Overview of FK 506 in transplantation

Overview of FK 506 in transplantation
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FK 506 在移植中的概述

DOI:
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发表时间:
1992
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影响因子:
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通讯作者:
T. Starzl
T. Starzl
中科院分区:
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文献类型:
--
作者:
J. Fung;K. Abu;Todo;Ronald Shapiro;A. Tzakis;Mark Jordan;John Armitage;A. Jain;M. Alessiani;Maureen Martin;O. Bronster;A. Stieber;Robert L. Kormos;Robert R. Selby;Robert D. Gordon;D. Przepiorka;Elana J. Bloom;T. Starzl

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在1987年。Ochiai和同事报道了一种新的免疫抑制剂的质量。吸收FK506。从土壤真菌的发酵液中分离出来的。日本链霉菌(1)。广泛的体外研究证明了其抑制混合淋巴细胞培养的有效性。可能是通过抑制同种活化后的1L2合成(2)。FK506的受体已被鉴定为肽基脯氨酸顺式反式异构酶(3)。Starzl对FK506的临床开发背景进行了详细的记录(4)。使用许多动物模型的体内研究显示,在各种类型的器官移植后,它具有显著的预防排斥反应的能力(5-7)。以及预防骨髓移植后移植物抗宿主病(GvHo)的发展(8)。更有趣的是。在动物模型中,FK506具有逆转持续排斥反应的能力(7.9)。以及建立GvHD(10)。这个特点是独一无二的。因为众所周知,环孢素(CsA)不会逆转已建立的持续同种免疫反应。这些特性在FK506的临床试验中继续显现。我们将尝试总结所有使用FK506作为“抢救”治疗和/或“主要”治疗的人类移植模型的结果。包括肝脏(11.12),肾脏(13)。心(14)。骨髓移植(11)。在匹兹堡大学。方法
In 1987. Ochiai and coworkers reported on the qualities of a new immunosuppressive agent. FK506. Isolated from the fermentation broth of a SOil fungus. Streptomyces tsukubaensls (1). Extensive In vitro studies demonstrated its effectiveness In suppressing mixed lymphocyte cultures. presumably by inhibiting 1L2 syntheSIS following alloactivation (2). The receptor for FK506 has been Identified and charactenzed as a peptidyl-prolyl cis-trans isomerase (3). The background for the clinical development of FK506 has been well documented by Starzl (4). In vivo studies using a number of animal models have shown a marked ability to prevent rejection following various types of organ transplants (5-7). as weil as to prevent the development of graft-versus-host disease (GvHo) following bone marrow transplantation (8). More interestingly. FK506 possesses the ability to reverse ongoing rejection In animal models (7.9). as well as established GvHD (10). This characteristic IS unique. for it is well known that cyclosporine (CsA) Will not reverse established ongomg alloimmune responses. These properties continue to be evident during the clinical testing of FK506. We will attempt to summarize the results of all human transplantation models in wnich FK506 has been utilized as either "rescue" therapy and/or "primary" therapy. including liver (11.12), kidney (13). heart (14). and bone marrow transplantation (11). at the UniverSity of Pittsburgh. METHODS
通过短期 FK 506 诱导肝脏、心脏和多内脏移植物的接受。
DOI: --
发表时间: 1990
影响因子: 0.9
作者:
Murase,N;Kim,DG;Todo,S;Cramer,DV;Fung,J;Starzl,TE
通讯作者: Starzl,TE
FK 506 作为心脏移植中主要和救援免疫抑制剂的临床试验。
DOI: --
发表时间: 1991
影响因子: 0.9
作者:
Armitage,JM;Kormos,RL;Griffith,BP;Hardesty,RL;Fricker,FJ;Stuart,RS;Marrone,GC;Todo,S;Fung,J;Starzl,TE
通讯作者: Starzl,TE
用 FK 506 治疗的人类同种异体移植受者的病理观察。
DOI: --
发表时间: 1990
影响因子: 0.9
作者:
Demetris,AJ;Fung,JJ;Todo,S;Banner,B;Zerbe,T;Sysyn,G;Starzl,TE
通讯作者: Starzl,TE
患有环孢素相关并发症的同种异体肝移植受者从环孢素转换为 FK 506。
DOI: --
发表时间: 1990
影响因子: 0.9
作者:
Fung,JJ;Todo,S;Jain,A;McCauley,J;Alessiani,M;Scotti,C;Starzl,TE
通讯作者: Starzl,TE
FK 506 免疫抑制下的肾移植。
DOI: --
发表时间: 1991
影响因子: 0.9
作者:
Shapiro,R;Jordan,M;Fung,J;McCauley,J;Johnston,J;Iwaki,Y;Tzakis,A;Hakala,T;Todo,S;Starzl,TE
通讯作者: Starzl,TE