Cyclosporine's effect on functional reserve in the renal allograft.

Abstract:

:Thirteen renal allograft recipients (6 patients on cyclosporine/7 patients on azathioprine) participated in a short-term oral protein-loading study to determine the effect of cyclosporine on an allograft's functional reserve. The baseline glomerular filtration rate of the two groups were similar (52 +/- 18 ml/min/1.73 m2 for the azathioprine/conventional therapy (CT) group and 47 +/- 12 ml/min/1.73 m2 for the cyclosporine (CsA) group), as were the baseline effective renal plasma flows (218 +/- 78 ml/min/1.73 m2 and 222 +/- 75 ml/min/1.73 m2, respectively). At 3 hr following the protein load there was an increase in GFR to 66 +/- 28 ml/min/1.73 m2 in the CT group. The GFR (39 +/- 8 ml/min/1.73 m2) of the CsA group at this time was unchanged. The responses in ERPF were similar. No significant difference was found between the two groups baseline RAA profiles (4.7 +/- 3.3 ng/ml/hr (CT) and 4.7 +/- 1.7 ng/ml/hr [CsA]), or those at the third hour (8.1 +/- 8.3 ng/ml/hr (CT) and 3.5 +/- 1.9 ng/ml/hr [CsA]). The data in this study indicate that CsA alters the renal allograft's response to a protein meal. This difference may be related to an altered vasodilatory response. This altered vascular reactivity may be mediated through renin activation and/or other hemodynamic regulators such as prostaglandins.

journal_name

Transplantation

journal_title

Transplantation

authors

Nunley JR,King A,Comstock T,Posner M,Marshall C,Sica DA

doi

10.1097/00007890-199101000-00030

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

190-3

issue

1

eissn

0041-1337

issn

1534-6080

journal_volume

51

pub_type

杂志文章
  • Peripheral monitoring of direct and indirect alloantigen presentation pathways in clinical heart transplant recipients.

    abstract::It has been reported that the response to alloantigens presented by the direct and indirect pathway may be of differential relevance after human kidney transplantation. Accordingly, we monitored these routes in peripheral blood mononuclear cells (PBMC) of heart transplant patients from before transplantation and up to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199601150-00033

    authors: van Besouw NM,Vaessen LM,Daane CR,Jutte NH,Balk AH,Claas FH,Weimar W

    更新日期:1996-01-15 00:00:00

  • Cyclosporine and anti-interleukin 2 receptor monoclonal antibody therapy suppress accelerated rejection of rat cardiac allografts through different effector mechanisms.

    abstract::Increasing numbers of sensitized patients are either precluded from receiving an allograft or experience accelerated rejection which may be refractory to conventional therapy. Using a rat model, we have shown that accelerated (24 hr) rejection of LBN cardiac Tx in LEW rats sensitized with BN skin grafts 7 days earlier...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199002000-00037

    authors: Hancock WW,DiStefano R,Braun P,Schweizer RT,Tilney NL,Kupiec-Weglinski JW

    更新日期:1990-02-01 00:00:00

  • The Impact of Liver Graft Injury on Cancer Recurrence Posttransplantation.

    abstract::Liver transplantation is the most effective treatment for selected patients with hepatocellular carcinoma. However, cancer recurrence, posttransplantation, remains to be the critical issue that affects the long-term outcome of hepatocellular carcinoma recipients. In addition to tumor biology itself, increasing evidenc...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001844

    authors: Li CX,Man K,Lo CM

    更新日期:2017-11-01 00:00:00

  • Vitamin D deficiency in lung transplant patients: is it important?

    abstract:BACKGROUND:Vitamin D deficiency has been reported in different chronic pulmonary diseases like asthma and chronic obstructive pulmonary disease, but little is known in lung transplant recipients. METHODS:Serum 25-hydroxyvitamin D (25-OHD) levels and pulmonary function (forced expiratory volume in 1 sec [FEV(1)] %predi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31823d98bc

    authors: Verleden SE,Vos R,Geenens R,Ruttens D,Vaneylen A,Dupont LJ,Verleden GM,van Raemdonck DE,Vanaudenaerde BM

    更新日期:2012-01-27 00:00:00

  • Magnetic resonance-defined perinephric edema after clinical islet transplantation: a benign finding associated with mild renal impairment.

    abstract::Immunosuppression with sirolimus and low-dose tacrolimus has facilitated successful clinical islet transplantation (CIT). Because the long-term effects on the kidney are unknown and immunosuppressant drugs can be nephrotoxic, CIT is currently restricted to patients with preserved renal function or a functioning renal ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000134971.15093.07

    authors: Senior PA,Shapiro AM,Ackerman TE,Ryan EA,Paty BW,Bhargava R

    更新日期:2004-09-27 00:00:00

  • mTOR Inhibition Role in Cellular Mechanisms.

