efficacy of anti-interleukin-2 receptor antibody (daclizumab) in reducing the incidence of acute rejection after renal transplantation

نویسندگان

hossein saghafi department of nephrology, school of medicine, qom university of medical sciences, ir iran +98-9121516069, [email protected]; department of nephrology, school of medicine, qom university of medical sciences, ir iran +98-9121516069, [email protected]

khosrow rahbar department of nephrology, school of medicine, shahid beheshty university of medical science, ir iran

ali nobakht haghighi department of nephrology, school of medicine, shahid beheshty university of medical science, ir iran

mohammad qoreishi department of orthopedic surgery, school of medicine, shahid beheshty university of medical sciences, ir iran

چکیده

background acute rejection remains a major problem in renal transplantation and represents one of the most important causes of chronic allograft dysfunction and late graft loss. daclizumab is a genetically engineered human igg1 monoclonal antibody that binds specifically to the α chain of the interleukin-2 receptor, and may thus reduce the risk of rejection after renal transplantation. objectives the aim of this study was to examine the effect of daclizumab induction therapy combined with a triple immunosuppressive protocol including prednisolone,cyclosporine microemulsion (csa), and mycophenolate mofetil (mmf), in reducing the incidence of acute rejection in recipients of living unrelated donor kidneys. patients and methods in this historical cohort study, 43 adult recipients of their first kidney allograft received daclizumab (three 1 mg/kg doses administered every 2 weeks) with triple immunosuppressive therapy (steroids, csa, and mmf). this group was compared to 43 first-time graft recipients who received maintenance triple immunosuppressive therapy comprising steroids, csa, and mmf. the end point was the incidence of biopsyconfirmed acute rejection within 6 months after transplantation. results at 6 months, 5 (11.6%) of the patients in the daclizumab group had biopsy-proven rejections, as compared to 14 (32.5%) in the control group (p = 0.017). the sex and the age of recipients had no impact on the incidence of acute rejection episodes in the two groups. conclusions adding interleukin-2 receptor antibody (daclizumab) to maintenance triple immunosuppressive therapy (prednisolone, csa, and mmf) reduces the incidence of acute rejection episodes at 6 months in first-time transplant recipients of living unrelated donor.

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Efficacy of Anti-Interleukin-2 Receptor Antibody (Daclizumab) in Reducing the Incidence of Acute Rejection After Renal Transplantation

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Efficacy of Anti-Interleukin-2 Receptor Antibody in Reducing the Incidence of Acute Rejection After Renal Transplantation

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عنوان ژورنال:
nephro-urology monthly

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