AI Article Synopsis

  • This study examined the effects of introducing a drug combination (everolimus and reduced-tacrolimus) very early after partial liver transplantation in rats, focusing on liver regeneration, rejection, and survival rates.
  • The results showed that this drug combination delayed liver graft weight restoration compared to standard treatment, leading to lower survival rates (75% vs. 100% for standard treatment) due to unresolved infections and rejection issues.
  • However, the same drug combination was found to be safe and effective when given immediately after whole liver transplantation, with no infections or rejections reported.

Article Abstract

Background/purpose: This experimental study in rats aimed to investigate the impact of very early introduction (within 3 h) of everolimus (EVR) + reduced-tacrolimus (TAC) after partial liver transplantation (LT) on liver regeneration, rejection, and survival.

Methods: Based on appropriate dose of EVR + reduced-TAC in 70% hepatectomy (Experiment 1), allogeneic 30% partial LT (Experiment 2) and whole LT (Experiment 3) were performed.

Results: After partial LT in EVR + reduced-TAC therapy, restoration of liver graft weight (to that of the whole liver) was delayed compared with standard dose TAC monotherapy (standard-TAC) on day 3 (59.3% vs. 72.9%; p < .001) and 14 (88.1% vs. 95.5%; p = .01). Survival was 75%, which was not as high as the value of 100% observed for standard-TAC, because neither infection nor rejection could be prevented. By contrast, survival after whole LT was 100% as neither infection nor rejection occurred.

Conclusions: The very early introduction of EVR + reduced-TAC after partial LT delayed liver regeneration, and made it difficult to manage the dose required to suppress both infection and rejection. On the other hand, EVR + reduced-TAC could be introduced safely very early after whole LT.

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Source
http://dx.doi.org/10.1002/jhbp.1310DOI Listing

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