Effect of long-term immunosuppression in kidney-graft recipients on cancer incidence: randomised comparison of two cyclosporin regimens

作者: Jacques Dantal , Maryvonne Hourmant , Diego Cantarovich , Magali Giral , Gilles Blancho

DOI: 10.1016/S0140-6736(97)08496-1

关键词:

摘要: The introduction of cyclosporin into maintenance therapy for kidney-transplant recipients has played an important part in the improvement graft survival reported worldwide [1]. Cyclosporin is potentially toxic to various tissues including kidney, liver, endocrine pancreas, and nervous system, its use associated with hypertension [2]. Nevertheless, capacity treatment increase been recognised a long time. Optimum doses trough blood concentrations have empirically evolved so as cause least kidney toxicity. However, other potential side-effects related immunosuppressant properties, occurrence infections tumours. magnitude these effects may also vary dose consequent concentrations. Thus, there schedules. In terms reducing long-term complications immunosuppression, such cancers [3], are unlike organ-graft because dialysis viable alternative.

参考文章(28)
Penn I, Occurrence of cancers in immunosuppressed organ transplant recipients. Clinical Transplantation. pp. 53- 62 ,(1990)
Michael B. Dilling, Glen S. Germain, Randall K. Johnson, David N. Shapiro, Peter Dias, Peter J. Houghton, Rapamycin Selectively Inhibits the Growth of Childhood Rhabdomyosarcoma Cells through Inhibition of Signaling via the Type I Insulin-like Growth Factor Receptor Cancer Research. ,vol. 54, pp. 903- 907 ,(1994)
Robert J. Tressler, Laura J. Garvin, Doris L Slate, Anti-tumor activity of mycophenolate mofetil against human and mouse tumors in vivo. International Journal of Cancer. ,vol. 57, pp. 568- 573 ,(1994) , 10.1002/IJC.2910570421
G. Buccianti, Barbara Ravasi, Donata Cresseri, P. Maisonneuve, P. Boyle, Francesco Locatelli, Cancer in patients on renal replacement therapy in Lombardy, Italy The Lancet. ,vol. 347, pp. 59- 60 ,(1996) , 10.1016/S0140-6736(96)91591-3
Miguel West, David E.R. Sutherland, Arthur J. Matas, Kidney transplant recipients who die with functioning grafts: serum creatinine level and cause of death. Transplantation. ,vol. 62, pp. 1029- 1030 ,(1996) , 10.1097/00007890-199610150-00025
Jacques Dantal, Emmanuelle Ninin, Maryvonne Hourmant, Francoise Boeffard, Di??go Cantarovich, Magali Giral, John Wijdenes, Jean Paul Soulillou, Brigitte Le Mauff, Anti-CD4 MoAb therapy in kidney transplantation--a pilot study in early prophylaxis of rejection. Transplantation. ,vol. 62, pp. 1502- 1506 ,(1996) , 10.1097/00007890-199611270-00020
N.J London, S.M Farmery, J.P.A Lodge, E.J Will, A.M Davidson, Risk of neoplasia in renal transplant patients The Lancet. ,vol. 346, pp. 403- 406 ,(1995) , 10.1016/S0140-6736(95)92780-8
B.D. Kahan, Sirolimus: A new agent for clinical renal transplantation Transplantation Proceedings. ,vol. 29, pp. 48- 50 ,(1997) , 10.1016/S0041-1345(96)00008-5
William M. Bennett, Angelo DeMattos, Mary M. Meyer, Takeshi Andoh, John M. Barry, Chronic cyclosporine nephropathy: The Achilles' heel of immunosuppressive therapy Kidney International. ,vol. 50, pp. 1089- 1100 ,(1996) , 10.1038/KI.1996.415
J.D.H. Morris, A.L.W.F. Eddleston, T. Crook, Viral infection and cancer The Lancet. ,vol. 346, pp. 754- 758 ,(1995) , 10.1016/S0140-6736(95)91510-9