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Abstract

Tacrolimus (FK506) was discovered as the result of a systematic screening program to look for an improved immunosuppressant. In the mid-1980s Goto and associates from the Exploratory Research Laboratories of Fujisawa Pharmaceutical Co. Ltd, Japan, discovered a macrolide compound that had potent immunosuppressive properties[1]–[3]. This compound, then named FK506, was extracted from the fermentation broth of the soil fungus Streptomyces tsukubaensis. Further preclinical studies on the immunosuppressive properties of this compound on organ transplantation were carved out intensively at Chiba University, Japan[4]–[9], Cambridge University, UK[10]–[12], and the University of Pittsburgh, USA[13]–[18]. The initial results of FK506 as an effective immunosuppressant in organ transplantation were presented at the first International Symposium on FK506 in June 1987, in Gëteborg, Sweden, and were subsequently published in Transplantation Proceedings (Vol. 19, Suppl. 6, 1987).

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References

  1. Goto T, Kino T, Hatanaka H et al. Discovery of FK-506, a novel immunosuppressant isolated from Streptomyces tsukubaensis. Transplant Proc. 1987; 19(Suppl.6):4–8.

    PubMed  CAS  Google Scholar 

  2. Kino T, Hatanaka H, Miyata S et al. FK-506, a novel immunosuppressant isolated from a streptomyces. I. Fermentation, isolation and physicochemical and biological characteristics. J Antibiot (Tokyo). 1987;40:1249–55.

    CAS  Google Scholar 

  3. Kino T, Hatanaka H, Miyata S et al. FK-506, a novel immunosuppressant isolated from a streptomyces. II. Immunosuppressive effect of FK-506 in vitro. J Anlibiol (Tokyo). 1987;40:1256–65.

    CAS  Google Scholar 

  4. Ochiai T, Nakajima K, Nagata M et al. New immunosuppressive drugs: effect of a new immunosuppressive agent, FK506, on heterotopic cardiac allotransplantation in the rat. Transplant Proc. 1987;19:1284–6.

    PubMed  CAS  Google Scholar 

  5. Ochiai T, Nakajima K, Nagata M et al. Studies of the induction and maintenance of long-term graft acceptance by treatment with FK506 in heterotopic cardiac allotransplantation in rats. Transplantation. 1987;44:734–8.

    Article  PubMed  CAS  Google Scholar 

  6. Ochiai T, Nagata M, Nakajima K et al. Studies of the effects of FK 506 on renal allograft in the beagle dog. Transplantation. 1987;44:729–33.

    Article  PubMed  CAS  Google Scholar 

  7. Ochiai T, Hamaguchi K, Isono K. Histopathologic studies in renal transplant recipient dogs receiving treatment with FK 506. Transplant Proc. 1987;19(Suppl. 6):93–7.

    PubMed  CAS  Google Scholar 

  8. Ochiai T, Sakamoto K, Gunji Y et al. Effects of combination treatment with FK 506 and cyclosporine on survival time and vascular changes in renal allograft recipient dogs. Transplantation. 1989;48:193–7.

    Article  PubMed  CAS  Google Scholar 

  9. Ochiai T, Gunji Y, Sakamoto K el al. Optimal serum trough levels of FK 506 in renal allotransplantation of the beagle dog. Transplantation. 1989;48:189–93.

    Article  PubMed  CAS  Google Scholar 

  10. Lim SML, Thiru S, While DJG. Heterotopic heart transplantation in the rat receiving FK 506. Transplant Proc. 1987; 19:68–70.

    PubMed  CAS  Google Scholar 

  11. Collier DS, Thiru S, Calne R. Kidney transplantation in the dog receiving FK506. Transplant Proc. 1987;19(Suppl. 6):62.

    PubMed  CAS  Google Scholar 

  12. Thiru S, Collier DS, Calne R. Pathological studies in canine and baboon renal allograft recipients immunosuppressed with FK 506. Transplant Proc. 1987; 19(Suppl. 6):98–9.

