Efficacy and safety of adefovir dipivoxil in kidney recipients, hemodialysis patients, and patients with renal insufficiency.

Abstract:

BACKGROUND:This study analyzes the biochemical, serological, and virological efficacy and the safety of adefovir dipivoxil in patients with renal disturbances. METHODS:Twelve patients with lamivudine-resistant hepatitis B virus (HBV) chronic infection were treated for a median time of 15 (3-19) months. The daily dosage was 10 mg initially and then adjusted according to renal function. RESULTS:Median (range) ALT values remained stable: 55 (13-117) and 37 (17-266) UI/L. After the 12th month, the median decline in serum HBV DNA was from 8.76 (6.3-9.7) to 2.97 (1.15-5.65) log10 Eq/ml (median decline of -5.5 log10). No virologic breakthrough was observed. One of the six HBeAg-positive patients lost HBe Ag but without HBe seroconversion; none had HBs Ag loss. There were no significant clinical and biochemical adverse effects. In the 11 nonhemodialysed patients, the creatinine clearance significantly improved from 70 (30-100) to 88 (38-125) ml/mn (P=0.01) and the mean serum creatinine levels increased only slightly from 114 (91-839) to 130 (81-561) micromol/ml (NS). Serum phosphorus remained stable. The urinary level of protein decreased from 0.16 (0.08-8.63) to 0.12 (0.01-0.74) g/day (NS). CONCLUSIONS:Adefovir dipivoxil is safe for the treatment of chronic hepatitis B in patients with varying degrees of renal dysfunction and lamivudine-resistant HBV and results in biochemical and virological efficacy similar to that reported in the general population.

journal_name

Transplantation

journal_title

Transplantation

authors

Fontaine H,Vallet-Pichard A,Chaix ML,Currie G,Serpaggi J,Verkarre V,Varaut A,Morales E,Nalpas B,Brosgart C,Pol S

doi

10.1097/01.tp.0000178305.39231.a2

subject

Has Abstract

pub_date

2005-10-27 00:00:00

pages

1086-92

issue

8

eissn

0041-1337

issn

1534-6080

pii

00007890-200510270-00014

journal_volume

80

pub_type

临床试验,杂志文章
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    authors: Asfar S,Metrakos P,Fryer J,Verran D,Ghent C,Grant D,Bloch M,Burns P,Wall W

    更新日期:1996-05-15 00:00:00

  • High dose bone marrow transplantation induces deletion of antigen-specific T cells in a Fas-independent manner.

    abstract:BACKGROUND:Monoclonal antibody induced tolerance to high doses of multiple lymphocyte stimulating (MLS)+minor mismatched bone marrow has recently been associated with clonal deletion, as reported in fully allogeneic models of bone marrow transplantation. FasL-induced apoptosis has been shown to mediate antigen-specific...

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    doi:10.1097/00007890-200004270-00025

    authors: Honey K,Bemelman F,Cobbold SP,Waldmann H

    更新日期:2000-04-27 00:00:00

  • Gastric aspiration for diagnosis of pulmonary tubercolosis in adult renal allograft recipients.

    abstract::Of 213 renal allgraft recipients suspected to have had pulmonary tuberculosis, 132 had sputum examinations and 14 showed acid-fast bacilli. Of the remaining 118 patients, 25 had gastric aspirations, 18 had bronchoalveolar lavage, and 75 did not require further investigation because of spontaneous improvement or confir...

    journal_title:Transplantation

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    doi:10.1097/00007890-199603270-00023

    authors: John GT,Juneja R,Mukundan U,Date A,Vincent L,Jacob CK,Shastry JC

    更新日期:1996-03-27 00:00:00

  • A randomized controlled trial of intravenous or oral iron for posttransplant anemia in kidney transplantation.

    abstract:BACKGROUND:Anemia after kidney transplantation has been associated with poor transplant outcomes. We hypothesized that intravenous (IV) iron may more rapidly correct anemia than oral (PO) iron. METHODS:One hundred four kidney transplant recipients were prospectively randomized to IV iron polymaltose (500 mg single dos...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e318248375a

    authors: Mudge DW,Tan KS,Miles R,Johnson DW,Badve SV,Campbell SB,Isbel NM,van Eps CL,Hawley CM

    更新日期:2012-04-27 00:00:00

  • The effect of acute rejection and cyclosporin A-treatment on induction of platelet-derived growth factor and its receptors during the development of chronic rat renal allograft rejection.

