Immunosuppressive Drugs for Kidney Transplantation

Suppression of allograft rejection is central to successful organ transplantation; thus, immunosuppressive agents are crucial for successful allograft function. Immunosuppressive drugs are used for induction (intense immunosuppression in the initial days after transplantation), maintenance, and reve...

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Veröffentlicht in:The New England journal of medicine 2004-12, Vol.351 (26), p.2715-2729
1. Verfasser: Halloran, Philip F
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creator Halloran, Philip F
description Suppression of allograft rejection is central to successful organ transplantation; thus, immunosuppressive agents are crucial for successful allograft function. Immunosuppressive drugs are used for induction (intense immunosuppression in the initial days after transplantation), maintenance, and reversal of established rejection. This review considers the use of immunosuppressive drugs in organ transplantation, focusing on renal transplantation. This review considers the use of immunosuppressive drugs in organ transplantation, focusing on renal transplantation. The central issue in organ transplantation remains suppression of allograft rejection. Thus, development of immunosuppressive drugs is the key to successful allograft function. Immunosuppressive agents are used for induction (intense immunosuppression in the initial days after transplantation), maintenance, and reversal of established rejection. This review focuses on agents that are either approved or in phase 2 or phase 3 trials in kidney transplantation, but many issues covered here are applicable to all organ transplantation. I begin with a model of the alloimmune response to illustrate how these medications act. Three-Signal Model of Alloimmune Responses Alloimmune responses involve both naive and . . .
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Immunosuppressive drugs are used for induction (intense immunosuppression in the initial days after transplantation), maintenance, and reversal of established rejection. This review considers the use of immunosuppressive drugs in organ transplantation, focusing on renal transplantation. This review considers the use of immunosuppressive drugs in organ transplantation, focusing on renal transplantation. The central issue in organ transplantation remains suppression of allograft rejection. Thus, development of immunosuppressive drugs is the key to successful allograft function. Immunosuppressive agents are used for induction (intense immunosuppression in the initial days after transplantation), maintenance, and reversal of established rejection. This review focuses on agents that are either approved or in phase 2 or phase 3 trials in kidney transplantation, but many issues covered here are applicable to all organ transplantation. 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subjects Adaptation
Antibodies, Monoclonal - therapeutic use
Antigens, CD - immunology
Biological and medical sciences
Clinical Protocols
Endothelium
General aspects
Graft Rejection - immunology
Graft Rejection - prevention & control
Humans
Immune system
Immunology
Immunosuppressive Agents - classification
Immunosuppressive Agents - pharmacology
Immunosuppressive Agents - therapeutic use
Kidney Failure, Chronic - surgery
Kidney Transplantation - adverse effects
Kidney Transplantation - immunology
Lymphocytes
Medical sciences
Proteins
Signal transduction
T-Lymphocytes - immunology
Transplantation Immunology - drug effects
title Immunosuppressive Drugs for Kidney Transplantation
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