BACKGROUND/AIMS: @entity618 ( @entity2098 ) is a powerful immunosuppressant that inhibits the proliferation of lymphocytes by blocking the enzyme @entity15129 dehydrogenase. @entity2098 prevents acute graft rejection in organ transplants. The aim of this investigation is to study whether @entity2098 has any influence on apoptosis and proliferation rates of cells other than lymphocytes. METHODS: We conducted a retrospective study of renal allograft biopsies taken during the 1st week after transplantation in 25 @entity1 receiving triple therapy with @entity229 , @entity205 and @entity500 75 mg/day and in 25 @entity1 treated with @entity2098 at a dose of 2 g/day instead of @entity500 , in order to investigate the differences in the proliferation and apoptosis rates of the glomerular, tubular, interstitial and endothelial cells of the kidney. Twelve normal kidneys were used as controls. Conventional histopathological techniques were applied as usual for pathological diagnosis. Proliferative activity was assessed by use of @entity1758 antibody. Sections of @entity406 -fixed, @entity982 -embedded tissue blocks were stained for the presence of apoptotic cells by TUNEL assay. Evaluation of proliferative or apoptotic rates was made by counting the number of positive cells in 10 glomeruli and in 10 transversely cut tubuli in each biopsy. The positive cells in the interstitium were counted in ten high-power fields. Positive cells in the endothelium were scored semiquantitatively from 0 to 3: 0 = none, 1 = isolated cells, 2 = small groups of cells, 3 = most endothelial cells. Mann-Whitney U and chi-square tests were used for intergroup comparisons. RESULTS: All biopsies were normal or had borderline (Banff classification) acute rejection. @entity1758 rates were similar in both groups, without statistical differences (p > 0.05) between them. Significantly lower apoptotic rates were found in the group treated with @entity2098 in tubular epithelium (23.41 +/- 8.86 vs. 57.4 +/- 13.42; p = 0.021), in glomerular (1.25 +/- 0.78 vs. 5.3 +/- 1.66; p = 0.027), and interstitial cells (1.58 +/- 0.6 vs. 5.8 +/- 1.54; p = 0.043). Apoptosis in endothelial cells (p > 0.05) was similar in both groups. CONCLUSION: We conclude that treatment with @entity2098 of kidney transplant @entity1 does not affect the proliferative rate of cells of the allograft, but decreases the number of apoptotic cells in tubular epithelium.

Decrease of apoptosis rate in XXXX with renal transplantation treated with @entity618 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity500 :: ('MESH:D001379', 'Chemical') :: ['azathioprine'] @entity229 :: ('MESH:D011241', 'Chemical') :: ['prednisone'] @entity406 :: ('MESH:D005557', 'Chemical') :: ['formalin'] @entity205 :: ('MESH:D016572', 'Chemical') :: ['ciclosporin'] @entity2098 :: ('CHEBI:8764', 'Chemical') :: ['MMF'] @entity982 :: ('MESH:D010232', 'Chemical') :: ['paraffin'] @entity618 :: ('MESH:C063008', 'Chemical') :: ['Mycophenolate mofetil'] @entity1758 :: ('57534', 'Gene') :: ['MIB-1'] @entity15129 :: ('MESH:D007291', 'Chemical') :: ['inosine monophosphate']
@entity1 :: (9606,Species) :: ['patients']
