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;医技科室血液中心首都医科大学附属北京儿童医院[3]Beijing Mil Reg Gen Hosp, Dept Hepatobilliary Surg, Beijing, Peoples R China
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.
基金:
China Postdoctoral Science FoundationChina Postdoctoral Science Foundation [20070420567]
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
通讯作者:
通讯机构:[1]Chinese Peoples Liberat Army Gen Hosp, Dept Hepatobilliary Surg, Beijing 100853, Peoples R China;
推荐引用方式(GB/T 7714):
Chen Y. B.,Li S. D.,Ju B. L.,et al.Suitable Calcineurin Inhibitor Concentrations for Liver Transplant Recipients in the Chinese Population[J].TRANSPLANTATION PROCEEDINGS.2011,43(5):1751-1753.doi:10.1016/j.transproceed.2010.11.025.
APA:
Chen, Y. B.,Li, S. D.,Ju, B. L.,Shi, X. J.,Lu, F....&Dong, J. H..(2011).Suitable Calcineurin Inhibitor Concentrations for Liver Transplant Recipients in the Chinese Population.TRANSPLANTATION PROCEEDINGS,43,(5)
MLA:
Chen, Y. B.,et al."Suitable Calcineurin Inhibitor Concentrations for Liver Transplant Recipients in the Chinese Population".TRANSPLANTATION PROCEEDINGS 43..5(2011):1751-1753