Source:http://linkedlifedata.com/resource/pubmed/id/20136784
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2010-5-11
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pubmed:abstractText |
All immunosuppressive medications require a learning curve that enables clinicians to improve the therapeutic index of agents. Mammalian target of rapamycin (mTOR) inhibitors are potentially a less nephrotoxic form of immunosuppression than calcineurin inhibitors (CNIs) that has been used in kidney transplant recipients for more than two decades. This drug class has a novel immunosuppressive action, probably mediated in part through inhibition of growth receptor signaling mechanisms. In addition, it has a unique drug toxicity, which is partially dose-related. This medication class also possesses antiproliferative activity, which may be useful in-post-transplant patients with increased atherosclerotic and malignancy risks. mTOR inhibitors have been utilized for de novo immunosuppression with CNIs, corticosteroids, and antimetabolites. mTOR inhibitors also have been used as CNI-sparing agents both early and late post-transplant. Much debate remains over how to best utilize mTOR inhibition in kidney transplantation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Immunosuppressive Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Intracellular Signaling Peptides...,
http://linkedlifedata.com/resource/pubmed/chemical/MTOR protein, human,
http://linkedlifedata.com/resource/pubmed/chemical/Protein-Serine-Threonine Kinases,
http://linkedlifedata.com/resource/pubmed/chemical/TOR Serine-Threonine Kinases,
http://linkedlifedata.com/resource/pubmed/chemical/mTOR protein, mouse
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1432-2277
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:day |
1
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
447-60
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:20136784-Animals,
pubmed-meshheading:20136784-Humans,
pubmed-meshheading:20136784-Immunosuppression,
pubmed-meshheading:20136784-Immunosuppressive Agents,
pubmed-meshheading:20136784-Intracellular Signaling Peptides and Proteins,
pubmed-meshheading:20136784-Kidney Neoplasms,
pubmed-meshheading:20136784-Kidney Transplantation,
pubmed-meshheading:20136784-Mice,
pubmed-meshheading:20136784-Models, Biological,
pubmed-meshheading:20136784-Protein-Serine-Threonine Kinases,
pubmed-meshheading:20136784-Randomized Controlled Trials as Topic,
pubmed-meshheading:20136784-TOR Serine-Threonine Kinases
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pubmed:year |
2010
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pubmed:articleTitle |
mTOR inhibition: the learning curve in kidney transplantation.
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pubmed:affiliation |
Division of Nephrology, Department of Medicine, University of Maryland School of Medicine, 22 S. Greene Street, Baltimore, MD 21201, USA. mweir@medicine.umaryland.edu
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pubmed:publicationType |
Journal Article,
Review
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