2015
DOI: 10.1111/cei.12669
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Oscillatory mTOR inhibition and Treg increase in kidney transplantation

Abstract: SummaryIntracellular metabolic pathways dependent upon the mammalian target of rapamycin (mTOR) play a key role in immune-tolerance control. In this study, we focused on long-term mTOR-dependent immune-modulating effects in kidney transplant recipients undergoing conversion from calcineurin inhibitors (CNI) to mTOR inhibitors (everolimus) in a 1-year follow-up. The conversion to everolimus is associated with a decrease of neutrophils and of CD8

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Cited by 27 publications
(21 citation statements)
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“…; Sabbatini et al. ), and the present results are not consistent with these reports. Everolimus might not greatly influence renal pathology, and our results suggest a need for further analyses.…”
Section: Discussioncontrasting
confidence: 99%
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“…; Sabbatini et al. ), and the present results are not consistent with these reports. Everolimus might not greatly influence renal pathology, and our results suggest a need for further analyses.…”
Section: Discussioncontrasting
confidence: 99%
“…In contrast, urinary protein levels, the glomerulosclerosis index (GSI), and tubulointerstitial injury score (TIS) were not changed and renal inflammation was inhibited by administration of everolimus. Everolimus has been used as a growth inhibitor for kidney cancer and as an immunosuppressant for renal transplant in clinical practice (Sabbatini et al 2015). Side effects such as a decline in renal function by this drug have not been reported Sabbatini et al 2015), and the present results are not consistent with these reports.…”
Section: Discussioncontrasting
confidence: 83%
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“…We reported the possibility that this phenomenon could be due to the fact that to enter the cell cycle, Treg cells need low mTOR phosphorylation (achieved with rapamycin treatment) and after entering the cell cycle, IL-2 can help to reactivate mTOR which is necessary for Treg cells to proliferate over time. This “oscillatory” phenomenon for Treg cell expansion would occur both in vitro and in vivo (20, 7, 4, 44). …”
Section: Effects Of Metabolism On Foxp3 Expressionmentioning
confidence: 99%