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Articles Published Processes
9/15/2014 9:03:00 AM | Browse: 777 | Download: 937
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Received |
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2012-12-17 10:49 |
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Peer-Review Started |
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2012-12-17 18:43 |
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To Make the First Decision |
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2013-03-11 15:15 |
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Return for Revision |
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2013-03-19 14:53 |
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Revised |
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2013-04-07 22:05 |
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Second Decision |
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2013-05-09 14:02 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2013-05-10 06:42 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2013-05-28 16:15 |
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Publish the Manuscript Online |
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2013-06-07 14:05 |
Category |
Transplantation |
Manuscript Type |
Frontier |
Article Title |
Is it time to give up with calcineurin inhibitors in kidney transplantation?
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Manuscript Source |
Invited Manuscript |
All Author List |
Maurizio Salvadori and Elisabetta Bertoni |
Funding Agency and Grant Number |
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Corresponding Author |
Maurizio Salvadori, MD, Professor, Department of Renal Transplantation, Careggi University Hospital, viale Pieraccini 15, 50139 Florence, Italy. maurizio.salvadori1@gmail.com |
Key Words |
Calcineurin inhibitors nephrotoxicity; Calcineurin inhibitors withdrawal; Calcineurin inhibitors minimization; Calcineurin inhibitors avoidance; Donor specific antibodies; Antibody mediated rejection; New drugs in renal transplantation |
Core Tip |
Calcineurin inhibitors (CNIs) based therapy is still a cornerstone in renal transplantation. Nevertheless, with the use of such drugs the long-term graft survival did not improve. Causes may be nephrotoxicity, underimmunesuppression or both. All the trials attempting to CNIs sparing have been examined, but nephrotoxicity doesn’t seem to be responsible for the lack of long-term improvement. In recent years emerged the problem of anti-human leukocyte antigen antibodies not adequately suppressed by the CNIs based therapy. New drugs are necessary, but the pipeline seems to be almost empty now. To date the only promising drug strategy is the co-stimulation blockade, whose four-year results are reported. |
Publish Date |
2013-06-07 14:05 |
Citation |
Salvadori M, Bertoni E. Is it time to give up with calcineurin inhibitors in kidney transplantation? World J Transplant 2013; 3(2): 7-25 |
URL |
http://www.wjgnet.com/2220-3230/full/v3/i2/7.htm |
DOI |
http://dx.doi.org/10.5500/wjt.v3.i2.7 |
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