Rimonabant affects cyclosporine a, but not tacrolimus pharmacokinetics in renal transplant recipients.

Abstract:

BACKGROUND:Obesity is a common problem following renal transplantation. Rimonabant, a cannabinoid-1 receptor blocker, offers a new approach for reducing obesity. METHODS:The potential pharmacokinetic interaction between rimonabant and cyclosporine A (CsA, n=10) and tacrolimus (Tac, n=8) was assessed in stable renal transplant recipients 6.2 (0.9-21.7) years posttransplant. A 12-hour pharmacokinetic profile was obtained before and after two months of concomitant treatment with 20 mg rimonabant each morning. RESULTS:Rimonabant treatment induced a moderate, but significant increase in CsA AUC0-12 (19.8+/-16.1 %, P=0.005). Cmax and C2 values tended to increase whereas C0 remained unaffected. Tac pharmacokinetics was not significantly affected by rimonabant treatment. Eleven of 18 patients experienced adverse events. Two patients reported depressions and one reported severe nightmares. CONCLUSIONS:The effect on CsA pharmacokinetics is probably of marginal clinical relevance since trough concentrations were unaltered, but CsA concentrations should probably be more closely monitored if rimonabant treatment is initiated, preferably by C2 monitoring.

journal_name

Transplantation

journal_title

Transplantation

authors

Amundsen R,Asberg A,Robertsen I,Vethe NT,Bergan S,Hartmann A,Midtvedt K

doi

10.1097/TP.0b013e31819f1001

subject

Has Abstract

pub_date

2009-04-27 00:00:00

pages

1221-4

issue

8

eissn

0041-1337

issn

1534-6080

pii

00007890-200904270-00018

journal_volume

87

pub_type

杂志文章
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    abstract::Prominent components of vascularized xenograft rejection such as platelet activation and microvascular thrombosis may be dependent upon thrombin generation in vivo. To study potential therapeutic benefits of a synthetic low-molecular-weight thrombin inhibitor, SDZ MTH 958, in hyperacute porcine heart rejection by huma...

    journal_title:Transplantation

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    authors: Robson SC,Young VK,Cook NS,Metternich R,Kasper-Konig W,Lesnikoski BA,Pierson RN 3rd,Hancock WW,Candinas D,White DJ,Bach FH

    更新日期:1996-03-27 00:00:00

  • Acquired systemic tolerance to rat cardiac allografts induced by intrathymic inoculation of synthetic polymorphic MHC class I allopeptides.

    abstract::This study extends the finding that intrathymic (IT) injection of 3M KC1 extracts of T cells induces transplant tolerance to the use of well defined polymorphic MHC class I allopeptides derived from the hypervariable domain of RT1.Au (WF MHC class I). While three of the six synthetic RT1.Au peptides were immunogenic, ...

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    authors: Chowdhury NC,Murphy B,Sayegh MH,Jin MX,Roy DK,Hardy MA,Oluwole SF

    更新日期:1996-12-27 00:00:00

  • Recurrence of focal-segmental glomerulosclerosis in children after renal transplantation: clinical and genetic aspects.

    abstract::Focal segmental glomerulosclerosis (FSGS) is the primary renal disease in approximately one-tenth of pediatric patients receiving a renal allograft. Recurrence of proteinuria after renal transplantation is observed in approximately 30% of patients and negatively impacts graft survival. Risk factors for recurrence are ...

    journal_title:Transplantation

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    doi:10.1097/01.tp.0000187110.25512.82

    authors: Weber S,Tönshoff B

    更新日期:2005-09-27 00:00:00

  • Impact of TGFbeta1 gene polymorphisms on acute and chronic rejection in pediatric heart transplant allografts.

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    journal_title:Transplantation

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    doi:10.1097/01.tp.0000202725.55923.37

    authors: Di Filippo S,Zeevi A,McDade KK,Bastien O,Webber SA

    更新日期:2006-03-27 00:00:00

  • Right ventricular assessment in patients presenting for lung transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199305000-00020

    authors: Vigneswaran WT,McDougall JC,Olson LJ,Breen JF,McGregor CG,Rumberger JA

    更新日期:1993-05-01 00:00:00

  • Evaluation of posttransplantation soluble CD30 for diagnosis of acute renal allograft rejection.

    abstract:BACKGROUND:Posttransplantation measurement of soluble CD30 (sCD30) may be useful for identifying kidney graft recipients at risk of impending graft rejection in the early posttransplantation period. METHODS:We measured plasma sCD30 levels and evaluated the levels in relation to the diagnosis of rejection. RESULTS:Rec...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000044702.18327.66

    authors: Pelzl S,Opelz G,Daniel V,Wiesel M,Süsal C

    更新日期:2003-02-15 00:00:00

  • Ischemic preconditioning: a defense mechanism against the reactive oxygen species generated after hepatic ischemia reperfusion.

