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一名肝移植患者出现依维莫司相关的间质性肺炎。

Everolimus associated interstitial pneumonitis in a liver transplant patient.

作者信息

Siddiqui Atif S, Zimmerman Janice L

机构信息

Division of Pulmonary and Critical Care, Houston Methodist Hospital, 6565 Fannin St, Houston, TX 77030, USA.

Division of Critical Care, Houston Methodist Hospital, 6565 Fannin St, Houston, TX 77030, USA.

出版信息

Respir Med Case Rep. 2016 Jun 14;19:15-7. doi: 10.1016/j.rmcr.2016.06.004. eCollection 2016.

DOI:10.1016/j.rmcr.2016.06.004
PMID:27366673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4919724/
Abstract

Drug-induced interstitial lung disease is associated with significant morbidity and mortality. Everolimus is an inhibitor of mTOR, a mammalian target of rapamycin, used as an immunosuppressant agent in solid organ transplant. Everolimus has been associated with interstitial lung disease in solid organ transplant patients but has been rarely reported in the liver transplant patient population. We report a case of interstitial pneumonitis in a liver transplant patient associated with everolimus which completely resolved after discontinuation of the medication.

摘要

药物性间质性肺病与显著的发病率和死亡率相关。依维莫司是一种雷帕霉素哺乳动物靶点(mTOR)的抑制剂,在实体器官移植中用作免疫抑制剂。依维莫司已被证实与实体器官移植患者的间质性肺病有关,但在肝移植患者群体中鲜有报道。我们报告了一例肝移植患者发生的与依维莫司相关的间质性肺炎,在停用该药物后完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/4919724/05f2fbc69a44/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/4919724/625d96e0016e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/4919724/8a1f598296fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/4919724/05f2fbc69a44/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/4919724/625d96e0016e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/4919724/8a1f598296fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da88/4919724/05f2fbc69a44/gr3.jpg

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Everolimus induced pneumonitis in a liver transplant patient: Dilemma in the discrimination of pneumonia.依维莫司致肝移植患者发生肺炎:肺炎鉴别诊断中的困境
Turk J Surg. 2025 Feb 27;41(1):105-107. doi: 10.47717/turkjsurg.2022.5489.
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Pulmonary Complications of Everolimus in Liver Transplant Patients: A 10-Year Experience.依维莫司在肝移植患者中的肺部并发症:十年经验
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Everolimus-induced hyperpermeability of endothelial cells causes lung injury.

本文引用的文献

1
Interstitial pneumonitis caused by everolimus: a case-cohort study in renal transplant recipients.依维莫司相关性间质性肺炎:肾移植受者的病例队列研究。
Transpl Int. 2014 May;27(5):428-36. doi: 10.1111/tri.12275. Epub 2014 Mar 5.
2
Everolimus-induced severe pulmonary toxicity with diffuse alveolar hemorrhage.依维莫司诱发的严重肺毒性伴弥漫性肺泡出血。
Ann Am Thorac Soc. 2013 Dec;10(6):727-9. doi: 10.1513/AnnalsATS.201309-332LE.
3
Everolimus versus mycophenolate mofetil in heart transplantation: a randomized, multicenter trial.
依维莫司引起的内皮细胞通透性增加导致肺损伤。
Exp Biol Med (Maywood). 2023 Dec;248(23):2440-2448. doi: 10.1177/15353702231220672. Epub 2023 Dec 29.
依维莫司对比霉酚酸酯在心脏移植中的应用:一项随机、多中心试验。
Am J Transplant. 2013 May;13(5):1203-16. doi: 10.1111/ajt.12181. Epub 2013 Feb 22.
4
Randomized trial of everolimus-facilitated calcineurin inhibitor minimization over 24 months in renal transplantation.随机试验:依维莫司辅助钙调磷酸酶抑制剂最小化治疗方案在肾移植中 24 个月的疗效。
Transplantation. 2013 Apr 15;95(7):933-42. doi: 10.1097/TP.0b013e3182848e03.
5
Early everolimus-induced pneumonitis in a renal transplant recipient: A case report.肾移植受者中早期依维莫司诱发的肺炎:一例报告
Ann Transplant. 2012 Dec 31;17(4):144-8. doi: 10.12659/aot.883706.
6
Inhibition of mammalian target of rapamycin augments lipopolysaccharide-induced lung injury and apoptosis.雷帕霉素靶蛋白抑制剂增强脂多糖诱导的肺损伤和细胞凋亡。
J Immunol. 2012 May 1;188(9):4535-42. doi: 10.4049/jimmunol.1003655. Epub 2012 Mar 26.
7
Noninfectious pneumonitis after everolimus therapy for advanced renal cell carcinoma.晚期肾细胞癌依维莫司治疗后的非传染性肺炎。
Am J Respir Crit Care Med. 2010 Aug 1;182(3):396-403. doi: 10.1164/rccm.200911-1720OC. Epub 2010 Mar 1.
8
[Everolimus-associated pneumonitis in adult liver transplant recipient].
Med Clin (Barc). 2010 Sep 18;135(9):431-2. doi: 10.1016/j.medcli.2009.07.005. Epub 2009 Oct 12.
9
Everolimus-induced pneumonitis: report of the first case in a liver transplant recipient and review of treatment options.依维莫司诱发的肺炎:首例肝移植受者病例报告及治疗选择综述
Transpl Int. 2010 Jan;23(1):110-3. doi: 10.1111/j.1432-2277.2009.00900.x. Epub 2009 May 29.
10
Everolimus-associated pneumonitis in 3 heart transplant recipients.3例心脏移植受者中与依维莫司相关的肺炎
J Heart Lung Transplant. 2009 Jan;28(1):104-6. doi: 10.1016/j.healun.2008.10.003. Epub 2008 Dec 12.