Personalized immunosuppression after kidney transplantation

CY Cheung, SCW Tang - Nephrology, 2022 - Wiley Online Library
With advances in immunosuppressive therapy, there have been significant improvements in
acute rejection rates and short‐term allograft survival in kidney transplant recipients …

[HTML][HTML] Use of pharmacogenetics to optimize immunosuppressant therapy in kidney-transplanted patients

V Urzì Brancati, C Scarpignato, L Minutoli, G Pallio - Biomedicines, 2022 - mdpi.com
Immunosuppressant drugs (ISDs) are routinely used in clinical practice to maintain organ
transplant survival. However, these drugs are characterized by a restricted therapeutic …

A population pharmacokinetic model to predict the individual starting dose of tacrolimus in adult renal transplant recipients

LM Andrews, DA Hesselink… - British journal of …, 2019 - Wiley Online Library
Aims The aims of this study were to describe the pharmacokinetics of tacrolimus immediately
after kidney transplantation, and to develop a clinical tool for selecting the best starting dose …

[HTML][HTML] Gut microbiome modulates tacrolimus pharmacokinetics through the transcriptional regulation of ABCB1

AL Degraeve, V Haufroid, A Loriot, L Gatto, V Andries… - Microbiome, 2023 - Springer
Background Following solid organ transplantation, tacrolimus (TAC) is an essential drug in
the immunosuppressive strategy. Its use constitutes a challenge due to its narrow …

[HTML][HTML] Drug metabolic enzyme genotype-phenotype discrepancy: High phenoconversion rate in patients treated with antidepressants

Y Gloor, C Lloret-Linares, M Bosilkovska… - Biomedicine & …, 2022 - Elsevier
Cytochromes from the P450 family (CYP) play a central role in the primary metabolism of
frequently prescribed antidepressants, potentially affecting their efficacy and tolerance …

Optimization of tacrolimus in kidney transplantation: New pharmacokinetic perspectives

R Oberbauer, O Bestard, L Furian, U Maggiore… - Transplantation …, 2020 - Elsevier
Tacrolimus is the cornerstone of immunosuppressive therapy after kidney transplantation
(KT), but its use is complicated by a narrow therapeutic index and high inter-and intra-patient …

Genome-wide association study identifies the common variants in CYP3A4 and CYP3A5 responsible for variation in tacrolimus trough concentration in Caucasian …

WS Oetting, B Wu, DP Schladt, W Guan… - The …, 2018 - nature.com
The immunosuppressant tacrolimus (TAC) is metabolized by both cytochrome P450 3A4
(CYP3A4) and CYP3A5 enzymes. It is common for European Americans (EA) to carry two …

[HTML][HTML] Tacrolimus troughs and genetic determinants of metabolism in kidney transplant recipients: A comparison of four ancestry groups

ME Mohamed, DP Schladt, W Guan, B Wu… - American Journal of …, 2019 - Elsevier
Tacrolimus trough and dose requirements vary dramatically between individuals of
European and African American ancestry. These differences are less well described in other …

A prospective controlled, randomized clinical trial of kidney transplant recipients developed personalized tacrolimus dosing using model-based Bayesian Prediction

N Lloberas, JM Grinyó, H Colom, A Vidal-Alabró… - Kidney International, 2023 - Elsevier
For three decades, tacrolimus (Tac) dose adjustment in clinical practice has been calculated
empirically according to the manufacturer's labeling based on a patient's body weight. Here …

[HTML][HTML] CYP3A422 Genotyping in Clinical Practice: Ready for Implementation?

TAM Mulder, RAG van Eerden, M de With… - Frontiers in …, 2021 - frontiersin.org
Cytochrome P450 3A4 (CYP3A4) is the most important drug metabolizing enzyme in the
liver, responsible for the oxidative metabolism of∼ 50% of clinically prescribed drugs …