Low dose ciclosporin from the early postoperative period yields potent immunosuppression after renal transplantation.

Abstract:

:This study sought to determine if low doses of ciclosporin (CS) designed to give fasting serum levels of 50-100 ng/ml achieve effective immunosuppression when used from the early postoperative period after renal transplantation. Ninety-four primary renal transplant recipients were studied. Group 1 patients were treated with CS 100 ng/ml and prednisone (0.15 mg/kg/day). Group 2 patients received CS 50 ng/ml, prednisone (0.15 mg/kg/day) and azathioprine (1 mg/kg/day). These patients were compared to a control group of 26 patients (group 3) maintained on only prednisone and azathioprine. CS-treated patients suffered significantly fewer rejection episodes than control subjects (rejection episodes per patient in first year: group 1: 0.3 +/- SD 0.6; group 2: 0.7 +/- SD 0.7; group 3: 1.3 +/- SD 1.1, p less than 0.005). In addition, a greater number of CS-treated patients were completely free of rejection episodes during the first year posttransplant (group 1: 63%; group 2: 64%; group 3: 19%, p less than 0.005). Patient and graft survival were similar in all groups after 1 year (group 1: 92 and 92% respectively; group 2: 95 and 87% respectively; group 3: 96 and 85% respectively). These data suggest that the dose of CS required for effective immunosuppression in vivo is lower than has been previously thought.

journal_name

Nephron

journal_title

Nephron

authors

Brady HR,Kamel KS,Harding ME,Cook GT,deVeber GA,Cardella CJ

doi

10.1159/000186007

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

394-9

issue

4

eissn

1660-8151

issn

2235-3186

journal_volume

55

pub_type

临床试验,杂志文章,随机对照试验

相关文献

NEPHRON文献大全
  • Should We STOP Angiotensin Converting Enzyme Inhibitors/Angiotensin Receptor Blockers in Advanced Kidney Disease?

    abstract::Chronic kidney disease (CKD) is a worldwide public health problem associated with a high prevalence of cardiovascular disease (CVD) and impaired quality of life. Previous research for preventing loss of glomerular filtration rate (GFR) has focused on reducing blood pressure (BP) and proteinuria. Angiotensin converting...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000447068

    authors: Ahmed A,Jorna T,Bhandari S

    更新日期:2016-01-01 00:00:00

  • Exercise and Prediabetes after Renal Transplantation (EXPRED): Protocol Description.

    abstract:BACKGROUND:Post-transplant diabetes mellitus (PTDM) is a frequent and severe complication after renal transplantation. In fact, PTDM is a risk factor for both infection and cardiovascular diseases. The prevalence and incidence of PTDM have a bimodal evolution: early (up to 3 months) and late PTDM (beyond 12 months). Th...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000511320

    authors: Morales Febles R,Negrín Mena N,Rodríguez-Rodríguez AE,Díaz Martín L,González Rinne F,Marrero Miranda D,González Rinne A,Álvarez González A,Pérez Tamajón L,Acosta Sørensen C,Rodríguez Hernández A,Domínguez-Rodríguez A,García Baute

    更新日期:2021-01-01 00:00:00

  • Serum glycoprotein: glycosyl transferase activity in patients with renal disease.

    abstract::Glycoprotein: galactosyl and glycoprotein: sialic acid transferase activities were measured in the serum of patients with minimal lesion nephrotic syndrome, acute renal failure, and chronic renal insufficiency of varying severity. The activity of galactosyl transferase was elevated in all patients but one. Sialic acid...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章

    doi:10.1159/000180711

    authors: Kirschbaum BB

    更新日期:1976-01-01 00:00:00

  • Inpatient Kidney Function Recovery among Septic Shock Patients Who Initiated Kidney Replacement Therapy in the Hospital.

    abstract:BACKGROUND:Sepsis and septic shock are life-threatening causes of acute kidney injury (AKI) frequently seen and managed in intensive care units (ICUs). Sepsis-associated AKI (SA-AKI) independently contributes to the mortality of sepsis. Understanding the potential factors involved in kidney function recovery may furthe...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000507999

    authors: Chen JCY,Hu B,Frank RD,Kashani KB

    更新日期:2020-01-01 00:00:00

  • Dyskalemia in Chronic Kidney Disease: How Concerned Should We Be?

    abstract:CONTEXT:The widespread use of diuretics, potassium supplements, and medications that block renin angiotensin system puts the chronic kidney disease (CKD) population at high risk for dyskalemia, both hyperkalemia and hypokalemia. The optimal potassium level in a CKD patient is unknown. Subject of review: Two recent stud...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000490008

    authors: Tandukar S,Fried LF

    更新日期:2018-01-01 00:00:00

  • Idiopathic hypercalciuria causing osteoporosis and hypocalcemia.

