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肝移植中的诱导免疫抑制:综述。

Induction immunosuppression in liver transplantation: a review.

机构信息

Emory University School of Medicine, Atlanta, GA 30322, USA.

出版信息

Transpl Int. 2013 Jul;26(7):673-83. doi: 10.1111/tri.12100. Epub 2013 May 8.

DOI:10.1111/tri.12100
PMID:23651083
Abstract

Antibody therapy for induction is seldom used in liver transplantation in the United States, but continues to be used in approximately 10% of patients. The most commonly used antibody at the current time is basiliximab (Simulect, Novartis) and is used in adults with renal dysfunction at the time of liver transplantation with the intention of delaying introduction of calcineurin-inhibitors. In children, the same antibody is commonly used in order to reduce rates of acute rejection. Most patients, adult and pediatric, are treated with initially higher levels of tacrolimus rather than antibody induction.

摘要

在美国,肝移植中很少使用诱导抗体治疗,但仍有约 10%的患者在使用。目前最常用的抗体是巴利昔单抗(Simulect,诺华),用于肝移植时肾功能不全的成人,目的是延迟钙调神经磷酸酶抑制剂的应用。在儿童中,为了降低急性排斥反应的发生率,通常也会使用相同的抗体。大多数患者,包括成人和儿童,最初会接受更高剂量的他克莫司治疗,而不是抗体诱导治疗。

相似文献

1
Induction immunosuppression in liver transplantation: a review.肝移植中的诱导免疫抑制:综述。
Transpl Int. 2013 Jul;26(7):673-83. doi: 10.1111/tri.12100. Epub 2013 May 8.
2
Concomitant basiliximab with low-dose calcineurin inhibitors in children post-liver transplantation.肝移植术后儿童使用巴利昔单抗联合低剂量钙调神经磷酸酶抑制剂的情况。
Pediatr Transplant. 2002 Jun;6(3):214-8. doi: 10.1034/j.1399-3046.2002.01076.x.
3
Initial immunosuppression with or without basiliximab: a comparative study.初始免疫抑制联合或不联合巴利昔单抗:一项比较研究。
Transplant Proc. 2012 Nov;44(9):2570-2. doi: 10.1016/j.transproceed.2012.09.109.
4
Basiliximab (Simulect) for the treatment of steroid-resistant rejection in pediatric liver transpland recipients: a preliminary experience.巴利昔单抗(舒莱)用于治疗小儿肝移植受者的激素抵抗性排斥反应:初步经验。
Transplantation. 2003 Mar 27;75(6):796-9. doi: 10.1097/01.TP.0000054682.53834.EA.
5
Initial data on basiliximab in critically ill children undergoing heart transplantation.巴利昔单抗用于危重症儿童心脏移植的初步数据。
J Heart Lung Transplant. 2005 Sep;24(9):1284-8. doi: 10.1016/j.healun.2004.08.017.
6
Comparative study of the cellular pharmacodynamics of tacrolimus in renal transplant recipients treated with and without basiliximab.比较他克莫司在接受和未接受巴利昔单抗治疗的肾移植受者中的细胞药代动力学。
Cell Transplant. 2012;21(2-3):565-70. doi: 10.3727/096368911X605493.
7
Basiliximab: a review of its use as induction therapy in renal transplantation.巴利昔单抗:在肾移植中作为诱导治疗的综述。
BioDrugs. 2010 Feb 1;24(1):55-76. doi: 10.2165/11203990-000000000-00000.
8
Routine induction therapy in living donor liver transplantation prevents rejection but may promote recurrence of hepatitis C.活体供肝肝移植中的常规诱导治疗可预防排斥反应,但可能会促进丙型肝炎复发。
Transplant Proc. 2012 Jun;44(5):1351-6. doi: 10.1016/j.transproceed.2012.01.117.
9
Interleukin-2 receptor antibody (basiliximab) for immunosuppressive induction therapy after liver transplantation: a protocol with early elimination of steroids and reduction of tacrolimus dosage.白细胞介素-2受体抗体(巴利昔单抗)用于肝移植后免疫抑制诱导治疗:一项早期停用类固醇并减少他克莫司剂量的方案
Liver Transpl. 2004 Jun;10(6):728-33. doi: 10.1002/lt.20144.
10
Rabbit antithymocyte globulin versus basiliximab in renal transplantation.兔抗胸腺细胞球蛋白与巴利昔单抗在肾移植中的比较
N Engl J Med. 2006 Nov 9;355(19):1967-77. doi: 10.1056/NEJMoa060068.

