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A comparison of the renal effects (ERPF, GFR, and FF) of FK 506 and cyclosporine in patients with liver transplantation.肝移植患者中FK 506与环孢素对肾脏影响(有效肾血浆流量、肾小球滤过率和滤过分数)的比较。
Transplant Proc. 1991 Dec;23(6):3146-7.
2
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2
Clinical use of tacrolimus (FK-506) in infants and children with renal transplants.
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3
Adverse effects associated with the use of FK 506.与使用FK 506相关的不良反应。
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本文引用的文献

1
New formulas for the calculation of effective renal plasma flow.计算有效肾血浆流量的新公式。
Eur J Nucl Med. 1982;7(2):51-4. doi: 10.1007/BF00251641.
2
Determination of glomerular filtration rate by single-plasma sampling technique following injection of radioiodinated diatrizoate.
J Nucl Med. 1986 Jan;27(1):45-50.
3
Clinical evaluation of the filtration fraction: multivariate statistical analysis.滤过分数的临床评估:多变量统计分析
Contrib Nephrol. 1990;79:58-62. doi: 10.1159/000418150.

肝移植患者中FK 506与环孢素对肾脏影响(有效肾血浆流量、肾小球滤过率和滤过分数)的比较。

A comparison of the renal effects (ERPF, GFR, and FF) of FK 506 and cyclosporine in patients with liver transplantation.

作者信息

Tauxe W N, Mochizuki T, McCauley J, Starzl T E, Jain A, Charron M

机构信息

University of Pittsburgh School of Medicine, Department of Nuclear Medicine, Pennsylvania.

出版信息

Transplant Proc. 1991 Dec;23(6):3146-7.

PMID:1721386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3022470/
Abstract
  1. The mean "cost" in milliliters per minute of ESLD alone, prior to transplantation, was 35% + 23% (1 SD). In GFR it was 15%. 2. The additional burden of CyA + OLT increases the loss in ERPF an additional 18%; in GFR, it increases loss another 10%. Thus, the total loss in CyA-treated patients was 53% and 25%, respectively. 3. The decrease imposed by FK 506 + OLT on ERPF was only 7%, with no decrease in GFR. 4. Therefore, from the renal point of view, FK 506 would appear to be the superior drug. 5. The large error around mean values underlines the desirability of performing these tests on the individual patient rather than on information from groups, since many values fall near the threshold of the azotemic range (ERPF approximately 175 mL/min). 6. As renal mass was compromised, ie, fall in the ERPF, the GFR increased relatively, ie, the renal filtering membrane became more permeable and the FFs gradually increased. 7. The loss of renal function was significantly less in OLT patients on FK 506 than CyA. However, the greatest loss in expected renal function was due to the basic ESLD itself.
摘要
  1. 仅终末期肝病(ESLD)在移植前每分钟的平均“成本”(以毫升计)为35% + 23%(1个标准差)。肾小球滤过率(GFR)方面为15%。2. 环孢素A(CyA)加肝移植(OLT)带来的额外负担使有效肾血浆流量(ERPF)损失增加18%;在GFR方面,损失又增加10%。因此,接受CyA治疗的患者的总损失分别为53%和25%。3. FK 506加OLT对ERPF造成的降低仅为7%,GFR没有降低。4. 因此,从肾脏角度来看,FK 506似乎是更优的药物。5. 平均值周围的较大误差突出了对个体患者而非群体信息进行这些测试的必要性,因为许多值接近氮质血症范围的阈值(ERPF约为175毫升/分钟)。6. 随着肾质量受损,即ERPF下降,GFR相对增加,即肾滤过膜变得更通透,滤过分数(FFs)逐渐增加。7. 接受FK 506治疗的OLT患者的肾功能损失明显低于接受CyA治疗的患者。然而,预期肾功能的最大损失是由基础ESLD本身导致的。