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Suitable Calcineurin Inhibitor Concentrations for Liver Transplant Recipients in the Chinese Population

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机构: [1]Chinese Peoples Liberat Army Gen Hosp, Dept Hepatobilliary Surg, Beijing 100853, Peoples R China; [2]Capital Med Univ, Hematol Ctr, Beijing Childrens Hosp, Beijing, Peoples R China; [3]Beijing Mil Reg Gen Hosp, Dept Hepatobilliary Surg, Beijing, Peoples R China
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Aim. The aim was to deduce suitable calcineurin inhibitor concentrations for the Chinese liver transplantation population. Methods. We retrospectively studied 97 liver transplant recipients who displayed stable liver and renal function. No grafts were obtained from prisoners, procurements were performed with donor consent conforming to international ethics regulations. At 3, 6, and 12 months, we increased the concentrations and doses of calcineurin inhibitors as well as the values of alanine transaminase and serum creatinine. Results. Twenty-eight recipients received cyclosporine and 69 tacrolimus. The mean cyclosporine daily dosages were 203 +/- 62 mg at 3, 188 +/- 55 mg at 6, and 173 +/- 52 mg at 12 months, the tacrolimus daily dosages were 3.08 +/- 0.98, 2.82 +/- 0.98, and 2.58 +/- 0.93 mg, respectively. The corresponding mean cyclosporine peak concentrations (C(2)) were 806 +/- 322 ng/mL, 681 +/- 206 ng/mL, and 644 +/- 190 ng/mL and the mean tacrolimus trought concentrations (C(0)) 6.61 +/- 3.02 ng/mL, 5.85 +/- 2.44 ng/mL, and 5.22 +/- 2.33 ng/mL, respectively. In both groups, transaminases and serum creatinine were stable over time. Conclusions. An individualized immunosuppressive regimen for the local population is necessary. We delayed calcineurin inhibitors with subsequent low-dose mycophenolate mofetil plus minimized calcineurin inhibitors, which seemed to be nephropreotective and safe for Chinese liver transplantation patients.

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出版当年[2010]版:
大类 | 4 区 医学
小类 | 4 区 免疫学 4 区 外科 4 区 移植
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 免疫学 4 区 外科 4 区 移植
JCR分区:
出版当年[2009]版:
Q3 SURGERY Q4 TRANSPLANTATION Q4 IMMUNOLOGY
最新[2023]版:
Q4 SURGERY Q4 TRANSPLANTATION Q4 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者机构: [1]Chinese Peoples Liberat Army Gen Hosp, Dept Hepatobilliary Surg, Beijing 100853, Peoples R China; [3]Beijing Mil Reg Gen Hosp, Dept Hepatobilliary Surg, Beijing, Peoples R China
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通讯机构: [1]Chinese Peoples Liberat Army Gen Hosp, Dept Hepatobilliary Surg, Beijing 100853, Peoples R China;
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