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Chronic High Epstein-Barr Viral Load Carriage Is Positively Correlated With Tacrolimus Intra-Patient Variability After Pediatric Liver Transplantation.慢性高 Epstein-Barr 病毒载量携带与小儿肝移植后他克莫司患者内变异性呈正相关。
J Med Virol. 2025 Aug;97(8):e70562. doi: 10.1002/jmv.70562.
2
Antibody-Mediated Rejection in Liver Transplantation: Immuno-Pathological Characteristics and Long-Term Follow-Up.肝移植中的抗体介导排斥反应:免疫病理学特征和长期随访。
Transpl Int. 2024 Aug 29;37:13232. doi: 10.3389/ti.2024.13232. eCollection 2024.
3
Immunosuppressive Drugs in Liver Transplant: An Insight.
肝移植中的免疫抑制药物:深入剖析
J Clin Exp Hepatol. 2022 Nov-Dec;12(6):1557-1571. doi: 10.1016/j.jceh.2022.06.007. Epub 2022 Jun 22.
4
Intensive Safety Monitoring of Rituximab (Biosimilar Novex and the Innovator) in Pediatric Patients With Complex Diseases.利妥昔单抗(生物类似药Novex与原研药)在患有复杂疾病的儿科患者中的强化安全性监测
Front Pharmacol. 2022 Jan 26;12:785770. doi: 10.3389/fphar.2021.785770. eCollection 2021.
5
The promise and perils of immunotherapy.免疫疗法的前景与挑战。
Blood Adv. 2021 Sep 28;5(18):3709-3725. doi: 10.1182/bloodadvances.2021004453C.
6
Sirolimus and MMF are insufficient immunosuppressants for regulation of the proliferation of CD133+EpCAM+ cell populations in HCC cell lines.西罗莫司和霉酚酸酯作为免疫抑制剂,在调控肝癌细胞系中CD133+EpCAM+细胞群的增殖方面作用不足。
Biomed Rep. 2020 Dec;13(6):69. doi: 10.3892/br.2020.1376. Epub 2020 Oct 20.
7
The use of induction therapy in liver transplantation is highly variable and is associated with posttransplant outcomes.肝移植中诱导治疗的应用差异很大,与移植后结局相关。
Am J Transplant. 2019 Dec;19(12):3319-3327. doi: 10.1111/ajt.15513. Epub 2019 Jul 17.
8
The impact of immunosuppressant therapy on the recurrence of hepatitis C post-liver transplantation.免疫抑制疗法对肝移植后丙型肝炎复发的影响。
Int J Health Sci (Qassim). 2018 Jul-Aug;12(4):78-87.
9
Hepatocellular cancer and recurrence after liver transplantation: what about the impact of immunosuppression?肝细胞癌与肝移植后的复发:免疫抑制的影响如何?
Transl Gastroenterol Hepatol. 2017 Oct 12;2:80. doi: 10.21037/tgh.2017.09.06. eCollection 2017.
10
Optimization of immunosuppressive medication upon liver transplantation against HCC recurrence.肝移植术后针对肝癌复发的免疫抑制药物优化
Transl Gastroenterol Hepatol. 2016 Apr 6;1:25. doi: 10.21037/tgh.2016.03.18. eCollection 2016.