    abstract:BACKGROUND:Preconditioning protects against both liver and lung damage after hepatic ischemia-reperfusion (I/R). Xanthine and xanthine oxidase (XOD) may contribute to the development of hepatic I/R. OBJECTIVE:To evaluate whether preconditioning could modulate the injurious effects of xanthine/XOD on the liver and lung...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204270-00004

    authors: Peralta C,Bulbena O,Xaus C,Prats N,Cutrin JC,Poli G,Gelpi E,Roselló-Catafau J

    更新日期:2002-04-27 00:00:00

  • The role of donor-recipient relationship in long-term outcomes of living donor renal transplantation.

    abstract:BACKGROUND:Graft failure related to acute and chronic rejection remains an important problem in transplantation. An association has been reported between microchimerism and the development of tolerance. Since it has been established that cells of fetal origin can be found in maternal tissues long after parturition, and...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181705a0f

    authors: Miles CD,Schaubel DE,Liu D,Port FK,Rao PS

    更新日期:2008-05-27 00:00:00

  • The regulatory/cytotoxic graft-infiltrating T cells differentiate renal allograft borderline change from acute rejection.

    abstract::The interpretation of cellular infiltrate from renal transplant recipients with borderline (BL) changes is still a challenging problem. To analyze the immune phenotype of such infiltrate, we quantified the mRNA expression of Foxp3 and interleukinL-10 and granzyme B (GB) in 15 kidney biopsies with BL changes. Controls ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000248884.71946.19

    authors: Grimbert P,Mansour H,Desvaux D,Roudot-Thoraval F,Audard V,Dahan K,Berrehar F,Dehoulle-Poillet C,Farcet JP,Lang P,Le Gouvello S

    更新日期:2007-02-15 00:00:00

  • CD4+ and B lymphocytes in transplantation immunity. II. Augmented rejection of tumor allografts by mice lacking B cells.

    abstract::To test the importance of B lymphocytes in immunity to major histocompatibility complex class I alloantigens, B cell-deficient mice were generated by reconstituting severe combined immunodeficiency mice, which lack functional B and T lymphocytes, with T cells or with both T and B cells. The reconstituted mice were cha...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Monach PA,Schreiber H,Rowley DA

    更新日期:1993-06-01 00:00:00

  • Failure of a CD18/anti-LFA1 monoclonal antibody infusion to prevent graft rejection in leukemic patients receiving T-depleted allogeneic bone marrow transplantation.

    abstract::CD18 antibodies react with the common beta chain of the human leukocyte function antigen (LFA1)* and thus block the functions mediated by the three identified molecules in humans. A murine CD18 monoclonal antibody was infused in 8 leukemic patients receiving allogeneic T-depleted bone marrow transplantation in order t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00014

    authors: Baume D,Kuentz M,Pico JL,Beaujean F,Cordonnier C,Vernant JP,Hayat M,Bernard A

    更新日期:1989-03-01 00:00:00

  • Natural Killer Cells: Critical Effectors During Antibody-mediated Rejection of Solid Organ Allografts.

    abstract::Antibody-mediated rejection (AMR) is an important cause of graft loss and continues to present a formidable obstacle to successful transplantation. Unresolved problems continue to be the absence of effective strategies to ablate the donor-specific antibody (DSA) response as well as to attenuate the antibody-mediated g...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003298

    authors: Miyairi S,Baldwin WM 3rd,Valujskikh A,Fairchild RL

    更新日期:2021-02-01 00:00:00

  • Transcriptional inhibition of insulin by FK506 and possible involvement of FK506 binding protein-12 in pancreatic beta-cell.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Tamura K,Fujimura T,Tsutsumi T,Nakamura K,Ogawa T,Atumaru C,Hirano Y,Ohara K,Ohtsuka K,Shimomura K

    更新日期:1995-06-15 00:00:00

  • Humoral Reactivity of Renal Transplant-Waitlisted Patients to Cells From GGTA1/CMAH/B4GalNT2, and SLA Class I Knockout Pigs.

    abstract:BACKGROUND:Antipig antibodies are a barrier to clinical xenotransplantation. We evaluated antibody binding of waitlisted renal transplant patients to 3 glycan knockout (KO) pig cells and class I swine leukocyte antigens (SLA). METHODS:Peripheral blood mononuclear cells from SLA identical wild type (WT), α1, 3-galactos...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001646

    authors: Martens GR,Reyes LM,Li P,Butler JR,Ladowski JM,Estrada JL,Sidner RA,Eckhoff DE,Tector M,Tector AJ

