Cyclosporine: a review
- PMID: 22263104
- PMCID: PMC3259474
- DOI: 10.1155/2012/230386
Cyclosporine: a review
Abstract
The discovery and use of cyclosporine since its inception into clinical use in the late 1970s has played a major role in the advancement of transplant medicine. While it has improved rates of acute rejection and early graft survival, data on long-term survival of renal allografts is less convincing. The finding of acute reversible nephrotoxicity and nephrotoxicity in nonrenal transplants has since led to the widely accepted view that there is a chronic more irreversible component to this agent as well. Since that time, there has been intense interest in finding protocols which seek to minimize and even avoid the use of calcineurin inhibitors altogether. We seek to review cyclosporine in terms of its mechanism of action, pathophysiologic, and histologic features associated with acute and chronic nephrotoxicity and recent studies looking to avoid its toxic side effects.
References
-
- Harder F, Loertscher R, Thiel G. Cyclosporin in cadaveric renal transplantation: one-year follow-up of a multicentre trial. The Lancet. 1983;2(8357):986–989. - PubMed
-
- Hariharan S, Johnson CP, Bresnahan BA, Taranto SE, McIntosh MJ, Stablein D. Improved graft survival after renal transplantation in the United States, 1988 to 1996. The New England Journal of Medicine. 2000;342(9):605–612. - PubMed
-
- Calne RY, Thiru S, White DJG. Cyclosporin A in patients receiving renal allografts from cadaver donors. The Lancet. 1978;2(8104):1323–1327. - PubMed
-
- Calne RY, Rolles K, White DJG. Cyclosporin A initially as the only immunosuppressant in 34 recipients of cadaveric organs: 32 kidneys, 2 pancreases, and 2 livers. The Lancet. 1979;2(8151):1033–1036. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
