2003
DOI: 10.1016/j.pharmthera.2003.08.002
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Immunosuppression and transplant vascular disease: benefits and adverse effects

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Cited by 48 publications
(38 citation statements)
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“…[12][13][14]16,[22][23][24] Endothelial injury that occurs after insults such as exposure to CNI results in decreased endothelial NO production, superoxide anion production, increased endothelin-1 production, and sensitivity to endothelin-1. [1][2][3][4][5]25 These disturbances, in turn, stimulate the expression of inflammatory cytokines such as interleukin-6 6,7 and cell adhesion molecules such as ICAM-1. These events allow circulating neutrophils to migrate to sites of endothelial injury, where they subject local tissues, including the endothelium, to further injury.…”
Section: Discussionmentioning
confidence: 99%
“…[12][13][14]16,[22][23][24] Endothelial injury that occurs after insults such as exposure to CNI results in decreased endothelial NO production, superoxide anion production, increased endothelin-1 production, and sensitivity to endothelin-1. [1][2][3][4][5]25 These disturbances, in turn, stimulate the expression of inflammatory cytokines such as interleukin-6 6,7 and cell adhesion molecules such as ICAM-1. These events allow circulating neutrophils to migrate to sites of endothelial injury, where they subject local tissues, including the endothelium, to further injury.…”
Section: Discussionmentioning
confidence: 99%
“…As is well known, calcineurin inhibitors such as cyclosporin A have been shown to interact with vasoactive metabolites, causing arterial hypertension and arteriosclerosis (2,3). Cyclosporin A is known to impair vascular vasodilatation and may induce vasoconstriction (4,5).…”
mentioning
confidence: 99%
“…Instead of chest pain, more serious events, such as congestive heart failure, ventricular arrhythmias and sudden death, are commonly the first clinical manifestations (11).…”
Section: Hypothesis -19mentioning
confidence: 99%
“…By 5 years, diagnosis of CAV reaches 50% in heart transplant recipients (10,11). Patients with CAV have silent ischemia due to the denervated heart.…”
mentioning
confidence: 99%