The effect of renal ischemia on cyclosporine clearance in rabbits.

Abstract:

:The renal handling of cyclosporine was studied in ischemically damaged kidneys in New Zealand White rabbits and nonischemic control animals. CsA, 25 mg/kg/day, was administered intravenously for 10 days starting with the day of operation. Blood CsA (B CsA) was higher in the ischemic group compared with the controls (median: 285 micrograms/L, range 95-785 micrograms/L vs. 170 micrograms/L, range 110-185 micrograms/L, P = 0.05) on day 1 after operation. B CsA dropped rapidly to a level equivalent to the controls by day 4 (median: 105 micrograms/L, range 60-280 micrograms/L vs. 195 micrograms/L, range 70-215 micrograms/L, P = NS). Median CsA clearance (C CsA) as a percentage of creatinine clearance (C Cr) was some ten-fold greater in the ischemic animals (6.32%, range 2.93-18.41% vs. 0.55%, range 0.13-0.78%, P less than 0.001) on day 1. The ratio gradually declined, approaching the value in controls by day 10 (0.86%, range 0.24-7.21% vs. 0.23%, range 0.16-0.73%, P = 0.05). The data suggest that renal impairment has an important effect on CsA blood levels. In the clinical situation this may be of particular importance during both oliguria and the recovery from acute tubular necrosis.

journal_name

Transplantation

journal_title

Transplantation

authors

Karim MS,Wood RF,Dawnay AB,Fulton PA

doi

10.1097/00007890-199003000-00004

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

500-2

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

49

pub_type

杂志文章
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    更新日期:2006-10-27 00:00:00

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    doi:

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    更新日期:1994-02-01 00:00:00

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  • Interference of angiotensin-converting enzyme inhibitors on erythropoiesis in kidney transplant recipients: role of growth factors and cytokines.

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31827afb3a

    authors: Singal AK,Guturu P,Hmoud B,Kuo YF,Salameh H,Wiesner RH

    更新日期:2013-03-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-200107150-00008

    authors: Sileri P,Schena S,Morini S,Rastellini C,Pham S,Benedetti E,Cicalese L

    更新日期:2001-07-15 00:00:00

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    doi:10.1097/TP.0000000000003414

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