Quantification of immunosuppression by flow cytometry in stable renal transplant recipients.

Abstract:

:The current standard of monitoring transplant patients by drug levels is not optimal because it does not take into account the different and individual effects of immunosuppressive drugs on each patient. In this study, the authors tested immune function assays for monitoring transplant patients. Blood was collected from stable renal transplant patients treated with cyclosporin, mycophenolate mofetil, and prednisone (n = 8), and from healthy volunteers (n = 12). Lymphocyte proliferation, expression of T-cell surface activation antigens (CD25, CD71, CD11a, CD95, CD154), production of intracellular cytokines (IL-2, INFgamma, TNFalpha), and lymphocyte subsets (CD4, CD8, CD16, CD20) were assessed by flow cytometry. Lymphocyte proliferation, expression of T-cell surface activation antigens, and production of intracellular cytokines were significantly decreased in transplant recipients compared with healthy control volunteers. The combined effects of several immunosuppressive drugs in renal transplant recipients can be quantitated with immune function assays in whole blood. This new method may be helpful to achieve an optimal level of immunosuppression for each patient.

journal_name

Ther Drug Monit

authors

Stalder M,Bîrsan T,Holm B,Haririfar M,Scandling J,Morris RE

doi

10.1097/00007691-200302000-00003

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

22-7

issue

1

eissn

0163-4356

issn

1536-3694

journal_volume

25

pub_type

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