Effect of maintenance immunosuppressive drugs on virus pathobiology: evidence and potential mechanisms.
Identifieur interne : 001058 ( Main/Exploration ); précédent : 001057; suivant : 001059Effect of maintenance immunosuppressive drugs on virus pathobiology: evidence and potential mechanisms.
Auteurs : Daniel C. Brennan [États-Unis] ; José M. Aguado ; Luciano Potena ; Alan G. Jardine ; Christophe Legendre ; Marcus D. S Emann ; Nicolas J. Mueller ; Pierre Merville ; Vincent Emery ; Björn NashanSource :
- Reviews in medical virology [ 1099-1654 ] ; 2013.
Descripteurs français
- KwdFr :
- Activation virale (effets des médicaments et des substances chimiques), Humains (MeSH), Immunosuppresseurs (administration et posologie), Immunosuppresseurs (effets indésirables), Immunosuppresseurs (pharmacologie), Maladies virales (induit chimiquement), Maladies virales (prévention et contrôle), Maladies virales (virologie), Transplantation (MeSH).
- MESH :
- administration et posologie : Immunosuppresseurs.
- effets des médicaments et des substances chimiques : Activation virale.
- effets indésirables : Immunosuppresseurs.
- induit chimiquement : Maladies virales.
- pharmacologie : Immunosuppresseurs.
- prévention et contrôle : Maladies virales.
- virologie : Maladies virales.
- Humains, Transplantation.
English descriptors
- KwdEn :
- Humans (MeSH), Immunosuppressive Agents (administration & dosage), Immunosuppressive Agents (adverse effects), Immunosuppressive Agents (pharmacology), Transplantation (MeSH), Virus Activation (drug effects), Virus Diseases (chemically induced), Virus Diseases (prevention & control), Virus Diseases (virology).
- MESH :
- chemical , administration & dosage : Immunosuppressive Agents.
- chemical , adverse effects : Immunosuppressive Agents.
- chemical , pharmacology : Immunosuppressive Agents.
- chemically induced : Virus Diseases.
- drug effects : Virus Activation.
- prevention & control : Virus Diseases.
- virology : Virus Diseases.
- Humans, Transplantation.
Abstract
Recent evidence suggesting a potential anti-CMV effect of mTORis is of great interest to the transplant community. However, the concept of an immunosuppressant with antiviral properties is not new, with many accounts of the antiviral properties of several agents over the years. Despite these reports, to date, there has been little effort to collate the evidence into a fuller picture. This manuscript was developed to gather the evidence of antiviral activity of the agents that comprise a typical immunosuppressive regimen against viruses that commonly reactivate following transplant (HHV1 and 2, VZV, EBV, CMV and HHV6, 7, and 8, HCV, HBV, BKV, HIV, HPV, and parvovirus). Appropriate immunosuppressive regimens posttransplant that avoid acute rejection while reducing risk of viral reactivation are also reviewed. The existing literature was disparate in nature, although indicating a possible stimulatory effect of tacrolimus on BKV, potentiation of viral reactivation by steroids, and a potential advantage of mammalian target of rapamycin (mTOR) inhibition in several viral infections, including BKV, HPV, and several herpesviruses.
DOI: 10.1002/rmv.1733
PubMed: 23165654
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Immunosuppressive Agents (pharmacology)</term>
<term>Transplantation (MeSH)</term>
<term>Virus Activation (drug effects)</term>
<term>Virus Diseases (chemically induced)</term>
<term>Virus Diseases (prevention & control)</term>
<term>Virus Diseases (virology)</term>
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<term>Immunosuppresseurs (administration et posologie)</term>
<term>Immunosuppresseurs (effets indésirables)</term>
<term>Immunosuppresseurs (pharmacologie)</term>
<term>Maladies virales (induit chimiquement)</term>
<term>Maladies virales (prévention et contrôle)</term>
<term>Maladies virales (virologie)</term>
<term>Transplantation (MeSH)</term>
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<front><div type="abstract" xml:lang="en">Recent evidence suggesting a potential anti-CMV effect of mTORis is of great interest to the transplant community. However, the concept of an immunosuppressant with antiviral properties is not new, with many accounts of the antiviral properties of several agents over the years. Despite these reports, to date, there has been little effort to collate the evidence into a fuller picture. This manuscript was developed to gather the evidence of antiviral activity of the agents that comprise a typical immunosuppressive regimen against viruses that commonly reactivate following transplant (HHV1 and 2, VZV, EBV, CMV and HHV6, 7, and 8, HCV, HBV, BKV, HIV, HPV, and parvovirus). Appropriate immunosuppressive regimens posttransplant that avoid acute rejection while reducing risk of viral reactivation are also reviewed. The existing literature was disparate in nature, although indicating a possible stimulatory effect of tacrolimus on BKV, potentiation of viral reactivation by steroids, and a potential advantage of mammalian target of rapamycin (mTOR) inhibition in several viral infections, including BKV, HPV, and several herpesviruses.</div>
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<Abstract><AbstractText>Recent evidence suggesting a potential anti-CMV effect of mTORis is of great interest to the transplant community. However, the concept of an immunosuppressant with antiviral properties is not new, with many accounts of the antiviral properties of several agents over the years. Despite these reports, to date, there has been little effort to collate the evidence into a fuller picture. This manuscript was developed to gather the evidence of antiviral activity of the agents that comprise a typical immunosuppressive regimen against viruses that commonly reactivate following transplant (HHV1 and 2, VZV, EBV, CMV and HHV6, 7, and 8, HCV, HBV, BKV, HIV, HPV, and parvovirus). Appropriate immunosuppressive regimens posttransplant that avoid acute rejection while reducing risk of viral reactivation are also reviewed. The existing literature was disparate in nature, although indicating a possible stimulatory effect of tacrolimus on BKV, potentiation of viral reactivation by steroids, and a potential advantage of mammalian target of rapamycin (mTOR) inhibition in several viral infections, including BKV, HPV, and several herpesviruses.</AbstractText>
<CopyrightInformation>Copyright © 2012 John Wiley & Sons, Ltd.</CopyrightInformation>
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