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肝移植中的免疫抑制

Immunosuppression in liver transplantation.

作者信息

Cattral M S, Lilly L B, Levy G A

机构信息

Department of Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

出版信息

Semin Liver Dis. 2000;20(4):523-31. doi: 10.1055/s-2000-13160.

DOI:10.1055/s-2000-13160
PMID:11200420
Abstract

Prevention of graft rejection while minimizing morbidity remains the single most important objective in liver transplantation. Advances in immunosuppression have provided excellent patient and graft survival with relatively low incidences of acute rejection. However, it is apparent that the toxicity of the present immunosuppressive drugs accounts for much of the morbidity after transplantation. Attention is now being focused on combination drug therapies to reduce morbidity while maintaining the excellent results achieved with present immunosuppressive agents.

摘要

在将发病率降至最低的同时预防移植物排斥反应,仍然是肝移植中唯一最重要的目标。免疫抑制方面的进展使患者和移植物存活率显著提高,急性排斥反应的发生率相对较低。然而,目前免疫抑制药物的毒性在很大程度上导致了移植后的发病率。现在人们的注意力集中在联合药物治疗上,以降低发病率,同时维持目前免疫抑制剂所取得的良好效果。

相似文献

1
Immunosuppression in liver transplantation.肝移植中的免疫抑制
Semin Liver Dis. 2000;20(4):523-31. doi: 10.1055/s-2000-13160.
2
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New aspect of immunosuppressive treatment in liver transplantation. How could you induce tolerance in liver transplantation?肝移植免疫抑制治疗的新进展。如何在肝移植中诱导免疫耐受?
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引用本文的文献

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Cognitive Evaluation in Liver Transplant Patients Under Calcineurin Inhibitor Maintenance Therapy.接受钙调神经磷酸酶抑制剂维持治疗的肝移植患者的认知评估
Transplant Direct. 2017 Mar 28;3(4):e146. doi: 10.1097/TXD.0000000000000658. eCollection 2017 Apr.
2
Nonalcoholic fatty liver disease following liver transplantation.肝移植后的非酒精性脂肪性肝病
Hepatol Int. 2013 Jun;7(2):400-12. doi: 10.1007/s12072-013-9434-3. Epub 2013 Apr 26.
3
Attenuation of acute rejection in a rat liver transplantation model by a liver-targeted dextran prodrug of methylprednisolone.
甲泼尼龙肝靶向葡聚糖前药在大鼠肝移植模型中减轻急性排斥反应
Transplantation. 2006 Mar 15;81(5):678-85. doi: 10.1097/01.tp.0000177654.48112.b6.
4
Attenuation of Kupffer cell activation in cold-preserved livers after pretreatment of rats with methylprednisolone or its macromolecular prodrug.用甲基强的松龙或其大分子前体药物预处理大鼠后,冷保存肝脏中库普弗细胞激活的减弱。
Pharm Res. 2003 Jul;20(7):1001-8. doi: 10.1023/a:1024402121053.
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Dextran-methylprednisolone succinate as a prodrug of methylprednisolone: local immunosuppressive effects in liver after systemic administration to rats.葡聚糖-甲泼尼龙琥珀酸酯作为甲泼尼龙的前体药物:大鼠全身给药后在肝脏中的局部免疫抑制作用
Pharm Res. 2003 Feb;20(2):198-204. doi: 10.1023/a:1022358702643.
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Mechanisms of tolerance induction after rat liver transplantation: intrahepatic CD4(+) T cells produce different cytokines during rejection and tolerance in response to stimulation.大鼠肝移植后耐受诱导机制:肝内CD4(+) T细胞在排斥反应和耐受过程中对刺激产生不同的细胞因子。
J Gastrointest Surg. 2002 May-Jun;6(3):455-63. doi: 10.1016/s1091-255x(02)00012-4.