Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation

Transplantation in elderly patients is obviously more challenging due to existing underlying diseases, changes in pharmacokinetics of immunosuppressive drugs, polypragmasy, and transformation of immunoreactivity (immunosenescence). Our review presents data on modification of adaptive and innate immu...

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Main Authors: V. A. Fedulkina, A. V. Vatazin, A. V. Kildyushevskiy, A. B. Zulkarnayev, D. V. Gubina, M. P. Fedulkina
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2021-09-01
Series:Вестник трансплантологии и искусственных органов
Subjects:
Online Access:https://journal.transpl.ru/vtio/article/view/1254
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author V. A. Fedulkina
A. V. Vatazin
A. V. Kildyushevskiy
A. B. Zulkarnayev
D. V. Gubina
M. P. Fedulkina
author_facet V. A. Fedulkina
A. V. Vatazin
A. V. Kildyushevskiy
A. B. Zulkarnayev
D. V. Gubina
M. P. Fedulkina
author_sort V. A. Fedulkina
collection DOAJ
description Transplantation in elderly patients is obviously more challenging due to existing underlying diseases, changes in pharmacokinetics of immunosuppressive drugs, polypragmasy, and transformation of immunoreactivity (immunosenescence). Our review presents data on modification of adaptive and innate immunity during aging. It also considers the possibility of both reduced and adapted immunosuppressive therapy in elderly renal transplant recipients in achieving an optimal balance between efficacy and complications.
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publishDate 2021-09-01
publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
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spelling doaj.art-0bb5b4e896364f6faf142739ab4b93732025-03-05T14:11:53ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912021-09-0123317117910.15825/1995-1191-2021-3-171-1791036Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantationV. A. Fedulkina0A. V. Vatazin1A. V. Kildyushevskiy2A. B. Zulkarnayev3D. V. Gubina4M. P. Fedulkina5Vladimirsky Moscow Regional Research Clinical InstituteVladimirsky Moscow Regional Research Clinical InstituteVladimirsky Moscow Regional Research Clinical InstituteVladimirsky Moscow Regional Research Clinical InstituteVladimirsky Moscow Regional Research Clinical InstituteVladimirsky Moscow Regional Research Clinical InstituteTransplantation in elderly patients is obviously more challenging due to existing underlying diseases, changes in pharmacokinetics of immunosuppressive drugs, polypragmasy, and transformation of immunoreactivity (immunosenescence). Our review presents data on modification of adaptive and innate immunity during aging. It also considers the possibility of both reduced and adapted immunosuppressive therapy in elderly renal transplant recipients in achieving an optimal balance between efficacy and complications.https://journal.transpl.ru/vtio/article/view/1254kidney transplantationagingimmunosenescenceimmunosuppressive therapy
spellingShingle V. A. Fedulkina
A. V. Vatazin
A. V. Kildyushevskiy
A. B. Zulkarnayev
D. V. Gubina
M. P. Fedulkina
Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation
Вестник трансплантологии и искусственных органов
kidney transplantation
aging
immunosenescence
immunosuppressive therapy
title Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation
title_full Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation
title_fullStr Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation
title_full_unstemmed Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation
title_short Immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation
title_sort immunosenescence as a reason of individualizing immunosuppressive therapy in kidney transplantation
topic kidney transplantation
aging
immunosenescence
immunosuppressive therapy
url https://journal.transpl.ru/vtio/article/view/1254
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AT avkildyushevskiy immunosenescenceasareasonofindividualizingimmunosuppressivetherapyinkidneytransplantation
AT abzulkarnayev immunosenescenceasareasonofindividualizingimmunosuppressivetherapyinkidneytransplantation
AT dvgubina immunosenescenceasareasonofindividualizingimmunosuppressivetherapyinkidneytransplantation
AT mpfedulkina immunosenescenceasareasonofindividualizingimmunosuppressivetherapyinkidneytransplantation