    abstract::Idiopathic hypercalciuria, though a common cause of nephrolithiasis, has not been recognized to cause hypocalcemia and severe bone disease. We describe an adolescent with idiopathic hypercalciuria who presented initially with severe hypocalcemia and osteoporosis and this was later complicated by recurrent renal calcul...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000186878

    authors: Wong CK,Pun KK,Tam SC,Tsui EY,Kung AW,Lam KS,Wang CC

    更新日期:1992-01-01 00:00:00

  • Comparison of histomorphometry and computerized tomography of the spine in quantitating trabecular bone in renal osteodystrophy.

    abstract::Computerized tomography (CT) has the advantage of allowing the isolation of trabecular bone of the axial skeleton, which is the more sensitive to metabolic changes. By means of single-energy X-ray CT we have devised a method for assessing trabecular bone mass (TBM) at L-4 vertebral body, which has an acceptable reprod...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000184007

    authors: Torres A,Lorenzo V,Gonzalez-Posada JM

    更新日期:1986-01-01 00:00:00

  • Beneficial effect of hemodialysis on renal allograft survival.

    abstract::The effect of the length of hemodialysis on the outcome of renal transplant was evaluated in 43 recipients of renal allograft. 22 out of 23 patients (95.7%) dialyzed for longer than one year had an excellent renal function at one year, while only 10 out of 20 patients (50%) dialyzed for less than one year had good ren...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000180475

    authors: Rashid A,Sengar DP,Couture RA,Posen GA,Harris JE

    更新日期:1975-01-01 00:00:00

  • Influence of splenectomy on human acute tubular necrosis.

    abstract::The incidence of acute tubular necrosis (need for hemodialysis immediately after transplantation) and its severity (the number of days dialysis was needed) were studied in 299 patients who were randomized prior to transplantation into undergoing splenectomy or not having splenectomy. There was no difference in the inc...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183150

    authors: Pru CE,Fryd DS,Kjellstrand CM

    更新日期:1984-01-01 00:00:00

  • Mesangial deposition of J chain-linked polymeric IgA in IgA nephropathy.

    abstract::Renal biopsy specimens from 8 patients with IgA nephropathy (Berger's disease) were examined immunocytochemically at the light and electron microscopic levels with peroxidase-labeled antibodies to IgA, IgM, J chain and secretory component. In 2 of the 8 specimens heavy deposits of IgA, but no IgM, were found in the me...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182907

    authors: Komatsu N,Nagura H,Watanabe K,Nomoto Y,Kobayashi K

    更新日期:1983-01-01 00:00:00

  • Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitors in Patients with Renal Anemia: A Meta-Analysis of Randomized Trials.

    abstract:BACKGROUND:Hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHIs) are a new class of treatment for renal anemia in patients with chronic kidney disease (CKD). This meta-analysis was designed to evaluate their efficacy and safety. METHOD:Eight databases were searched for randomized controlled trials (RCTs). ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000508812

    authors: Wen T,Zhang X,Wang Z,Zhou R

    更新日期:2020-01-01 00:00:00

  • Anti-HCV antibody presence in hemodialyzed patients: assessment after one year regarding some preventive measures chosen.

    abstract::The authors report on the presence of anti-HCV antibodies in a uremic chronic (UC) patient population after 6 months and 1 year with regard to certain selective preventive measures. The nonincreased number of HCV-positive subjects among the UC population could lead to the conclusion that the risk of environmental spre...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000186941

    authors: Di Benedetto A,Bilotta E,Minale S,Tritto MC,Russo Spena S,Picardi E,Sorice P

    更新日期:1992-01-01 00:00:00

  • C-reactive protein and interleukin-6 levels are related to renal function in predialytic chronic renal failure.

    abstract:BACKGROUND:Several studies have provided convincing evidence that in apparently healthy subjects elevated serum levels of plasma C-reactive protein (CRP) are associated with an increased risk of experiencing myocardial infarction and sudden cardiac death. It has been claimed that, in dialytic patients, the hepatic synt...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000065018

    authors: Panichi V,Migliori M,De Pietro S,Taccola D,Bianchi AM,Giovannini L,Norpoth M,Metelli MR,Cristofani R,Bertelli AA,Sbragia G,Tetta C,Palla R,Colombo R

    更新日期:2002-08-01 00:00:00

  • Nephrotoxic serum nephritis in nude rats: the role of cell-mediated immunity.

