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Editorial
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Volume 342:647-648 March 2, 2000 Number 9
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Improving the Success of Organ Transplantation

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 by Hariharan, S.
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 by Beniaminovitz, A.
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The concept of drug-induced immunosuppression arose in the late 1950s with the observation by Schwartz and Dameshek that 6-mercaptopurine, developed as an antileukemic drug, was effective in blocking primary, but not secondary, antibody responses in rabbits.1 Several synthetic congeners prepared by Hitchings and Elion at the Wellcome Laboratories were then screened by Murray and Calne in dogs with renal transplants. With the discovery in 1962 that one of these congeners, azathioprine, was clinically useful as an immunosuppressive drug, the era of clinical organ transplantation began.2 The initial success rate for patients receiving cadaveric renal transplants, previously zero, was relatively poor, . . . [Full Text of this Article]

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