal failure in non-renal organ transplant recipients.

    abstract::Recovery of the patients after transplantation of non-renal organs may be complicated by multi-faceted chronic renal failure (CKD) which is regarded as an independent risk factor of graft dysfunction and mortality. The occurrence of CKD in non-renal transplant recipients depends mainly on a type of transplanted organ,...

    journal_title:Annals of transplantation

    pub_type: 杂志文章,评审

    doi:

    authors: Nowicki M,Zwiech R

    更新日期:2005-01-01 00:00:00