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9 Cards in this Set

  • Front
  • Back
What is the first line drug for immunosupression? What does it do?
Calcineurin inhibitors --> inhibit T-cell activation? Cyclosporine and tacrolimus
What are the side effects of calcinuerin inhibitors?
they have CYP450 interatction and nephrotoxicity
What is the MOA of Cell Cept (motefil)?
T&B cell production
What is the 2nd line drug for immunosupression?
Sirolimus --> Macrolide Abx
What is a major risk of Azathioprine?
squamous cell carcinoma
What is the major effect of corticosteroids?
They block the expression of several interleukins
What are the longterm complications of transplant?
Opportunistic organisms
CMV
Brain infections
Neoplasia (post-transplant lymphoma)
CV disease hyperlipidemia
When does Chronic Rejection occur? What are the signs?
7 to 10 years later
progressive azotemia
proteinuria
HTN

ALL parts of the kidney parenchyma are involved
Why does hyperacute rejections occur?
The recipient has preformed Ab's against the donor