    abstract::The mammalian target of rapamycin inhibitors (mTOR-I), drugs widely used in transplant medicine and oncology, exert their function by inhibiting a serine/threonine kinase with a pivotal role in cellular metabolism and in a wide range of eukaryotic biological/cellular functions and signaling networks. Additionally, as ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001806

    authors: Zaza G,Granata S,Caletti C,Signorini L,Stallone G,Lupo A

    更新日期:2018-02-01 00:00:00

  • Endovascular treatment of hepatic venous outflow obstruction after piggyback technique liver transplantation.

    abstract:BACKGROUND:The piggyback technique of orthotopic liver transplantation is an attractive alternative that preserves the recipient inferior vena cava and allows uninterrupted venous blood return during the anhepatic phase. As with other transplantation techniques, the vascular anastomoses required by the piggyback techni...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199908150-00018

    authors: Sze DY,Semba CP,Razavi MK,Kee ST,Dake MD

    更新日期:1999-08-15 00:00:00

  • Pubertal Development in Pediatric Kidney Transplant Patients Receiving Mammalian Target of Rapamycin Inhibitors or Conventional Immunosuppression.

    abstract:BACKGROUND:Data regarding the onset of puberty in children receiving mammalian target of rapamycin (mTOR) inhibitors are limited. METHODS:Kidney transplant patients aged <14 years were analyzed retrospectively to a maximum age of 18 years, with a minimal observation period of 1 year. Immunosuppression comprised (1) st...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001037

    authors: Förster J,Ahlenstiel-Grunow T,Zapf A,Mynarek M,Pape L

    更新日期:2016-11-01 00:00:00

  • The hepatic soluble guanylyl cyclase-cyclic guanosine monophosphate pathway mediates the protection of remote ischemic preconditioning on the microcirculation in liver ischemia-reperfusion injury.

    abstract:BACKGROUND:Remote ischemic preconditioning (RIPC) protects against liver ischemia reperfusion (IR) injury. An essential circulating mediator of this protection is nitric oxide (NO) induced by lower limb RIPC. One of the mechanisms through which NO generally acts is the soluble guanylyl cyclase-cyclic GMP (sGC-cGMP) pat...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31824cd59d

    authors: Abu-Amara M,Yang SY,Quaglia A,Rowley P,Tapuria N,Fuller B,Davidson B,Seifalian A

    更新日期:2012-05-15 00:00:00

  • Alloantibodies against donor epidermis and early kidney transplant rejection.

    abstract::We have previously observed that transplant recipient sera with endothelial antibodies are bound to epidermal cells, as shown by immunofluorescence on sections of skin. It was also reported that early kidney failures that occurred despite negative T cell crossmatches were associated with, and could have been predicted...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199102000-00019

    authors: Moraes JR,Moraes ME,Luo YM,Stastny P

    更新日期:1991-02-01 00:00:00

  • Induction of allograft nonresponsiveness after intrathymic inoculation with donor class I allopeptides. II. Evidence for persistent chronic rejection despite high levels of donor microchimerism.

    abstract::We have recently demonstrated that three synthetic peptides corresponding to the donor class I RT1.Aa molecule induce long-term survival of cardiac allografts in the PVG.R8-to-PVG.1U rat strain combination (disparate for one isolated class I, RT1.A, molecule) when presented to the recipient immune system in the thymus...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199712270-00007

    authors: Shirwan H,Wu GD,Barwari L,Liu A,Cramer DV

    更新日期:1997-12-27 00:00:00

  • Pyruvate inhibits hepatic ischemia-reperfusion injury in rats.

    abstract:BACKGROUND:Ischemia/reperfusion (I/R) injury is a limiting factor in liver transplantation. We have recently shown that pyruvate (PY) inhibits intestinal and renal I/R injury. This study aims to evaluate the protective effect of PY on hepatic I/R injury. METHODS:ACI rats were treated with PY, whereas control animals r...

    journal_title:Transplantation

    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

  • Efficacy of RS-61443 in reversing acute rejection in a rat model of hindlimb allotransplantation.

    abstract::The requirement for effective, minimally toxic immunosuppression remains a major obstacle to performing human composite tissue allotransplantation. The skin component of composite tissue (e.g., limb) allografts is especially antigenic, necessitating toxic immunosuppressant doses to prevent or reverse acute rejection. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199402150-00020

    authors: van den Helder TB,Benhaim P,Anthony JP,McCalmont TH,Mathes SJ

    更新日期:1994-02-01 00:00:00

  • Graft-versus-host reactivity and graft-versus-leukemia effect in murine allogeneic bone marrow chimeras conditioned with total body irradiation or total lymphoid irradiation.

