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Tacrolimus

Manufactured by Novartis
Sourced in Japan, Switzerland

Tacrolimus is a pharmaceutical product that functions as a calcineurin inhibitor. It is used in the production and manufacture of laboratory equipment and supplies.

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2 protocols using tacrolimus

1

Calcineurin Inhibitor Effects on Proliferation

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Cyclosporine A and tacrolimus were purchased from Novartis Pharma Japan and Astellas Pharma Japan, respectively. For the proliferation assay, cells were cultured in medium supplemented with 0.1 μm Cyclosporine A or 0.5 μm tacrolimus until the end of the IncuCyte proliferation assay. To confirm the suppression of calcineurin activity under the treatment with Cyclosporine A and tacrolimus, cell lysates were extracted 96 h after treatment with CNIs and calcineurin activity was compared between extracted cell lines with or without the treatment of CNIs.
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2

Immunosuppressive Regimen for Lung Transplant

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Induction therapy consists of basiliximab (Simulect; Novartis Pharma, Basel, Switzerland). Maintenance immunosuppression consists of a calcineurin inhibitor (CNI)-based immunosuppressive regimen (trough levels 7-10) combined with prednisolone (0.05-0.15 mg/kg) and mycophenolate mofetil (CellCept; Roche, Basel, Switzerland). tacrolimus (Prograft; Astellas Pharma, Staines, UK) is the most commonly used CNI in our center. Upon significant decline of renal function patients receive a quadruple immunosuppressive scheme adding everolimus (Certican; Novartis Pharma, Basel, Switzerland) to enable CNI dose reduction (tacrolimus trough levels 3-4; everolimus trough levels 3-4). All patients receive Pneumocystis Jerovici prophylaxis (co-trimoxazole or inhaled pentamidine) and cytomegalovirus prophylaxis (valganciclovir) if applicable. Inhaled amphotericin B is used as fungal prophylaxis in the first months and azithromycin is used as standard CLAD prophylaxis in all patients unless patients experience side-effects.
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