    abstract:BACKGROUND:In the development of chronic kidney allograft rejection acute rejection (AR) is the single most important risk factor. Although Cyclosporin A (CsA) medication has decreased the incidence of AR, chronic rejection (CR) is still the major reason for late allograft loss. Platelet-derived growth factor (PDGF) is...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200202270-00003

    authors: Savikko J,Kallio EA,Taskinen E,von Willebrand E

    更新日期:2002-02-27 00:00:00

  • Thromboxane augmentation of alloreactive T cell function.

    abstract::Thromboxane (Tx) plays a vital role in the dysfunction and ultimate rejection of MHC-disparate renal allografts. In addition to its potent vasoconstrictory properties, in vivo studies have implied that Tx is capable of promoting immune cytotoxic T cell function within transplants. In this study, we have examined the i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199209000-00021

    authors: Ruiz P,Rey L,Spurney R,Coffman T,Viciana A

    更新日期:1992-09-01 00:00:00

  • Can hepatitis B core antibody positive livers be used safely for transplantation: hepatitis B virus detection in the liver of individuals who are hepatitis B core antibody positive.

    abstract::A major impediment to the wider application of clinical liver transplantation is the paucity of acceptable organs. Most centers refuse organs that come from donors who are hepatitis B core antibody positive because of a fear of transmission of hepatitis B virus (HBV) infection to the recipient. The risk related to the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199908270-00013

    authors: Van Thiel DH,De Maria N,Colantoni A,Friedlander L

    更新日期:1999-08-27 00:00:00

  • Prolongation of renal allograft survival in the rat by pretreatment with donor antigen and cyclosporin A.

    abstract::Pretreatment of LEW rats with cyclosporin A (10 mg/kg/day orally for 14 days) plus 10(8) DA or (DA X LEW)F1 spleen lymphocytes on two occasions markedly prolonged the survival of subsequent DA renal allografts. The lymphocytotoxic antibody response was suppressed completely and renal biopsies showed a marked mononucle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198106000-00004

    authors: Homan WP,Williams KA,Millard PR,Morris PJ

    更新日期:1981-06-01 00:00:00

  • Safety of anti-hepatitis B core antibody-positive donors for living-donor liver transplantation.

    abstract::Serologic evidence of resolved hepatitis B virus (HBV) infection (HBV surface antigen negative, anti-HBV core antibody [HBc] positive) in a liver donor can be regarded as an occult infection with episomal HBV in the liver. The purpose of this study was to evaluate the safety of anti-HBc-positive living donors. Between...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000047030.38665.0D

    authors: Hwang S,Moon DB,Lee SG,Park KM,Kim KH,Ahn CS,Lee YJ,Chu CW,Yang HS,Cho SH,Oh KB,Ha TY,Min PC

    更新日期:2003-02-15 00:00:00

  • Management of posttransplant lymphoproliferative disease in pediatric liver transplant recipients receiving primary tacrolimus (FK506) therapy.

    abstract:BACKGROUND:Posttransplant lymphoproliferative disease (PTLD) after pediatric liver transplantation has been associated with high mortality rates. METHODS:The present study examined 282 consecutive pediatric liver transplant recipients from October 1989 to June 1996 who received primary tacrolimus immunosuppression. Th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810270-00014

    authors: Cacciarelli TV,Green M,Jaffe R,Mazariegos GV,Jain A,Fung JJ,Reyes J

    更新日期:1998-10-27 00:00:00

  • Prevention of late renal changes after initial ischemia/reperfusion injury by blocking early selectin binding.

    abstract:BACKGROUND:Increasing clinical evidence suggests that delayed initial function secondary to ischemia/reperfusion injury alone, and particularly in combination with early episodes of acute rejection, reduces kidney allograft survival over time. METHODS:We investigated changes developing over the long term following a s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199712150-00003

    authors: Takada M,Nadeau KC,Shaw GD,Tilney NL

    更新日期:1997-12-15 00:00:00

  • Calcineurin inhibitors, but not rapamycin, reduce percentages of CD4+CD25+FOXP3+ regulatory T cells in renal transplant recipients.

    abstract:BACKGROUND:Immunosuppression in renal transplantation, although manageable in the short-term, is a major hurdle for long-term graft survival. Recently, increased frequencies of CD4CD25 regulatory T cells (Tregs) have been described as an additional mechanism that induces alloimmune tolerance. METHODS:We assessed 64 re...

