Alteration of Panel-Reactive Antibodies Following Treatment With Either Atorvastatin or Low-Dose Mycophenolate Mofetil in Sensitized Hemodialysis Patients

Authors

  • Ali Ghorbani Division of Nephrology, Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran
  • Heshmatollah Shahbazian Diabetes Research Center and Division of Nephrology, Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran
  • Ali Ehsanpour Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran
  • Asieh Aref Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran

Abstract

Introduction. Both atorvastatin and mycophenolate mofetil (MMF) have been used for panel reactive antibodies (PRA) reduction in transplant candidates. The purpose of this study was to compare the effect of low-dose MMF and atorvastatin on PRA in sensitized hemodialysis patients waiting for kidney transplantation.

Materials and Methods. A total of 40 adult patients with end-stage renal diseaseĀ  who were highly sensitized to human leukocyte antigens (PRA > 40%) were enrolled and randomly assigned into atorvastatin or low-dose MMF groups. All of the patients received the treatments for 2 months. The PRA status was determined at the end of the 1st and 2nd month.

Results. Forty percent of the patients in the atorvastatin group compared with 5% in the low-dose MMF group showed complete response, defined as a minimum 50% reduction in PRA (P = .02). Reduction of PRA in the atorvastatin group was significantly higher than that in the low-dose MMF group (P = .01). No major infectious or other complications occurred in our patients.

Conclusions. Atorvastatin has a significant effect on lowering of PRA in sensitized hemodialysis patients waiting for kidney transplantation. In addition, a short course of low-dose MMF is safe in ESRD patients; however, it has no effect on reduction of PRA.

Author Biographies

  • Ali Ghorbani, Division of Nephrology, Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran
    Assistant Professor of Nephrology, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran.
  • Heshmatollah Shahbazian, Diabetes Research Center and Division of Nephrology, Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran
    Associate Professor of Nephrology, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran.
  • Ali Ehsanpour, Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran
    Assistant Professor of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran.
  • Asieh Aref, Department of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran
    Resident of Internal Medicine, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran.

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Published

2011-08-29

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Section

ORIGINAL | Transplantation