文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

三联药物免疫抑制下诱导治疗在单倍型匹配、亲属、低风险活体供肾移植中的作用:一项单中心研究

Role of Induction in a Haplomatch, Related, Low-Risk, Living-Donor Kidney Transplantation with Triple Drug Immunosuppression: A Single-Center Study.

作者信息

Jha Pranaw K, Bansal Shyam B, Sharma Reetesh, Sethi Sidharth K, Bansal Dinesh, Nandwani Ashish, Kher Ajay, Yadav Dinesh K, Gadde Ashwini, Mahapatra Amit K, Rana Abhyuday S, Sodhi Puneet, Jain Manish, Kher Vijay

机构信息

Department of Nephrology, Medanta Institute of Kidney and Urology, Medanta - The Medicity, Gurugram, Haryana, India.

出版信息

Indian J Nephrol. 2024 May-Jun;34(3):246-251. doi: 10.4103/ijn.ijn_84_23. Epub 2023 Aug 10.


DOI:10.4103/ijn.ijn_84_23
PMID:39114397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11302600/
Abstract

BACKGROUND: The role of induction in low-risk, living-donor kidney transplants being treated with tacrolimus, mycophenolate mofetil, and prednisolone is debatable. MATERIALS AND METHODS: This was a retrospective study that consisted of patients undergoing living kidney transplantation between February 2010 and June 2021 with a related haplomatch donor, with maintenance immunosuppression of tacrolimus, mycophenolate mofetil, and prednisolone. High-risk transplants, such as second or more transplants, immunologically incompatible transplants, and steroid-free transplants, were excluded. Patients were divided into three groups: no induction, basiliximab induction, and thymoglobulin induction, and the outcomes of all three were compared. RESULTS: A total of 350 transplants were performed. There was a significant difference in the recipient sex distribution ( = 0.0373) and the number of preemptive transplants ( = 0.0272) between the groups. Other parameters were comparable. Biopsy-proven acute rejection (BPAR) was significantly less frequent in the thymoglobulin group than in the no-induction (5.3% vs. 17.5%; = 0.0051) or basiliximab (5.3% vs. 18.8%; = 0.0054) group. This persisted even after we performed multivariate regression analysis (thymoglobulin vs. no-induction group, = 0.0146; thymoglobulin vs. basiliximab group, = 0.0237). There was no difference in BPAR between the basiliximab and no-induction groups. There were no differences in other outcomes between the groups. CONCLUSION: In a low-risk haplomatch, related, living-donor kidney transplant on tacrolimus, mycophenolate mofetil, and prednisolone, BPAR was significantly lower with thymoglobulin as opposed to no induction or basiliximab induction with a similar short-term patient and death-censored graft survival and infection rates. Basiliximab did not provide any benefit over no induction.

摘要

背景:在接受他克莫司、霉酚酸酯和泼尼松龙治疗的低风险活体供肾移植中,诱导治疗的作用存在争议。 材料与方法:这是一项回顾性研究,纳入了2010年2月至2021年6月间接受亲属单倍型匹配供体活体肾移植的患者,维持免疫抑制方案为他克莫司、霉酚酸酯和泼尼松龙。排除高风险移植,如二次或更多次移植、免疫不相容移植和无类固醇移植。患者分为三组:未进行诱导治疗组、巴利昔单抗诱导治疗组和抗胸腺细胞球蛋白诱导治疗组,并比较三组的结局。 结果:共进行了350例移植手术。各组间受者性别分布(P = 0.0373)和先发制人移植的数量(P = 0.0272)存在显著差异。其他参数具有可比性。经活检证实的急性排斥反应(BPAR)在抗胸腺细胞球蛋白组中的发生率显著低于未诱导治疗组(5.3% 对17.5%;P = 0.0051)或巴利昔单抗组(5.3% 对18.8%;P = 0.0054)。即使在进行多因素回归分析后,这种差异仍然存在(抗胸腺细胞球蛋白组与未诱导治疗组比较,P = 0.0146;抗胸腺细胞球蛋白组与巴利昔单抗组比较,P = 0.0237)。巴利昔单抗组和未诱导治疗组之间的BPAR无差异。各组间其他结局无差异。 结论:在接受他克莫司、霉酚酸酯和泼尼松龙治疗的低风险单倍型匹配、亲属活体供肾移植中,与未诱导治疗或巴利昔单抗诱导治疗相比,抗胸腺细胞球蛋白诱导治疗的BPAR显著更低,且患者短期生存率、死亡截尾的移植物生存率和感染率相似。巴利昔单抗诱导治疗与未诱导治疗相比未显示出任何益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/11302600/8e37bcdef9be/IJN-34-3-246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/11302600/eb4866acaa62/IJN-34-3-246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/11302600/caa68c674a82/IJN-34-3-246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/11302600/8e37bcdef9be/IJN-34-3-246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/11302600/eb4866acaa62/IJN-34-3-246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/11302600/caa68c674a82/IJN-34-3-246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/11302600/8e37bcdef9be/IJN-34-3-246-g003.jpg