    abstract::The role of T cell-mediated immunity in the early phase of nephrotoxic serum nephritis (NTN) was examined by transfer of pan T, CD8-positive, and CD4-positive cells. The disease was induced by transferring rabbit gamma-globulin (RGG)-sensitized T cells to nude (rnu/rnu) rats pretreated with a subnephritogenic dose (a ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000188400

    authors: Kuroda T,Kawasaki K,Oite T,Arakawa M,Shimizu F

    更新日期:1994-01-01 00:00:00

  • Significance of leukocyte infiltration in membranous nephropathy with segmental glomerulosclerosis.

    abstract:AIM:To clarify the role of leukocyte subsets in the development of glomerulosclerosis (GS) and interstitial lesions which may contribute to the prognosis of membranous nephropathy (MN), we investigated infiltrating cells in both glomeruli and interstitium in biopsy specimens. METHODS:Forty-one cases of MN were divided...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000045213

    authors: Saito T,Yusa A,Soma J,Ootaka T,Sato H,Ito S

    更新日期:1998-12-01 00:00:00

  • Guidelines for Classification of Acute Kidney Diseases and Disorders.

    abstract::Recent efforts have standardized definitions and classification systems for acute kidney injury (AKI) and chronic kidney disease (CKD). These efforts have enhanced communication, recognition, and awareness of acute and CKDs and stimulated research on both disorders. However, abnormalities of kidney function and struct...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000441425

    authors: Barry R,James MT

    更新日期:2015-01-01 00:00:00

  • Relationship of sympathetic nervous system tone and blood pressure.

    abstract::Plasma concentrations of norepinephrine (NE) appear to reflect sympathetic nervous system (SNS) tone. Plasma NE increases substantially when the SNS is stressed by acute postural change or physical exercise. Standing up from the recumbent position elevates NE by about 90% in healthy normotensive and hypertensive subje...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181614

    authors: Lake CR

    更新日期:1979-01-01 00:00:00

  • UK Renal Registry 17th Annual Report: Chapter 6 Adequacy of Haemodialysis in UK Adult Patients in 2013: National and Centre-specific Analyses.

    abstract:BACKGROUND:Outcomes in patients treated with haemodialysis(HD) are potentially influenced by the delivered dose of dialysis. The UK Renal Association publishes clinical practice guidelines recommendations for dialysis dose. The urea reduction ratio (URR) is a widely used measure of dialysis dose and has been historical...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000370276

    authors: Shaw C,Steenkamp R,Davenport A

    更新日期:2015-01-01 00:00:00

  • Mizoribine ameliorates the tubulointerstitial fibrosis of obstructive nephropathy.

    abstract::Mizoribine has been shown to possess an immunosuppressive action that inhibits the proliferation of lymphocytes selectively by interfering with inosine monophosphate dehydrogenase. Recent studies have demonstrated that mizoribine improves renal tubulointerstitial fibrosis in the rat model of unilateral ureteral obstru...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000046065

    authors: Sato N,Shiraiwa K,Kai K,Watanabe A,Ogawa S,Kobayashi Y,Yamagishi-Imai H,Utsunomiya Y,Mitarai T

    更新日期:2001-10-01 00:00:00

  • Risks of Metformin in Type 2 Diabetes and Chronic Kidney Disease: Lessons Learned from Taiwanese Data.

    abstract::Like other biguanide agents, metformin is an anti-hyperglycemic agent with lower tendency towards hypoglycemia compared to other anti-diabetic drugs. Given its favorable effects on serum lipids, obese body habitus, cardiovascular disease, and mortality, metformin is recommended as the first-line pharmacologic agent fo...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000450862

    authors: Rhee CM,Kovesdy CP,Kalantar-Zadeh K

    更新日期:2017-01-01 00:00:00

  • Longitudinal Experience with Remote Monitoring for Automated Peritoneal Dialysis Patients.

    abstract:BACKGROUND:Peritoneal dialysis (PD) is an ideal model for testing remote monitoring (RM). In this study, we evaluated the RM application longitudinally in stable patients undergoing automated PD (APD). METHODS:This was an observational study, comparing outcomes in patients with (current patients) and without (historic...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000496182

    authors: Milan Manani S,Rosner MH,Virzì GM,Giuliani A,Berti S,Crepaldi C,Ronco C

    更新日期:2019-01-01 00:00:00

  • Renal involvement induced by human parvovirus B19 infection.

