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Articles tagged "Calcineurin"

  • 2015 American Transplant Congress

    Primary and Secondary Vaccine Responses in a Non-Human Primate Model of Cardiac Allotransplantation

    S. Dahi,1 E. Kang,1 T. Zhang,1 B. Vanhove,2 A. Azimzadeh,1 R. Pierson III.1

    1Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; 2INSERM, Nantes, France.

    Purpose: To compare the effect of calcineurin- versus costimulation-based immunosuppression on primary and secondary vaccine responses in non-human primate heart transplant recipients.Background: Antibody response following…
  • 2015 American Transplant Congress

    Intrapatient Variability of Tacrolimus Blood Concentrations Following Renal Transplant – Acute Rejection or No Connection?

    D. Katarey,1,2 E. Ioannou,2 I. MacPhee.1,2

    1Renal Medicine, St George's Hospital, London, United Kingdom; 2St George's University of London, London, United Kingdom.

    Background: A high degree of intrapatient variability (IPV) of tacrolimus blood concentrations has been associated with poor long-term outcome (1). Periods of under-exposure with increased…
  • 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…
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