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可逆性他克莫司诱导的扩张型运动功能减退性心肌病。

Reversible Tacrolimus-Induced Dilated Hypokinetic Cardiomyopathy.

作者信息

Di Pietro Gianluca, Mennini Gianluca, Ciuffreda Antonella, Birtolo Lucia Ilaria, Cimino Sara, Celli Paola, Ascione Andrea, Iannello Licia, Galea Nicola, Maestrini Viviana

机构信息

Department of Clinical, Internal, Anesthesiological and Cardiovascular Science, Sapienza University of Rome, Rome, Italy.

Department of General and Specialistic Surgery, Sapienza University of Rome, Rome, Italy.

出版信息

JACC Case Rep. 2025 Jul 30;30(21):104336. doi: 10.1016/j.jaccas.2025.104336.

DOI:10.1016/j.jaccas.2025.104336
PMID:40750139
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12441483/
Abstract

Whereas calcineurin inhibitors are usually the first choice for immunosuppression, cases of tacrolimus-induced reversible heart failure have been rarely described. To add to the existing limited literature and to help clinicians, we report 2 cases of patients who developed a dilated hypokinetic cardiomyopathy early after initiating this form of immunosuppression.

摘要

虽然钙调神经磷酸酶抑制剂通常是免疫抑制的首选药物,但他克莫司诱发可逆性心力衰竭的病例鲜有报道。为补充现有有限的文献资料并帮助临床医生,我们报告2例患者,他们在开始这种免疫抑制治疗后不久就出现了扩张型运动功能减退性心肌病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a92/12441483/3940ad582de2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a92/12441483/27796ee899a7/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a92/12441483/3940ad582de2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a92/12441483/27796ee899a7/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a92/12441483/3940ad582de2/gr1.jpg

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1
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本文引用的文献

1
Dilated Cardiomyopathy in an Adult Renal Transplant Recipient: Recovery Upon Tacrolimus to Sirolimus Switch: A Case Report.成人肾移植受者扩张型心肌病:他克莫司转换为西罗莫司后恢复:病例报告。
Transplant Proc. 2020 Nov;52(9):2758-2761. doi: 10.1016/j.transproceed.2020.06.011. Epub 2020 Jul 20.
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Calcineurin inhibitors exacerbate coronary arteritis via the MyD88 signalling pathway in a murine model of Kawasaki disease.在川崎病小鼠模型中,钙调神经磷酸酶抑制剂通过髓样分化因子88(MyD88)信号通路加重冠状动脉炎。
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钙调神经磷酸酶抑制剂的肾毒性和神经毒性以及排斥反应机制:关于他克莫司和环孢素在器官移植中的综述
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4
Reduced-dose tacrolimus with mycophenolate mofetil vs. standard-dose tacrolimus in liver transplantation: a randomized study.肝移植中霉酚酸酯联合小剂量他克莫司与标准剂量他克莫司的随机对照研究。
Am J Transplant. 2011 May;11(5):965-76. doi: 10.1111/j.1600-6143.2011.03486.x. Epub 2011 Apr 5.
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Arch Iran Med. 2010 Mar;13(2):116-9.
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NADPH oxidase subunits (NOX-1, p22phox, Rac-1) and tacrolimus-induced nephrotoxicity in a rat renal transplant model.NADPH氧化酶亚基(NOX-1、p22phox、Rac-1)与他克莫司诱导的大鼠肾移植模型肾毒性
Nephrol Dial Transplant. 2007 Aug;22(8):2402; author reply 2403. doi: 10.1093/ndt/gfm102. Epub 2007 May 3.
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Sirolimus in pediatric gastrointestinal transplantation: the use of sirolimus for pediatric transplant patients with tacrolimus-related cardiomyopathy.西罗莫司在小儿胃肠移植中的应用:西罗莫司用于患有他克莫司相关心肌病的小儿移植患者。
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Tacrolimus: a cause of hypertrophic cardiomyopathy in pediatric heart transplant recipients?
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9
Marked left ventricular hypertrophy in children on tacrolimus (FK506) after orthotopic liver transplantation.原位肝移植术后接受他克莫司(FK506)治疗的儿童出现明显左心室肥厚。
Am J Cardiol. 1998 May 15;81(10):1277-80. doi: 10.1016/s0002-9149(98)00126-x.
10
Arteritis and increased intracellular calcium as a possible mechanism for tacrolimus-related cardiac toxicity in a pediatric transplant recipient.动脉炎与细胞内钙升高:小儿移植受者中他克莫司相关心脏毒性的一种可能机制
Transplantation. 1997 Sep 15;64(5):773-5. doi: 10.1097/00007890-199709150-00020.