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Editorial
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Volume 349:994-996 September 4, 2003 Number 10
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The Growing Problem of Chronic Renal Failure after Transplantation of a Nonrenal Organ
Colm Magee, M.D., M.P.H., and Manuel Pascual, M.D.

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 by Ojo, A. O.
-PubMed Citation
The clinical introduction of the immunosuppressive drug cyclosporine in the early 1980s revolutionized the field of organ transplantation. The adoption of cyclosporine-based immunosuppressive regimens dramatically improved survival among patients who received nonrenal allografts. Twenty years later, cyclosporine and tacrolimus (another inhibitor of calcineurin — a key enzyme involved in T-cell activation)1 remain the cornerstone of immunosuppressive therapy for most patients who receive nonrenal transplants.

Not surprisingly, given the procedures involved, transplantation of nonrenal organs can be associated with acute renal failure. During the past two decades, however, it has become apparent that chronic renal failure is also an important complication. . . . [Full Text of this Article]


Source Information

From the Department of Medicine, Brigham and Women's Hospital, Boston (C.M.); and the Transplantation Center, Departments of Medicine and Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland (M.P.).


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