    更新日期:2017-04-01 00:00:00

  • Successful retreatment of allograft rejection with OKT3.

    abstract::OKT3 is a murine monoclonal antibody to the CD3 antigen of human T lymphocytes. The production of human antimurine antibodies after treatment with OKT3 has been perceived as a major limitation to its extended use and reuse. Treatment of 142 patients with 168 courses of OKT3 resulted in the development of antimouse ant...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198901000-00020

    authors: First MR,Schroeder TJ,Hurtubise PE,Mansour ME,Penn I,Munda R,Balistreri WF,Alexander JW,Melvin DB,Fidler JP

    更新日期:1989-01-01 00:00:00

  • Prolongation of skin allograft survival in rats by a novel immunosuppressive agent, FK506.

    abstract::FK506, an immunosuppresant, was isolated from Streptomyces tsukubaensis. Intramuscular administration of FK506 (0.32 mg/kg or more) 5 days a week for two weeks after grafting prolonged the acceptance time of F344 skin allograft to WKA rats. Similar results were obtained with cyclosporine at 32 mg/kg or more, but other...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198801000-00042

    authors: Inamura N,Nakahara K,Kino T,Goto T,Aoki H,Yamaguchi I,Kohsaka M,Ochiai T

    更新日期:1988-01-01 00:00:00

  • Major histocompatibility complex class I peptide-pulsed host dendritic cells induce antigen-specific acquired thymic tolerance to islet cells.

    abstract:BACKGROUND:As T-cell receptor-major histocompatibility complex (MHC) class I/self peptide interaction regulates T-cell development in the thymus, we reasoned that presentation of peptides by self dendritic cells (DC) to developing T cells in the thymus might induce acquired thymic tolerance. This hypothesis is based on...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200001270-00005

    authors: Ali A,Garrovillo M,Jin MX,Hardy MA,Oluwole SF

    更新日期:2000-01-27 00:00:00

  • Controlled Oxygenated Rewarming of Cold Stored Livers Prior to Transplantation: First Clinical Application of a New Concept.

    abstract:BACKGROUND:Abrupt temperature shift from hypothermia to normothermia incurred on reperfusion of organ grafts has been delineated as a genuine factor contributing to reperfusion injury and graft dysfunction after transplantation. METHODS:In a first clinical series of 6 patients, cold-stored livers, all allocated by the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000915

    authors: Hoyer DP,Mathé Z,Gallinat A,Canbay AC,Treckmann JW,Rauen U,Paul A,Minor T

    更新日期:2016-01-01 00:00:00

  • P-31 nuclear magnetic resonance spectroscopic evaluation of heterotopic cardiac allograft rejection in the rat.

    abstract::P-31 nuclear magnetic resonance (NMR) spectroscopy was used to evaluate heterotropic cardiac allograft rejection in the rat. To enable optimal application of NMR spectroscopy for the in vivo study of myocardial metabolism in the transplanted organ, an accessory heart transplantation to groin in the rat was used. The a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198708000-00002

    authors: Haug CE,Shapiro JI,Chan L,Weil R 3rd

    更新日期:1987-08-01 00:00:00

  • The Immunology of Posttransplant CMV Infection: Potential Effect of CMV Immunoglobulins on Distinct Components of the Immune Response to CMV.

    abstract::The immune response to cytomegalovirus (CMV) infection is highly complex, including humoral, cellular, innate, and adaptive immune responses. Detection of CMV by the innate immune system triggers production of type I IFNs and inflammatory cytokines which initiate cellular and humoral responses that are critical during...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001095

    authors: Carbone J

    更新日期:2016-03-01 00:00:00

  • Preventing acute rejection, Epstein-Barr virus infection, and posttransplant lymphoproliferative disorders after kidney transplantation: use of aciclovir and mycophenolate mofetil in a steroid-free immunosuppressive protocol.

    abstract:BACKGROUND:A widely held view is that any increase in the potency of an immunosuppressive agent will lead to an increase in infection and malignancy, such as life-threatening Epstein-Barr virus (EBV) induced posttransplant lymphoproliferative disorders (PTLD). We tested this paradigm by studying the effect of adding mo...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199905150-00002

    authors: Birkeland SA,Andersen HK,Hamilton-Dutoit SJ

    更新日期:1999-05-15 00:00:00

  • Modification of immunological potential by ultraviolet radiation. II. Generation of suppressor cells in short-term UV-irradiated mice.