    abstract::To investigate whether graft-versus-host reactivity (GVHR) and the graft-versus-leukemia (GVL) effect can be differentiated, C3H-->AKR mixed bone marrow (BM) chimeras were prepared using two different conditioning regimens. Total body irradiation (TBI) chimeras were induced by infusing 5 x 1O(6) T cell depleted syngen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199603150-00025

    authors: Salam A,Waer M

    更新日期:1996-03-15 00:00:00

  • The association of IgA deficiency but not IgG or IgM deficiency with a reduced patient and graft survival following liver transplantation.

    abstract::Recipients of solid organ allografts require lifelong immunosuppression in order to prevent graft rejection and to maintain graft function. In general, such immunosuppression greatly impairs the cellular immune system, as this level of the immune system is principally responsible for self and non-self recognition. The...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199208000-00015

    authors: Van Thiel DH,Finkel R,Friedlander L,Gavaler JS,Wright HI,Gordon R

    更新日期:1992-08-01 00:00:00

  • Apoptosis and the expression of Fas and Fas ligand (FasL) antigen in rejection and reinfection in liver allograft specimens.

    abstract:BACKGROUND AND METHODS:To investigate the frequency of apoptosis and the expression of Fas/Fas ligand (FasL) in liver allografts, we examined 97 biopsy specimens from 62 patients after orthotopic liver transplantation. The results of the biopsies were as follows: acute allograft rejection (n=32); hepatitis C virus (HCV...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199904150-00027

    authors: Tannapfel A,Kohlhaw K,Ebelt J,Hauss J,Liebert U,Berr F,Wittekind C

    更新日期:1999-04-15 00:00:00

  • Incidence, predictors, costs, and outcome of renal cell carcinoma after kidney transplantation: USRDS experience.

    abstract:INTRODUCTION:We carried out an analysis of the United States Renal Data System to determine the incidence, risk factors, prognosis, and costs associated with the diagnosis of renal cell carcinoma (RCC) after kidney transplantation. METHODS:This is a retrospective cohort of 40,821 Medicare primary renal transplant reci...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181f30479

    authors: Hurst FP,Jindal RM,Graham LJ,Falta EM,Elster EA,Stackhouse GB,Agodoa LY,Lentine KL,Salifu MO,Abbott KC

    更新日期:2010-10-27 00:00:00

  • Reduced dose rabbit anti-thymocyte globulin induction for prevention of acute rejection in high-risk kidney transplant recipients.

    abstract:BACKGROUND:Despite the prevalent use of rabbit antithymocyte globulin (rATG) as an induction agent in kidney transplantation, the appropriate dose for preventing acute rejection in high-risk patients is not known. Few studies have examined total exposure of rATG less than 6 mg/kg, with fewer studies examining lower dos...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b6f38c

    authors: Klem P,Cooper JE,Weiss AS,Gralla J,Owen P,Chan L,Wiseman AC

    更新日期:2009-10-15 00:00:00

  • Evidence that the fate of class II-disparate corneal grafts is determined by the timing of class II expression.

    abstract::While the immune privilege nature of the eye affords significant protection to corneal grafts, immunologic rejection is the leading cause of graft failure. Class II antigens are normally absent or expressed at very low levels in normal cornea. The role that class II antigens play in causing graft rejection is particul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199102000-00049

    authors: Ross J,Callanan D,Kunz H,Niederkorn J

    更新日期:1991-02-01 00:00:00

  • Lymphocytic bronchitis unrelated to acute graft-versus-host disease in canine marrow graft recipients.

    abstract::We reviewed coded autopsy material from 71 dogs, 46 receiving allogeneic and 25 receiving autologous bone marrow transplants, to evaluate the hypothesis that lymphocytic bronchitis is associated with severe acute graft-versus-host disease (GVHD). We found no significant correlation between the presence of lymphocytic ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198403000-00003

    authors: O'Brien KD,Hackman RC,Sale GE,Prentice R,Deeg J,Thomas ED,Storb R

    更新日期:1984-03-01 00:00:00

  • Characterization of antiidiotypic antibodies to donor HLA that develop after liver transplantation.

    abstract::Several studies have reported the development of antiidiotypic antibodies to anti-HLA alloantibodies in renal allograft transplant recipients, postulating their potential beneficial role in allograft survival. In order to evaluate the role of anti-HLA antiidiotypic antibodies in human liver transplant recipients and t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199308000-00037

    authors: Chauhan B,Phelan DL,Marsh JW,Mohanakumar T

    更新日期:1993-08-01 00:00:00

  • Delayed hepatic artery thrombosis in adult orthotopic liver transplantation-a 12-year experience.

    abstract:BACKGROUND:Although the clinical features of early hepatic artery thrombosis (HAT) are well defined, the features of delayed (more than 4 weeks after transplantation) hepatic artery thrombosis are less clearly defined. The aim of our study was to identify risk factors, clinical presentation, and outcome of management o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106150-00018

    authors: Bhattacharjya S,Gunson BK,Mirza DF,Mayer DA,Buckels JA,McMaster P,Neuberger JM

