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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nid</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология и диализ</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology and Dialysis</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1680-4422</issn><issn pub-type="epub">2618-9801</issn><publisher><publisher-name>Российское диализное общество</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">nid-1352</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>О синергизме иммунодепрессивных препаратов. (Кемпас в комплексе индукционной иммунодепрессии)</article-title><trans-title-group xml:lang="en"><trans-title>About synergism of immunosuppressants. (Kampath in complex of inductive immunosuppression)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горяйнов</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Goriaynov</surname><given-names>V. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каабак</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaabak</surname><given-names>M. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шишло</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shyshlo</surname><given-names>L. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГУ РНЦХ РАМН им. акад. Б.В. Петровского</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2007</year></pub-date><pub-date pub-type="epub"><day>23</day><month>06</month><year>2025</year></pub-date><volume>9</volume><issue>2</issue><fpage>155</fpage><lpage>158</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Горяйнов В.А., Каабак М.М., Шишло Л.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Горяйнов В.А., Каабак М.М., Шишло Л.А.</copyright-holder><copyright-holder xml:lang="en">Goriaynov V.A., Kaabak M.M., Shyshlo L.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.nephro.ru/jour/article/view/1352">https://journal.nephro.ru/jour/article/view/1352</self-uri><abstract><p>С того момента как в комплекс иммунодепрессии в отделении трансплантации почки РНЦХ РАМН был введен Кемпас, мы решили выяснить способен ли он потенцировать действие вводимого параллельно Зенапакса. Для этого была оценена продолжительность интервала между введениями Зенапакса. Кемпас вводили 7 больным дважды: первое введение осуществляли за 18-21 дней до трансплантации, второе - в день пересадки сразу по окончании плазмафереза. В качестве контрольной группы взяты 9 больных, которым индукционную иммунодепрессию осуществляли только с помощью Зенапакса. По демографическим и клинико-лабораторным параметрам группы были идентичны. Полученные данные были подвергнуты статистической обработке методом малой выборки с использованием критерия Стьюдента. Проведенный анализ показал, что у больных, которым вводили Кемпас, продолжительность интервалов между введениями Зенапакса значительно увеличивалась (разница статистически достоверна). Следовательно: Кемпас потенцирует иммунодепрессивное действие Зенапакса.</p></abstract><trans-abstract xml:lang="en"><p>Since a moment of introduction of Kampath in complex of immunosuppression in the department of kidney transplantation we decided to elucidate wether Kampath is capable to potentate the action of simultaneously administered Zenapax. To appreciate this as a test a length of intervals between Zenapax infusions was taken. Kampath was infused to 7 patients twice: first dose of drug was infused 17-21 days before transplantation. A second one - in the day of kidney transplantation, just the plasmapheresis was terminated. As a control group 9 patients to whom inductive immunosuppresion was realized with Zenapax only was used. Both groups were identical by demographic and laboratory-clinical parameters. Data were statistically treated with the use of Studant criterion. Executed analysis has demonstrated, that in patients with Kampath a length of intervals between infusions of Zenapax was greater than in patients without Zenapax (difference was statistically authentic). Therefore, Kampath exponentiate immunosuppressive activity of Zenapax.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>пересадка почки</kwd><kwd>иммунодепрессия</kwd><kwd>индукция</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Burke J.R. jr, Pirsh J.D., Ramon E.L. et al. Long-term efficacy and safety of cyclosporine in renal transplant recipients. N Engl J Med 1994; 331: 358.</mixed-citation><mixed-citation xml:lang="en">Burke J.R. jr, Pirsh J.D., Ramon E.L. et al. Long-term efficacy and safety of cyclosporine in renal transplant recipients. N Engl J Med 1994; 331: 358.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Chanraker A., Takada M., Nadeau K.C., Peach R., Tinley N., Sayegh M. CD28-B7 blockade in organ dysfunction secondary to cold ishemia/reperfusion injury. Kidney International 1997; 52: 1678-1684.