    abstract::In an attempt to clarify the renal involvement induced by human parvovirus B19 (HPB19) infection, we investigated 6 adult patients with transient urinary abnormalities followed by erythema infectiosum. All patients had HPB19-specific IgM antibody and showed mild proteinuria of 0.2-1.2 g/day with or without microscopic...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000046086

    authors: Takeda S,Takaeda C,Takazakura E,Haratake J

    更新日期:2001-11-01 00:00:00

  • The proliferative responsiveness of mesangial cells to postnephrectomy serum declines progressively with time elapsing after contralateral nephrectomy.

    abstract::Postnephrectomy serum has been proved to enhance proliferation of mesangial cells in culture. Studies in offspring to uninephrectomized (UNx) mothers indicate that it remains active for a long period following UNx. On the other hand, postnephrectomy renal compensatory growth in vivo is known to be completed within a s...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000044913

    authors: Weissgarten J,Modai D,Cohn M,Berman S,Averbukh Z

    更新日期:1998-01-01 00:00:00

  • Two distinct epithelial responses may compensate for the ureteral obstruction in early and late phase of unilateral ureteral obstruction-treated rat: cellular proliferation in acute phase and osteopontin expression in chronic phase.

    abstract::In order to clarify cellular responses in dilated renal tubules in the acute and chronic phase of ureteral obstruction, we investigated the expression of proliferating cell nuclear antigen and osteopontin (OPN) in unilateral ureteral obstruction (UUO)-treated rat kidneys. The results showed that renal epithelial cells...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000190298

    authors: Sakai T,Tanaka H,Shirasawa T

    更新日期:1997-01-01 00:00:00

  • Chronic renal failure: an overview from a pediatric perspective.

    abstract::We present data on the costs and impact of chronic renal failure, the primary renal diseases leading to end-stage renal disease in children, and review the adaptive responses and the pathophysiology and complications of uremia in experimental animals and in man. A treatment strategy is summarized. ...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000045157

    authors: Saborio P,Hahn S,Hisano S,Latta K,Scheinman JI,Chan JC

    更新日期:1998-10-01 00:00:00

  • Acute Kidney Injury in Primary Care: A Review of Patient Follow-Up, Mortality, and Hospital Admissions following the Introduction of an AKI Alert System.

    abstract:BACKGROUND/AIMS:In February 2017, our laboratory implemented an electronic AKI flagging system for primary care using the NHS England AKI detection algorithm. Our study investigated the impact on patient follow-up, hospital admission, length of stay, and mortality. METHODS:Primary care results March 2017-February 2018...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000509855

    authors: Barton AL,Williams SBM,Dickinson SJ,Parry RG,Pollard A

    更新日期:2020-01-01 00:00:00

  • Experimental immunoglobulin A nephropathy induced by gram-negative bacteria.

    abstract::A study was conducted to determine whether intraperitoneal and oral administration of formalin-fixed gram-negative bacteria induced immunohistologically and ultrastructurally evident glomerular deposition of IgA and C3 in C3H/HeN mice. Separate treatments with strains of Pseudomonas aeruginosa, Escherichia coli, Haemo...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187474

    authors: Endo Y,Kanbayashi H,Hara M

    更新日期:1993-01-01 00:00:00

  • Concomitant presence of three different glomerular diseases in the same patient. Report of a case and review of the literature.

    abstract::A 51-year-old man with diabetes mellitus and the nephrotic syndrome on renal biopsy was found to have diabetic glomerulosclerosis, amyloidosis and membranous glomerulopathy. The presence of three distinct glomerular diseases in the same patient is unique. Possible factors involved in their pathogenesis are discussed a...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000183026

    authors: Bertani T,Olesnicky L,Abu-Regiaba S,Glasberg S,Pirani CL

    更新日期:1983-01-01 00:00:00

  • Age-related appearance of amyloid P component in human renal glomeruli.

    abstract::Amyloid P component (AP) is a matrix glycoprotein of adult renal glomeruli. To establish whether the deposition of AP in glomeruli is an age-related phenomenon, this study used indirect immunofluorescence (IF) to investigate 34 renal biopsy specimens and 11 renal autopsy specimens. The biopsy specimens were taken from...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000190315

    authors: Rantala IS,Helin HJ,Mustonen JT,Reunala T

    更新日期:1997-01-01 00:00:00

  • Ultrasonic tissue characterization of renal cell carcinoma tissue.

    abstract::The purpose of this study was to characterize renal cell carcinoma tissue by the measurement of microacoustic properties. A scanning acoustic microscope system operating in the frequency range of 100-200 MHz was employed and the attenuation constant and sound speed were measured on the two-dimensional distribution. Th...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000189291

    authors: Sasaki H,Tanaka M,Saijo Y,Okawai H,Terasawa Y,Nitta S,Suzuki K

    更新日期:1996-01-01 00:00:00