相似文献

[1]
Role of Induction in a Haplomatch, Related, Low-Risk, Living-Donor Kidney Transplantation with Triple Drug Immunosuppression: A Single-Center Study.

Indian J Nephrol. 2024

[2]
Low-dose Thymoglobulin vs Basiliximab Induction Therapy in Low-Risk Living Related Kidney Transplant Recipients: A Prospective Randomized Trial.

Transplant Proc. 2021-4

[3]
Rabbit-ATG or basiliximab induction for rapid steroid withdrawal after renal transplantation (Harmony): an open-label, multicentre, randomised controlled trial.

Lancet. 2016-11-19

[4]
Outcomes of thymoglobulin versus basiliximab induction therapies in living donor kidney transplant recipients with mild to moderate immunological risk - a retrospective analysis of UNOS database.

Ann Med. 2023-12

[5]
Immunological risk stratification and tailored minimisation of immunosuppression in renal transplant recipients.

BMC Nephrol. 2020-3-11

[6]
Induction Immunosuppressive Therapy for Kidney Transplant in Elderly Recipients: A Single-Center Experience.

Exp Clin Transplant. 2021-4

[7]
A systematic review and economic model of the clinical and cost-effectiveness of immunosuppressive therapy for renal transplantation in children.

Health Technol Assess. 2006-12

[8]
Induction treatment with rabbit antithymocyte globulin versus basiliximab in renal transplant recipients with planned early steroid withdrawal.

Pharmacotherapy. 2011-6

[9]
Efficacy of basiliximab induction in poorly matched living donor renal transplantation.

Indian J Nephrol. 2013-11

[10]
Early outcomes of thymoglobulin and basiliximab induction in kidney transplantation: application of statistical approaches to reduce bias in observational comparisons.

Transplantation. 2009-5-27

引用本文的文献

[1]
Evaluating the efficacy of basiliximab versus no induction in low-immunological-risk kidney transplant recipients: a propensity score matched analysis.

Ren Fail. 2025-12

[2]
2024 - A Year in Review.

Indian J Nephrol. 2025

本文引用的文献

[1]
Use and Outcomes of Induction Therapy in Well-Matched Kidney Transplant Recipients.

Clin J Am Soc Nephrol. 2022-2

[2]
Standard induction with basiliximab versus no induction in low immunological risk kidney transplant recipients: study protocol for a randomized controlled trial.

Trials. 2021-6-24

[3]
Rabbit anti-thymocyte globulin (rATG) versus IL-2 receptor antagonist induction therapies in tacrolimus-based immunosuppression era: a meta-analysis.

Int Urol Nephrol. 2020-4

[4]
Long-Term Outcomes after Acute Rejection in Kidney Transplant Recipients: An ANZDATA Analysis.

J Am Soc Nephrol. 2019-7-15

[5]
Utility or futility of Interleukin 2 receptor antagonist (IL2RA) induction in kidney transplants-the devil is in the detail.

Transpl Int. 2019-8

[6]
Increased risk of rejection after basiliximab induction in sensitized kidney transplant recipients without pre-existing donor-specific antibodies - a retrospective study.

Transpl Int. 2019-4-12

[7]
Rabbit anti-thymocyte globulin for the prevention of acute rejection in kidney transplantation.

Am J Transplant. 2019-4-3

[8]
Thymoglobulin Versus Basiliximab Induction Therapy in Low-Risk Kidney Transplant Recipients: A Single-Center Experience.

Transplant Proc. 2018-6

[9]
Tailored Rabbit Antithymocyte Globulin Induction Dosing for Kidney Transplantation.

Transplant Direct. 2018-2-2

[10]
Comparing Outcomes between Antibody Induction Therapies in Kidney Transplantation.

J Am Soc Nephrol. 2017-7

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索