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Articles tagged "Calcineurin"

  • 2015 American Transplant Congress

    Incidence, Determinants and Outcome of Kidney Transplantation for End Stage Renal Disease After Heart Transplantation

    A. Grupper,1 A. Grupper,1 R. Daly,1 M. Hathcock,2 W. Kremers,2 F. Cosio,1 B. Edwards,1 S. Kushwaha.1

    1William J. von Liebig Transplant Center, Mayo Clinic, Rochester, MN; 2Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.

    Objectives: Progressive renal failure is a frequent complication following heart transplantation (HTx), is generally attributed to calcineurin inhibitor (CNI) based immunosuppression, and may result in…
  • 2015 American Transplant Congress

    New Insights in Clinical and Genetic Determinants of Longitudinal Dose-Corrected CNI Exposure in Children After Renal Transplantation

    N. Knops,1 M. van Dyck,1 E. Levtchenko,1 D. Kuypers,2 J. Herman.1

    1Pediatric Nephrology and Solid Organ Transplantation, University Hospitals Leuven, Leuven, Belgium; 2Nephrology and Renal Transplantation, University Hospitals Leuven, Leuven, Belgium.

    Purpose: Calcineurin-inhibitors (CNI) have a narrow therapeutic index and dosing is difficult due to inter- and intra-individual variation in pharmacokinetics (PK). Polymorphisms in genes involved…
  • 2015 American Transplant Congress

    Spironolactone Prevents Calcineurin Inhibitors Toxicity in Renal Allografts. Preliminary Report

    J. Martinez, I. Vargas, B. Chagolla, A. Ramirez, J. Bermudez.

    Nephrology, Hospital General "Dr Miguel Silva", Morelia, Michoacan, Mexico.

    Introduction: Calcineurin inhibitors (CI) introduction was a transcendental event in the transplant medicine history. Actually, CI are considered the cornerstone in the immunosuppression treatment because…
  • 2015 American Transplant Congress

    Incidence and Risk Factors of Contrast-Induced Nephropathy in Renal Allograft Recipients

    B. Abu Jawdeh, Y. Sharma, S. Katipally, A. Leonard, R. Alloway, E. Woodle, C. Thakar.

    University of Cincinnati, Cincinnati.

    Background: Contrast-induced nephropathy (CIN) is associated with a significant increase in mortality and morbidity in patients with native kidneys. Data regarding CIN in renal allografts…
  • 2015 American Transplant Congress

    Variants Associated With Tacrolimus Troughs in European American Kidney Transplant Recipients: A Genome Wide Association Study

    P. Jacobson,1 M. Miller,2 D. Schladt,3 A. Israni,3 K. Sanghavi,1 C. Dorr,3 R. Remmel,1 W. Guan,4 A. Matas,5 W. Oetting.1

    1College of Pharmacy, University of MN, Minneapolis, MN; 2Department of Psychology, University of MN, Minneapolis, MN; 3Department of Nephrology and Chronic Disease Research Group, Minneapolis Medical Research Foundation, Hennepin County Medical Center, Minneapolis, MN; 4Department of Biostatistics, University of MN, Minneapolis, MN; 5Department of Surgery, University of MN, Minneapolis, MN.

    Tacrolimus (tac) is dependent on CYP3A4/5 for metabolism. Variability in the metabolism is influenced by CYP3A5*3 alleles. This variant and clinical factors explain around 50%…
  • 2015 American Transplant Congress

    Clinical Outcomes of Kidney Transplan Recipients After Sirolimus Or Everolimus Conversion. Experience in a Single Center

    L. Mesa, E. Manzi, M. Valderrama, J. Posada, J. Schweineberg, C. Duran, G. Echeverri, J. Villegas, O. Serrano, L. Caicedo.

    Transplant Unit, Fundación Valle del Lili, Cali, Colombia.

    Introduction. The use of m_TOR inhibitors sirolimus (SRL) and everolimus (EVL), in kidney transplant recipients (KTR) is an alternative immunosuppressive therapy to reduce or withdrawal…
  • 2015 American Transplant Congress

    Safety and Efficacy of Conversion from Conventional Twice Daily Tacrolimus to Once Daily Extended Release Tacrolimus in Stable Pancreas Transplant (SPK and PAK) Recipients

    M. Dib, A. Barbas, M. Marquez, J. Laurence, G. Sapisochin, A. Norgate, J. Schiff, I. McGilvray, P. Greig, M. Selzner, M. Cattral.

    Surgery, Multi-Organ Transplant, Toronto General Hospital, Toronto, ON, Canada.

    Background: A once-daily, modified-release oral formulation of tacrolimus has been developed to simplify dosing and improve medication adherence. There is limited data on the implementation…
  • 2015 American Transplant Congress

    Frequencies of CD4+25hiFoxp3+ T Cells in Long-Term Follow-Up of Sirolimus-Converted Kidney Transplant Recipients

    O. Traitanon,1,2 A. Alvarado,1 E. Tantisattamo,1,2 A. Shetty,1,2 M. Ansari,1,2 J. Mathew,1 J. Leventhal,1 V. Mas,3 L. Gallon.1,2

    1Comprehensive Transplant Center, Northwestern University, Chicago, IL; 2Medicine-Nephrology, Northwestern University, Chicago, IL; 3Surgery, University of Virginia, Charlottesville, VA.

    Background: Tacrolimus(TAC) and Sirolimus(SRL) are commonly used immunosuppressive drugs in kidney transplantation. SRL has been shown to induce the expansion of regulatory T cells in…
  • 2015 American Transplant Congress

    NK Cells of Kidney Transplant Recipients Show a Reduced Capacity to Produce Cytokines But Retain Their Cytotoxic Capacity

    U. Hoffmann,1 C. Neudoerfl,1 K. Daemen,1 J. Keil,1 C. Blume,2,3 F. Lehner,4 H. Haller,2 C. Falk.1,5

    1Inst. of Transplant Immunology, IFB-Tx, Hanover Medical School, Hanover, Germany; 2Dept. of Nephrology and Hypertension, Hanover Medical School, Hanover, Germany; 3Inst. of Technical Chemistry, Leibniz University Hanover, Hanover, Germany; 4Dept. of General, Visceral, and Transplantation Surgery, Hanover Medical School, Hanover, Germany; 5German Center for Infection Research, Braunschweig, Germany.

    The role of NK cells in either graft rejection or tolerance induction is still discussed controversially. In order to clarify the effect of long-term immunosuppression…
  • 2015 American Transplant Congress

    "What's the Mileage?" Determining the Length of Time in Which Renal Function Returns to Pre-Calcineurin Discontinuation Levels in Patients With Interstitial Fibrosis

    A. Diez, J. Von Visger, U. Nori, T. Pesavento, M. Henry, E. Davies, R. Pelletier.

    The Ohio State University, Columbus.

    Calcineurin Inhibitors (CNI) use may be associated with progressive renal dysfunction. Clinical trials have shown that CNI minimization or discontinuation may aid in improvement in…
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