免疫抑制剂对移植肾细胞凋亡的影响

Effects of immunosuppressants on apoptosis of renal allografts

  • 摘要: 目的: 提高人类同种异体肾脏移植术后的长期存活率。方法: 收集我院自1977年10月至1996年5月肾脏移植的临床资料,以及手术切除的无功能移植肾病理标本,共85例作为实验组;收集其相应的肾脏移植术前活检组织作为对照组。从临床病理学的角度,比较临床上不同的免疫抑制剂治疗组间的细胞凋亡程度,分析与免疫抑制剂治疗对移植肾细胞凋亡的影响。结果: 环孢霉素A (CsA)+泼尼松(Pred)+硫唑嘌呤(AZa)三联用药组和CsA+Pred+雷公藤多甙(GTW)三联用药组相互与Pred+Aza二联用药组比较,前两组移植肾细胞凋亡程度明显轻于Pred+AZa二联用药组(P<005)。结论: 三联用药的免疫抑制剂治疗能减少移植肾细胞凋亡。

     

    Abstract: Objective: In order to improve the long term survival of renal allografts, a study of effects of immunosuppressants on apoptosis of renal was designed in this series. Methods: Eighty five cases of failed renal allografts were investigated histopathologically. 85 specimens from pretransplant biopsy were simultaneously observed as a control group. Results: Apoptosis phenomenon in all cases was found with morphologically characterized nuclear breakdown. The degree of apoptosis in triple therapy group was significantly slighter than that in double therapy group (P <0 05). Conclusion: Triple therapy can protect tubular epithelium from apoptosis more effectively than double therapy.

     

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