Almansoori Akram Abdo, Khentii Namuun, Ju Kyung Won, Kim Bongju, Kim Soung Min, Lee Jong-Ho
Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sana'a University, Sana'a, Yemen.
J Korean Assoc Oral Maxillofac Surg. 2020 Jun 30;46(3):197-203. doi: 10.5125/jkaoms.2020.46.3.197.
We compared the outcomes of two different doses of FK506 (tacrolimus) for immunosuppression in submandibular salivary gland (SMG) allotransplantation.
Three SMG allotransplantation groups were established (n=6 per group) as follows: allograft rejection control (Allo-Ctrl), low dose (0.08 mg/kg) of FK506 (FK506-L), and high dose (0.16 mg/kg) of FK506 (FK506-H). Allograft survival and rejection were assessed by clinical observation, interleukin-2 levels as determined by enzyme-linked immunosorbent assay, blood sampling for complete blood count (CBC), and histological evaluation.
Body weight and anorexia were higher in the FK506-H group but without a significant difference compared with the FK506-L population. CBC revealed a non-significantly reduced number of changes in the FK506-L group. Four glands in the FK506-H group and two glands in the FK506-L group were viable and functioning post-transplantation.
The survival rate of allotransplanted glands was higher in conjunction with the high dose of 0.16 mg/kg of FK506, with no major difference in the side-effect profile when compared with the low dose of 0.08 mg/kg short-term outcomes.
我们比较了两种不同剂量的FK506(他克莫司)在下颌下腺同种异体移植中免疫抑制的效果。
建立三个下颌下腺同种异体移植组(每组n = 6),如下:同种异体移植排斥对照组(Allo-Ctrl)、低剂量(0.08 mg/kg)的FK506(FK506-L)和高剂量(0.16 mg/kg)的FK506(FK506-H)。通过临床观察、酶联免疫吸附测定法测定白细胞介素-2水平、采集血液进行全血细胞计数(CBC)以及组织学评估来评估同种异体移植物的存活和排斥情况。
FK506-H组的体重和食欲不振情况较高,但与FK506-L组相比无显著差异。全血细胞计数显示FK506-L组的变化数量略有减少,但无统计学意义。FK506-H组有4个腺体和FK506-L组有2个腺体在移植后存活且功能良好。
高剂量0.16 mg/kg的FK506联合使用时,同种异体移植腺体的存活率更高,与低剂量0.08 mg/kg的短期结果相比,副作用方面无重大差异。