    abstract::When normal mice are exposed for short periods to ultraviolet light (UV), they support the progressive growth of transplanted syngeneic UV-induced tumors. Normal nonirradiated mice almost always reject these tumor implants. The UV-mediated suppression of the antitumor response can be adoptively transferred to normal s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197708000-00005

    authors: Spellman CW,Daynes RA

    更新日期:1977-08-01 00:00:00

  • Clinical utility of a quantitative polymerase chain reaction for diagnosis of cytomegalovirus disease in solid organ transplant patients.

    abstract:BACKGROUND:Accurate and rapid diagnosis of human cytomegalovirus (HCMV) disease in solid organ transplant patients remains a challenge. We evaluated the clinical utility of a quantitative polymerase chain reaction (QPCR) method to diagnose transplant patients with HCMV disease. METHODS:A total of 429 plasma samples fr...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199910150-00016

    authors: Ferreira-Gonzalez A,Fisher RA,Weymouth LA,Langley MR,Wolfe L,Wilkinson DS,Garrett CT

    更新日期:1999-10-15 00:00:00

  • Renal transplantation without sutures using the vascular clipping system for renal artery and vein anastomosis--a new technique.

    abstract::A cadaveric renal transplant was performed on a 63-year-old woman. The donor renal artery and vein were anastomosed to the recipient external iliac vessels using the vascular clipping system. These vascular anastomoses were performed with four stay sutures and several clips for each anastomosis, without a continuous v...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199610270-00024

    authors: Mital D,Foster PF,Jensik SC,del Rio JV,Sankary HN,McChesney LP,Williams JW

    更新日期:1996-10-27 00:00:00

  • Pretransplant Cancer in Kidney Recipients in Relation to Recurrent and De Novo Cancer Incidence Posttransplantation and Implications for Graft and Patient Survival.

    abstract:BACKGROUND:Whether kidney transplant recipients who were treated for a malignant tumor before transplantation are at an increased risk of developing a tumor posttransplantation has not been adequately quantified and characterized. METHODS:We studied more than 270 000 patients on whom pretransplant and posttransplant m...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002459

    authors: Unterrainer C,Opelz G,Döhler B,Süsal C,Collaborative Transplant Study.

    更新日期:2019-03-01 00:00:00

  • Orthotopic bone transplantation in mice. I. Technique and assessment of healing.

    abstract::A technique for orthotopic bone transplantation in mice has been developed. A section of recipient tibia was removed and replaced by a similar section from the donor animal. The graft was held in place by internal fixation. Bone healing was assessed clinically, histologically, radiologically, and by torsion testing. T...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Halloran PF,Ziv I,Lee EH,Langer F,Pritzker KP,Gross AE

    更新日期:1979-06-01 00:00:00

  • Kidney graft failure and presensitization against HLA class I and class II antigens.

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    pub_type: 杂志文章

    doi:10.1097/00007890-200204270-00014

    authors: Süsal C,Opelz G

    更新日期:2002-04-27 00:00:00

  • The role of endoscopic ultrasound for evaluating portal hypertension in children being assessed for intestinal transplantation.

    abstract::Intestinal transplant is an established treatment of irreversible intestinal failure, unless complicated by advanced intestinal failure-associated liver disease, when liver-bowel transplant may be necessary. Finding at least moderate hepatic fibrosis or gastroesophageal varices (GOV) at oesophago-gastroduodenoscopy (O...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181891d63

    authors: McKiernan PJ,Sharif K,Gupte GL

    更新日期:2008-11-27 00:00:00

  • Method of preservation is not a determinant of graft outcome in kidneys transplanted by Southeastern Organ Procurement Foundation Institutions.

    abstract::We report the observation that the major sources of variation in cadaver renal allograft survival rates are not related to the technique of donor organ preservation but are related solely to other factors including pretransplant blood transfusion of the recipient, antilymphocyte serum (ALS) treatment of the recipient,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198112000-00008

    authors: Vaughn WK,Mendez-Picon G,Humphries AL,Spees EK

    更新日期:1981-12-01 00:00:00

  • Pancreatitis following liver transplantation.

    abstract::Since 1981, when the liver transplantation program was initiated at the University of Pittsburgh, we have been impressed with the prevalence of pancreatitis occurring following liver transplantation in patients transplanted for hepatitis B-related liver disease. To either confirm this clinical impression or refute it,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198806000-00012

    authors: Alexander JA,Demetrius AJ,Gavaler JS,Makowka L,Starzl TE,Van Thiel DH

    更新日期:1988-06-01 00:00:00