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. 2008 Nov;20(1-2):29-31.
doi: 10.1016/j.trim.2008.09.002. Epub 2008 Sep 24.

Prevention of calcineurin inhibitor nephrotoxicity in renal transplantation

A Jacquet  1 , H Francois, C Frangie, L Ahmad, B Charpentier, A Durrbach
Affiliations

Prevention of calcineurin inhibitor nephrotoxicity in renal transplantation

A Jacquet et al. Transpl Immunol. 2008 Nov.

Abstract

Calcineurin inhibitors (CNI) cyclosporine (Csa) and tacrolimus (Tac) are now first intention immunosuppressive drugs in renal transplantation. However, although these treatments are effective for preventing allograft rejection, they are nephrotoxic: they can cause chronic renal dysfunction and degradation of renal graft function [Nankivell BJ, et al. The natural history of chronic allograft nephropathy. N Engl J Med. 2003 Dec 11;349(24):2326-33]. In view of these undesirable effects, several strategies have been developed to minimize or even avoid their use. These strategies are reviewed and discussed in this paper.

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