</mixed-citation><mixed-citation xml:lang="en">Chanraker A., Takada M., Nadeau K.C., Peach R., Tinley N., Sayegh M. CD28-B7 blockade in organ dysfunction secondary to cold ishemia/reperfusion injury. Kidney International 1997; 52: 1678-1684.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Ciancio G., Burke G.V., Suzart К. et al. Daclizumab induction, tacrolimus, mycophenalate mofetil and steroids as an immunosuppression regimen for primary kidney transplant recipients. Transplantation 2002; 73: 1100.</mixed-citation><mixed-citation xml:lang="en">Ciancio G., Burke G.V., Suzart К. et al. Daclizumab induction, tacrolimus, mycophenalate mofetil and steroids as an immunosuppression regimen for primary kidney transplant recipients. Transplantation 2002; 73: 1100.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Coenen J.J., Koenen H.J., van Rijssen E. et al. CTLA-4 engagement and regulatory CD4+CD25+ T cells independently control CD8+-mediated responses under costimulation blockade. J Immunol 2006 May 1; 176 (9): 5240-5246.</mixed-citation><mixed-citation xml:lang="en">Coenen J.J., Koenen H.J., van Rijssen E. et al. CTLA-4 engagement and regulatory CD4+CD25+ T cells independently control CD8+-mediated responses under costimulation blockade. J Immunol 2006 May 1; 176 (9): 5240-5246.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Firch J.D., Miller J., Deierhoi M.H. et al. A comparison of tacrolimus (FK506) and cyclosporine for immunosuppression, after cadaveric renal trsnsplantation. Transplantation 1997; 63: 977.</mixed-citation><mixed-citation xml:lang="en">Firch J.D., Miller J., Deierhoi M.H. et al. A comparison of tacrolimus (FK506) and cyclosporine for immunosuppression, after cadaveric renal trsnsplantation. Transplantation 1997; 63: 977.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Goes N., Urmos J., Ramassar V., Halloran P.F. Ishemic acute tubular necrosis induces an extensive local cytokine response. Evidence for induction of interferon-gamma, transforming growth factor-beta 1: granulocyte-macrophage colony-stimulating factor, interleukin-2, and interleukin-10. Transplantation 1995; 59: 565-572.</mixed-citation><mixed-citation xml:lang="en">Goes N., Urmos J., Ramassar V., Halloran P.F. Ishemic acute tubular necrosis induces an extensive local cytokine response. Evidence for induction of interferon-gamma, transforming growth factor-beta 1: granulocyte-macrophage colony-stimulating factor, interleukin-2, and interleukin-10. Transplantation 1995; 59: 565-572.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Harharan S., Johnson C.P., Bresnahan R.A. et al. Improved graft survival after renal transplantation in the United States, 1988 to 1996. N Ingl J Med 2000; 342: 605.</mixed-citation><mixed-citation xml:lang="en">Harharan S., Johnson C.P., Bresnahan R.A. et al. Improved graft survival after renal transplantation in the United States, 1988 to 1996. N Ingl J Med 2000; 342: 605.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Kuypers D.R., Evenepoel P., Maes B. et al. The use of an anti-CD25 monoclonal antibody and mycophenolate mofetil enables the use of low-dose tacrolimus and early withdrawal of steroids in renal transplant recipients. Clin Transplant 2003; 75: 37.</mixed-citation><mixed-citation xml:lang="en">Kuypers D.R., Evenepoel P., Maes B. et al. The use of an anti-CD25 monoclonal antibody and mycophenolate mofetil enables the use of low-dose tacrolimus and early withdrawal of steroids in renal transplant recipients. Clin Transplant 2003; 75: 37.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Larsen C.P., Ritchie S.C., Hendrix R., Linsley P.S., Hathcock K.S., Hodes R.J., Pearson T.C. Regulation of immunostimulatory function and costimulatorymolecule (B7-1 and B7-2) expression on murine dendritic cells. J Immunol 1994; 152: 5208-5219.</mixed-citation><mixed-citation xml:lang="en">Larsen C.P., Ritchie S.C., Hendrix R., Linsley P.S., Hathcock K.S., Hodes R.J., Pearson T.C. Regulation of immunostimulatory function and costimulatorymolecule (B7-1 and B7-2) expression on murine dendritic cells. J Immunol 1994; 152: 5208-5219.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Nashan B., Light S., Hardie I.R. et al. Reduction of acute renal allograft rejection by daclizumab. Transplantation 1999; 67: 110.</mixed-citation><mixed-citation xml:lang="en">Nashan B., Light S., Hardie I.R. et al. Reduction of acute renal allograft rejection by daclizumab. Transplantation 1999; 67: 110.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ojo A.O., Meier-Krieshe H.U., Hanson J.A. et al. Mycophenolate mofetil reduces late renal allograft loss independent rejection. Transplantation 2000; 69: 2405.</mixed-citation><mixed-citation xml:lang="en">Ojo A.O., Meier-Krieshe H.U., Hanson J.A. et al. Mycophenolate mofetil reduces late renal allograft loss independent rejection. Transplantation 2000; 69: 2405.