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    pub_type: 杂志文章

    doi:10.1097/01.tp.0000229473.95202.50

    authors: Segundo DS,Ruiz JC,Izquierdo M,Fernández-Fresnedo G,Gómez-Alamillo C,Merino R,Benito MJ,Cacho E,Rodrigo E,Palomar R,López-Hoyos M,Arias M

    更新日期:2006-08-27 00:00:00

  • A randomized prospective trial of cold storage versus pulsatile perfusion for cadaver kidney preservation.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Halloran P,Aprile M

    更新日期:1987-06-01 00:00:00

  • Extrinsic sympathetic reinnervation after intestinal transplantation in rats.

    abstract::Although extrinsic denervation is inevitable after intestinal transplantation and leads to poor intestinal function, little is known about the occurrence of extrinsic reinnervation. In this study, extrinsic sympathetic reinnervation was investigated morphologically following syngeneic intestinal transplantation perfor...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Kiyochi H,Ono A,Yamamoto N,Ohnishi K,Shimahara Y,Kobayashi N

    更新日期:1995-02-15 00:00:00

  • T suppressor cells induced by transfusions and cyclosporine. Studies in the murine cardiac allograft model.

    abstract::Pregraft transfusion combined with immunosuppression at the time of grafting improves the survival of clinical and experimental allografts. The mechanisms responsible for this effect were investigated in the murine model of cardiac transplantation, combining transfusions 7 to 30 days prior to transplantation with cycl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199012000-00026

    authors: Mottram PL,Mirisklavos A,Dumble LJ,Clunie GJ

    更新日期:1990-12-01 00:00:00

  • Donor-specific skin transplants activate allodestructive T cells in mice resistant to neonatal H-2 tolerance induction.

    abstract::Mice of the B10 background that are class II I-E nonexpressing demonstrate a relative resistance to neonatal induction of tolerance of class I alloantigens from I-E-expressing B10 strains. The majority of these injected mice delete donor-responsive and "I-E-reactive" (V beta 11+) cells in the immediate postinoculation...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199312000-00035

    authors: Nassiri M,Viciana A,Streilein JW,Ruiz P

    更新日期:1993-12-01 00:00:00

  • Major histocompatibility complex control of NK-related allogeneic lymphocyte cytotoxicity in rats. The contributions of strong and medial transplantation antigens.

    abstract::Allogeneic lymphocyte cytotoxicity (ALC) describes the elimination of allogeneic lymphocytes in vivo by an NK-related activity. There is evidence that ALC is demonstrable between donor and recipient when these are incompatible at MHC gene loci alone. Since ALC is a property of T cell-deficient nude rats, the role of t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198811000-00025

    authors: Ager A,Fajumi J,Sparshott SM,Ford WL,Butcher GW

    更新日期:1988-11-01 00:00:00

  • Split tolerance induced by immunotoxin in a rhesus kidney allograft model.

    abstract:BACKGROUND:Renal allografts were performed in rhesus monkeys using FN18-CRM9, a potent immunotoxin capable of depleting T cells to less than 1% of baseline levels in blood and lymph nodes, as a preparative agent. We have recently reported that animals pretreated with FN18-CRM9 1 week before transplantation without furt...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199705150-00023

    authors: Fechner JH Jr,Vargo DJ,Geissler EK,Graeb C,Wang J,Hanaway MJ,Watkins DI,Piekarczyk M,Neville DM Jr,Knechtle SJ

    更新日期:1997-05-15 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

  • Stimulation of Dopamine D3 Receptor Attenuates Renal Ischemia-Reperfusion Injury via Increased Linkage With Gα12.

    abstract:BACKGROUND:Renal ischemia-reperfusion (I/R) injury causes renal tubular necrosis, apoptosis, and inflammation leading to acute renal dysfunction. Recent studies have revealed that deletion of Gα12 mitigates the renal damage due to I/R injury. Our previous study showed that activation of dopamine D3 receptor (D3R) incre...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000762

    authors: Wang Z,Guan W,Han Y,Ren H,Tang X,Zhang H,Liu Y,Fu J,He D,Asico LD,Jose PA,Zhou L,Chen L,Zeng C

    更新日期:2015-11-01 00:00:00

  • Glycans derived from porcine stomach mucin are effective inhibitors of natural anti-alpha-galactosyl antibodies in vitro and after intravenous infusion in baboons.

    abstract::The current shortage of donor organs has stimulated investigation of pig-to-human xenotransplantation as a practical alternative to allotransplantation. However, a major obstacle to this xenotransplantation is hyperacute rejection, which is believed to be initiated by the interaction of natural anti-alpha-galactosyl (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199611150-00026

    authors: Li SF,Neethling FA,Taniguchi S,Yeh JC,Kobayashi T,Ye Y,Koren E,Cummings RD,Cooper DK

    更新日期:1996-11-15 00:00:00

  • Functional evaluation of T helper, T suppressor, and B lymphocytes in lethally irradiated rhesus monkeys injected with autologous bone marrow.