    更新日期:2001-06-15 00:00:00

  • Cyclosporine minimization and cost reduction in renal transplant recipients receiving a C2-monitored, cyclosporine-based quadruple immunosuppressive regimen.

    abstract:BACKGROUND:Targeting 2-hr postdose cyclosporine (C2) levels to 1,000 to 1,700 mg/dL during the first 6 months after renal transplantation is recommended for triple immunosuppressive regimens. This trial determines whether lower C2 levels could be targeted safely in de novo kidney transplant recipients under a quadruple...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000137423.01887.7d

    authors: Hardinger KL,Schnitzler MA,Koch MJ,Enkvetchakul D,Desai N,Jendrisak M,Lowell JA,Miller B,Shenoy S,Brennan DC

    更新日期:2004-10-27 00:00:00

  • OKT3 rescue for steroid-resistant rejection in adult liver transplantation.

    abstract::The results of OKT3 use for steroid-resistant rejection rescue in adult liver transplantation were analyzed retrospectively from a single transplant center. Comparison was made with concurrent patients who had no rejection (NR) or steroid-responsive rejections (SR). The records of 290 patients who underwent 323 liver ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199301000-00017

    authors: Solomon H,Gonwa TA,Mor E,Holman MJ,Gibbs J,Watemberg I,Netto G,Goldstein RM,Husberg BS,Klintmalm GB

    更新日期:1993-01-01 00:00:00

  • Immunosenescence does not abrogate engraftment of murine allogeneic bone marrow.

    abstract:BACKGROUND:Allogeneic bone marrow transplantation is under investigation for a range of nonmalignant indications, including tolerance induction through mixed chimerism. This strategy has so far been tested experimentally only in young recipients. Due to immunosenescence, older patients have an increase in memory T cell...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182954618

    authors: Hock K,Oberhuber R,Lee YL,Wrba F,Wekerle T,Tullius SG

    更新日期:2013-06-27 00:00:00

  • The antiproliferative effect of cyclosporine on hematopoietic and lymphoblastoid cell lines--common mechanistic elements with interferon-alpha.

    abstract::Cyclosporine, but not its nonimmunosuppressive analog cyclosporine H (CsH), caused in a variety of hematopoietic cell types a growth arrest in the G0/G1 phase of the cell cycle. This arrest was associated with a significant reduction in the c-myc mRNA levels, which could be observed already 1 hr following CsA treatmen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199106000-00025

    authors: Yonish-Rouach E,Kimchi A,Rubinstein M

    更新日期:1991-06-01 00:00:00

  • Early up-regulation of macrophages and myofibroblasts: a new marker for development of chronic renal allograft rejection.

    abstract:BACKGROUND:Increased numbers of macrophages and myofibroblasts are observed to occur in chronic renal allograft rejection (CR). The aim of this study was to examine the expression of cellular markers for the macrophage and myofibroblast in early renal transplant biopsy specimens and correlate these findings with allogr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200006270-00028

    authors: Pilmore HL,Painter DM,Bishop GA,McCaughan GW,Eris JM

    更新日期:2000-06-27 00:00:00

  • Associations of characteristics of renal transplant recipients with clinicians' perceptions of adherence to immunosuppressant therapy.

    abstract:BACKGROUND:The objective of the study was to determine surveillance criteria for renal transplant recipients (RTRs) at highest risk for immunosuppressant therapy nonadherence. METHODS:Retrospective analyses were performed on follow-up data in the United States Renal Data System. Those who received transplants between ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000287189.33074.c8

    authors: Chisholm MA,Kwong WJ,Spivey CA

    更新日期:2007-11-15 00:00:00

  • Role of antiserum and complement in the acute antibody-mediated rejection of mouse skin allografts in strain combinations with increasing histoincompatibility.

    abstract::Acute antibody-mediated rejection (AAR) of mouse skin allografts was studied in nine donor-recipient combinations with increasing histoincompatibility ranging from an H-Y to a complete H-2 plus on-H-2 disparity. AAR was induced by the injection of specific alloantiserum along with a heterologous complement on day 7 af...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197709000-00002

    authors: Berden JH,Gerlag PG,Hagemann JF,Koene RA

    更新日期:1977-09-01 00:00:00

  • Galectin-3-mediated xenoactivation of human monocytes.

    abstract:BACKGROUND:Delayed xenograft rejection (DXR) remains a roadblock to successful xenotransplantation. A feature of DXR is early recruitment of monocytes to the xenograft. Naïve human monocytes can recognize and adhere to unstimulated porcine aortic endothelial cells (PAEC) more than human aortic endothelial cells, partly...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318191e6b4

    authors: Greenwald AG,Jin R,Waddell TK

    更新日期:2009-01-15 00:00:00