Experience with sirolimus (SRL)-based immunosuppression following orthotopic liver transplantation (OLT) is rapidly accumulating. In combination with calcineurin inhibitors (CNIs), SRL may reduce the incidence of acute rejection and lower overall required drug levels. This study sought to quantify l
Immunosuppression and hepatocellular carcinoma
✍ Scribed by Hans J. Schlitt; Françoise Mornex; Abraham Shaked; James F. Trotter
- Publisher
- John Wiley and Sons
- Year
- 2011
- Tongue
- English
- Weight
- 63 KB
- Volume
- 17
- Category
- Article
- ISSN
- 1527-6465
- DOI
- 10.1002/lt.22318
No coin nor oath required. For personal study only.
✦ Synopsis
Immunosuppressive medications inhibit the tumor surveillance properties of the immune system. Consequently, immunosuppression may increase the likelihood of hepatocellular carcinoma (HCC) recurrence after liver transplantation. However, most data on the effects of immunosuppression on HCC recurrence have been derived from experimental studies (in vitro and animal studies) and from nonrandomized, singlecenter reports. No randomized trials evaluating the effects of immunosuppressive agents on HCC recurrence after liver transplantation have been published. Therefore, the precise effects of immunosuppression on HCC recurrence in liver transplant recipients are difficult to assess.
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