    abstract::Lethally irradiated rhesus monkeys were treated with autologous bone marrow that had either been (1) nontreated, i.e., normal; (2) depleted of T lymphocytes with a monoclonal antibody directed against rhesus T lymphocytes; (3) fractionated with the soybean agglutinin (SBA- fraction); or (4) fractionated with SBA and f...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199206000-00027

    authors: Gengozian N,Moriarty C,Good RA

    更新日期:1992-06-01 00:00:00

  • Heart rate after cardiac transplantation-lessons from the tortoise and the shrew.

    abstract::There is a striking consistency in the total number of heart beats accrued over a lifetime across a range of animal species despite vast differences in size. Moreover, an inverse relationship is observed between heart rate and lifespan, leading to speculation that elevated heart rate could significantly affect longevi...

    journal_title:Transplantation

    pub_type: 社论,评审

    doi:10.1097/TP.0b013e31826bc42a

    authors: Critchley WR,Yonan N,Shaw SM,Fildes JE

    更新日期:2013-01-27 00:00:00

  • Inhibition of endothelin-converting enzyme attenuates transplant vasculopathy and rejection in rat cardiac allografts.

    abstract:BACKGROUND:Transplant vasculopathy in kidney and heart allografts is associated with marked elevation of endothelin-1 (ET-1), but a role for ET-1 in the pathogenesis of transplant vasculopathy and chronic rejection has not been established. We, therefore, tested whether inhibition of ET-1-converting enzyme by phosphora...

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    pub_type: 杂志文章

    doi:10.1097/00007890-199906270-00007

    authors: Simonson MS,Herman WH,Robinson A,Schulak J,Hricik DE

    更新日期:1999-06-27 00:00:00

  • Kidney Transplant in the Era of Modern Therapy for Multiple Myeloma.

    abstract::Chronic kidney disease is common in patients with multiple myeloma. Historically, individuals with end-stage renal disease and multiple myeloma did poorly with renal transplantation due to higher mortality rates from the malignancy itself or associated comorbidities. However, over the past 2 decades, there have been s...

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    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002449

    authors: Huskey JL,Heilman RL,Khamash H,Fonseca R

    更新日期:2018-12-01 00:00:00

  • Organ trafficking for live donor kidney transplantation in Indoasians resident in the west midlands: high activity and poor outcomes.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181da6019

    authors: Krishnan N,Cockwell P,Devulapally P,Gerber B,Hanvesakul R,Higgins R,Ready A,Carmichael P,Tomlinson K,Kumar S,Baharani J,Dasgupta I

    更新日期:2010-06-27 00:00:00

  • Neutrophilic tubulitis as a marker for urinary tract infection in renal allograft biopsies with C4d deposition.

    abstract:BACKGROUND:Neutrophilic tubulitis accompanied by intratubular neutrophil clusters in the renal allograft is a surrogate marker for urinary tract infection (UTI). Overlapping histologic findings can occur in antibody-mediated rejection, which is characterized by peritubular capillary (PTC) deposition of C4d. This study ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819ca304

    authors: Gupta G,Shapiro R,Girnita A,Batal I,McCauley J,Basu A,Tan H,Randhawa P

    更新日期:2009-04-15 00:00:00

  • The prevalence, course, and characteristics of chronic anemia after heart and lung transplantation.

    abstract::A retrospective study of the 99 surviving heart and lung transplant (HLT) recipients at one center showed that 31% had significant anemia (hemoglobin less than 100g/L) six months after transplantation. Chronic anemia persisted in 18% of HLT recipients two years posttransplantation. A similar study of 100 heart transpl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199206000-00016

    authors: Hunt BJ,Amin S,Halil O,Yacoub M

    更新日期:1992-06-01 00:00:00

  • Improved phagocyte response by co-amoxiclav in renal transplant recipients.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200102270-00016

    authors: Cuffini AM,Tullio V,Giacchino F,Bonino A,Mandras N,Bianchi N,Roana J,Scalas D,Bonello F,Carlone NA

    更新日期:2001-02-27 00:00:00

  • Safety of blood group A2-to-O liver transplantation: an analysis of the United Network of Organ Sharing database.

    abstract:BACKGROUND:ABO-incompatible organ transplantation typically induces hyperacute rejection. A2-to-O liver transplantations have been successful. This study compared overall and graft survival in O recipients of A2 and O grafts based on Organ Procurement and Transplantation Network data. METHODS:Scientific Registry of Tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31825c591e

    authors: Kluger MD,Guarrera JV,Olsen SK,Brown RS Jr,Emond JC,Cherqui D

    更新日期:2012-09-15 00:00:00