The many faces of calcineurin inhibitor toxicity—What the FK?

SS Farouk, JL Rein - Advances in Chronic Kidney Disease, 2020 - Elsevier
Calcineurin inhibitors (CNIs) are both the savior and Achilles' heel of kidney transplantation.
Although CNIs have significantly reduced rates of acute rejection, their numerous toxicities …

Clinical determinants of calcineurin inhibitor disposition: a mechanistic review

T Vanhove, P Annaert, DRJ Kuypers - Drug metabolism reviews, 2016 - Taylor & Francis
The calcineurin inhibitors (CNIs) tacrolimus and cyclosporine are widely used
immunosuppressive drugs characterized by high pharmacokinetic and pharmacodynamic …

Pharmacogenetic aspects of the use of tacrolimus in renal transplantation: recent developments and ethnic considerations

JT Tang, LM Andrews, T van Gelder… - Expert opinion on …, 2016 - Taylor & Francis
ABSTRACT Introduction: Tacrolimus (Tac) is effective in preventing acute rejection but has
considerable toxicity and inter-individual variability in pharmacokinetics and …

Barcelona consensus on biomarker-based immunosuppressive drugs management in solid organ transplantation

M Brunet, M Shipkova, T Van Gelder… - Therapeutic drug …, 2016 - journals.lww.com
With current treatment regimens, a relatively high proportion of transplant recipients
experience underimmunosuppression or overimmunosuppression. Recently, several …

Pharmacogenetics of membrane transporters of tacrolimus in solid organ transplantation

C Tron, F Lemaitre, C Verstuyft, A Petitcollin… - Clinical …, 2019 - Springer
Membrane transporters play an essential role in the pharmacokinetics of drugs as they
mediate exchanges between biological compartments. Tacrolimus is characterized by wide …

Pharmacogenetic biomarkers predictive of the pharmacokinetics and pharmacodynamics of immunosuppressive drugs

N Picard, S Bergan, P Marquet… - Therapeutic drug …, 2016 - journals.lww.com
In association with therapeutic drug monitoring of immunosuppressive drugs,
pharmacogenetics has rapidly emerged as an additional tool to refine dose selection or …

Predictors of tacrolimus pharmacokinetic variability: current evidences and future perspectives

AL Degraeve, S Moudio, V Haufroid… - Expert opinion on …, 2020 - Taylor & Francis
Introduction In kidney transplantation, tacrolimus (TAC) is at the cornerstone of current
immunosuppressive strategies. Though because of its narrow therapeutic index, it is critical …

Tacrolimus induces a pro-fibrotic response in donor-derived human proximal tubule cells dependent on common variants of the CYP3A5 and ABCB1 genes

N Knops, Y Ramazani, H De Loor… - Nephrology Dialysis …, 2023 - academic.oup.com
Background Common genetic variants of the enzymes and efflux pump involved in
tacrolimus disposition have been associated with calcineurin inhibitor nephrotoxicity, but …

[HTML][HTML] Case report: low hematocrit leading to tacrolimus toxicity

A Piletta-Zanin, A De Mul, N Rock, P Lescuyer… - Frontiers in …, 2021 - frontiersin.org
Tacrolimus is a calcineurin inhibitor characterized by a narrow therapeutic index and high
intra-and inter-individual pharmacokinetic variability. Therapeutic drug monitoring in whole …

[HTML][HTML] Donor–Recipient Non-HLA Variants, Mismatches and Renal Allograft Outcomes: Evolving Paradigms

P Jethwani, A Rao, L Bow, MC Menon - Frontiers in Immunology, 2022 - frontiersin.org
Despite significant improvement in the rates of acute allograft rejection, proportionate
improvements in kidney allograft longevity have not been realized, and are a source of …