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Perco P., Blaha P., Kainz A. et al. Molecular signature of mice T lymphocytes following tolerance induction by allogeneic BMT and CD40-CD40L costimulation blockade. Transpl Int 2006 Feb; 19 (2): 146-157.</mixed-citation><mixed-citation xml:lang="en">Perco P., Blaha P., Kainz A. et al. Molecular signature of mice T lymphocytes following tolerance induction by allogeneic BMT and CD40-CD40L costimulation blockade. Transpl Int 2006 Feb; 19 (2): 146-157.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Shapiro R., Ellis D., Tan H.P. et al. Antilymphoid antibody preconditioning and tacrolimus monotherapy for pediatric kidney transplantation. J Pediatr 2006 Jun; 148 (6): 813-818.</mixed-citation><mixed-citation xml:lang="en">Shapiro R., Ellis D., Tan H.P. et al. Antilymphoid antibody preconditioning and tacrolimus monotherapy for pediatric kidney transplantation. J Pediatr 2006 Jun; 148 (6): 813-818.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Takada M., Chandraker A., Nadeau K.C., Sayegh M.H., Tilney N.L. The role of the B7 costimulatory pathway in experimental cold ischemia/reperfusion injury. J Clin Invest 1997; 1; 100 (5): 1199-1203.</mixed-citation><mixed-citation xml:lang="en">Takada M., Chandraker A., Nadeau K.C., Sayegh M.H., Tilney N.L. The role of the B7 costimulatory pathway in experimental cold ischemia/reperfusion injury. J Clin Invest 1997; 1; 100 (5): 1199-1203.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Tan H.P., Kaczorowski D.J., Basu A. et al. Living donor renal transplantation using alemtuzumab induction and tacrolimus monotherapy. Am J Transplant 2006; 6 (10): 2409-2417.</mixed-citation><mixed-citation xml:lang="en">Tan H.P., Kaczorowski D.J., Basu A. et al. Living donor renal transplantation using alemtuzumab induction and tacrolimus monotherapy. Am J Transplant 2006; 6 (10): 2409-2417.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Thai N.L., Abu-Elmagd K., Khan A. et al. Pancreatic transplantation at the University of Pittsburgh. Clin Transpl 2004; 205-214.</mixed-citation><mixed-citation xml:lang="en">Thai N.L., Abu-Elmagd K., Khan A. et al. Pancreatic transplantation at the University of Pittsburgh. Clin Transpl 2004; 205-214.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Tran H.T., Acharya M.K., McKay D.B. et al. Avoidance of cyclosporine in renal transplantation: effects of daclizumab, mycophenolate mofetil, and steroids. J Amer Soc Nephrol 2000; 11: 1903.</mixed-citation><mixed-citation xml:lang="en">Tran H.T., Acharya M.K., McKay D.B. et al. Avoidance of cyclosporine in renal transplantation: effects of daclizumab, mycophenolate mofetil, and steroids. J Amer Soc Nephrol 2000; 11: 1903.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">The Tricontinental Mofetil Renal Transplantation Study Group. A blinded randomized clinical trial of mycophenolate mofetil for the prevention of acute rejection in cadaver transplantation. Transplantation 1996; 61: 1029.</mixed-citation><mixed-citation xml:lang="en">The Tricontinental Mofetil Renal Transplantation Study Group. A blinded randomized clinical trial of mycophenolate mofetil for the prevention of acute rejection in cadaver transplantation. Transplantation 1996; 61: 1029.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Vathsala A., Ona E.T., Tan S.Y. et al. Randomized trial of Alemtuzumab for prevention of graft rejection and preservation of renal function after kidney transplantation. Transplantation 2005; 80 (6): 765-774.</mixed-citation><mixed-citation xml:lang="en">Vathsala A., Ona E.T., Tan S.Y. et al. Randomized trial of Alemtuzumab for prevention of graft rejection and preservation of renal function after kidney transplantation. Transplantation 2005; 80 (6): 765-774.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Vincenti F., Ramos E., Brattstrom C. et al. Multicenter trial exploring calcineurine inhibitors-avoidance in renal reansplantation. Transplantation 2001; 71: 1282.</mixed-citation><mixed-citation xml:lang="en">Vincenti F., Ramos E., Brattstrom C. et al. Multicenter trial exploring calcineurine inhibitors-avoidance in renal reansplantation. Transplantation 2001; 71: 1282.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Watson C.J., Bradely J.A., Friend P.J. et al. Alemtuzumab (CAMPATH 1H) induction therapy in cadaveric kidney transplantation - efficacy and safety at five years. Am J Transplant 2005; 5 (6): 1347-1538.</mixed-citation><mixed-citation xml:lang="en">Watson C.J., Bradely J.A., Friend P.J. et al. Alemtuzumab (CAMPATH 1H) induction therapy in cadaveric kidney transplantation - efficacy and safety at five years. Am J Transplant 2005; 5 (6): 1347-1538.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
