Adverse effects of immunosuppression after liver transplantation

被引:30
作者
Noble, Johan [1 ]
Terrec, Florian [1 ]
Malvezzi, Paolo [1 ]
Rostaing, Lionel [1 ,2 ]
机构
[1] Grenoble Univ Hosp, Nephrol Hemodialysis Apheresis & Kidney Transplan, Grenoble, France
[2] Grenoble Alpes Univ, Grenoble, France
关键词
Tacrolimus; Liver transplantation; Posttransplant diabetes mellitus; Hypertension; Nephrotoxicity; ONSET DIABETES-MELLITUS; CALCINEURIN INHIBITOR; AMERICAN-SOCIETY; RISK-FACTORS; KIDNEY-TRANSPLANTATION; MYCOPHENOLATE-MOFETIL; METABOLIC SYNDROME; RANDOMIZED-TRIAL; CYCLOSPORINE-A; TACROLIMUS;
D O I
10.1016/j.bpg.2021.101762
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
After solid organ transplantation the cornerstone of immunosuppression is based on calcineurin inhibitors (CNIs), mostly tacrolimus. However, CNIs have a very narrow therapeutic window. The most important and serious side-effects of CNIs are nephrotoxicity, high blood pressure, post-transplant diabetes mellitus (PTMD), i. e., new-onset diabetes after transplantation (NODAT), dyslipidemia, and modification to the cardiovascular-risk profile. In this review, we will focus on tacrolimus-related toxicities in the setting of liver transplantation.
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页数:5
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