SUBJECT CONSULTANT REVIEW

Title of the article

Tacrolimus exposure and evolution of renal allograft histology in the first year after transplantation.

Authors

Naesens M, Lerut E, Damme BV, Vanrenterghem Y, Kuypers DR.

Journal
Am J Transplant. 2007 Sep;7(9):2114-23. Epub 2007 Jul 3.
Subject Consultant
B. Watschinger
Score (1 to 3 stars)
**
Comments
Biopsy-proven acute rejection episodes and low mean tacrolimus exposure were independently associated with higher increase in chronicity scores between 3 and 12 months after transplantation. This observational study in 120 pattients suggests that rejection phenomena and immune-mediated mechanisms remain important in the early progression of chronic allograft pathology.