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单用硼替佐米不能降低供体特异性抗人白细胞抗原抗体:即使在治疗后一年也是如此。

Bortezomib alone fails to decrease donor specific anti-HLA antibodies: even after one year post-treatment.

作者信息

Sberro-Soussan Rebecca, Zuberl Julien, Suberbielle-Boissel Caroline, Legendre Christophe

机构信息

Service de Transplantation Rénale, Hôpital Necker, Paris, France.

出版信息

Clin Transpl. 2010:409-14.

PMID:21696059
Abstract

In a previous study we evaluated the in vivo efficacy of one cycle of Bortezomib (1.3 mg/m2 x 4 doses), used as the sole desensitization therapy, in four renal transplant recipients experiencing sub-acute antibody mediated rejection with persisting DSA. Bortezomib treatment did not significantly decrease DSA MFI within the 270-day posttreatment period in any patient. Here we reevaluate the patients' outcomes and bortezomib efficacy after one year post-treatment. The DSA levels remained stable or increased. In conclusion, one cycle of bortezomib alone does not decrease DSA levels in sensitized kidney transplant recipients.

摘要

在之前的一项研究中,我们评估了硼替佐米(1.3 mg/m²,共4剂)单周期作为唯一脱敏疗法,对4例经历亚急性抗体介导排斥反应且持续存在供者特异性抗体(DSA)的肾移植受者的体内疗效。在任何患者中,硼替佐米治疗在治疗后270天内均未显著降低DSA平均荧光强度(MFI)。在此,我们重新评估治疗一年后患者的结局及硼替佐米疗效。DSA水平保持稳定或升高。总之,单周期硼替佐米并不能降低致敏肾移植受者的DSA水平。

相似文献

1
Bortezomib alone fails to decrease donor specific anti-HLA antibodies: even after one year post-treatment.单用硼替佐米不能降低供体特异性抗人白细胞抗原抗体:即使在治疗后一年也是如此。
Clin Transpl. 2010:409-14.
2
Reduction in proteinuria with bortezomib based therapy for antibody mediated rejection.
Clin Transpl. 2010:437-40.
3
Targeting alloantibody production with bortezomib: does it make more sense?用硼替佐米靶向同种异体抗体产生:这更有意义吗?
Clin Transpl. 2010:397-403.
4
Bortezomib use in chronic antibody-mediated allograft dysfunction: updates and additional cases.
Clin Transpl. 2010:415-20.
5
Rescue therapy for acute antibody mediated rejection with a proteosome inhibitor after kidney transplantation.
Clin Transpl. 2010:421-8.
6
Bortezomib as rescue therapy for antibody mediated rejection: a single-center experience.硼替佐米作为抗体介导排斥反应的挽救治疗:单中心经验
Clin Transpl. 2010:429-36.
7
Bortezomib for the treatment of chronic antibody-mediated kidney allograft rejection: a case report.硼替佐米治疗慢性抗体介导的肾移植排斥反应:一例报告
Clin Transpl. 2010:391-6.
8
Bortezomib alone fails to decrease donor specific anti-HLA antibodies: 4 case reports.单用硼替佐米未能降低供者特异性抗人白细胞抗原抗体:4例报告
Clin Transpl. 2009:433-8.
9
Bortezomib as an adjuvant to conventional therapy in the treatment of antibody mediated rejection (AMR): the full spectrum.硼替佐米作为传统疗法的辅助药物用于治疗抗体介导的排斥反应(AMR):全貌
Clin Transpl. 2010:383-90.
10
1.7 year follow-up after bortezomib therapy for refractory antibody mediated rejection.硼替佐米治疗难治性抗体介导排斥反应后的1.7年随访
Clin Transpl. 2010:405-7.

引用本文的文献

1
Desensitisation strategies in high-risk children before kidney transplantation.高风险儿童肾移植前脱敏策略。
Pediatr Nephrol. 2018 Dec;33(12):2239-2251. doi: 10.1007/s00467-017-3882-2. Epub 2018 Jan 13.
2
Acute Antibody-Mediated Rejection in Renal Transplantation: Current Clinical Management.肾移植中的急性抗体介导排斥反应:当前临床管理
Curr Transplant Rep. 2014 Jun;1(2):78-85. doi: 10.1007/s40472-014-0012-y. Epub 2014 Mar 13.
3
32 Doses of Bortezomib for Desensitization Is Not Well Tolerated and Is Associated With Only Modest Reductions in Anti-HLA Antibody.
32剂硼替佐米用于脱敏治疗耐受性不佳,且仅与抗人白细胞抗原抗体适度降低相关。
Transplantation. 2017 Jun;101(6):1222-1227. doi: 10.1097/TP.0000000000001330.
4
Acute and chronic antibody-mediated rejection in pediatric kidney transplantation.小儿肾移植中的急性和慢性抗体介导的排斥反应。
Pediatr Nephrol. 2015 Mar;30(3):417-24. doi: 10.1007/s00467-014-2851-2. Epub 2014 May 28.
5
Minimal effect of bortezomib in reducing anti-pig antibodies in human leukocyte antigen-sensitized patients: a pilot study.硼替佐米对减轻人类白细胞抗原致敏患者抗猪抗体的影响很小:一项初步研究。
Xenotransplantation. 2013 Nov-Dec;20(6):429-37. doi: 10.1111/xen.12052. Epub 2013 Sep 3.