    PubMed  CAS  Google Scholar 

  13. Murase N, Todo S, Lee P-H et al. Heterotopic heart transplantation in the rat under FK506 alone or with cyclosporine. Transplant Proc. 1987;19(Suppl. 6):57–61.

    Google Scholar 

  14. Todo S, Demetris AJ, Ueda Y et al. Canine kidney transplantation with FK 506 alone or in combination with cyclosporine and steroids. Transplant Proc. 1987;19(Suppl.6):57–61.

    PubMed  CAS  Google Scholar 

  15. Todo S, Ueda Y, Demetris AJ et al. Immunosuppression of canine, monkey, and baboon allografts by FK506 with special reference to synergism with other drugs and tolerance induction. Surgery. 1988;104:239–40.

    PubMed  CAS  Google Scholar 

  16. Todo S, Demetris A, Ueda Y et al. Renal transplantation in baboon under FK 506. Surgery. 1989;106:444–51.

    PubMed  CAS  Google Scholar 

  17. Zeevi, Duquesnoy RJ, Eiras G et al. Immunosuppressive effect of FR-900506 on in vitro lymphocyte alloactivation: synergism with cyclosporine A. Transplant Proc. 1987;19(Suppl. 6):40–4.

    PubMed  CAS  Google Scholar 

  18. Warty V, Diven W, Cadoff E et al. FK506: a novel immunosuppressive agent: characteristics of binding and uptake by human lymphocytes. Transplantation. 1988;46:453–5.

    Article  PubMed  CAS  Google Scholar 

  19. Starzl TE, Todo S, Fung J et al. FK506 for human liver, kidney and pancreas transplantation. Lancet. 1989;2:1000–4.

    Article  PubMed  CAS  Google Scholar 

  20. Todo S, Fung JJ, Starzl TE et al. Liver, kidney, and thoracic organ transplantation under FK506. Ann Surg. 1990;212:295–305.

    Article  PubMed  CAS  Google Scholar 

  21. Starzl TE, Fung J, Jordan M et al. Kidney transplantation under FK506. J Am Med Assoc. 1990;264:63–7.

    Article  CAS  Google Scholar 

  22. Armitage JM, Flicker FJ, del Nido P, Cipriani L, Starzl TE. The clinical trial of FK 506 as primary and rescue immunosuppression in pediatric cardiac transplantation. Transplant Proc. 1991;23:3058–60.

    PubMed  CAS  Google Scholar 

  23. Armitage JM, Kormos RL, Fung J, Starzl TE. The clinical trial of FK 506 as primary and rescue immunosuppression in adult cardiac transplantation. Transplant Proc. 1991;23:3054–7.

    PubMed  CAS  Google Scholar 

  24. Fung J, Abu-Elmagd K, Jain A et al. A randomized trial of primary liver transplantation under immunosuppression with FK 506 vs cyclosporine. Transplant Proc. 1991;23:2977–83.

    PubMed  CAS  Google Scholar 

  25. Japanese FK 506 Study Group: Clinicopathological evaluation of kidney transplants in patients given a fixed dose of FK 506. Transplant Proc. 1991;23:3111–15.

    Google Scholar 

  26. U.S. Multicenter FK 506 Liver Study Group. A comparison of tacrolimus (FK 506) and cyclosporine for immunosuppression in liver transplantation. N Engl J Med. 1994;331:1110–15.

    Article  Google Scholar 

  27. European FK 506 Multicenter Liver Study Group. Randomized trial comparing tacrolimus (FK506) and cyclosporine in prevention of liver allograft rejection. Lancet. 1994;344:423–8.

    Article  Google Scholar 

  28. Schreiber SL. Chemistry and biology of the immunophilins and their immunosuppressive ligands. Science. 1991;251:283–7.

    Article  PubMed  CAS  Google Scholar 

  29. Liu J, Farmer JD Jr., Lane WS et al. Calcineurin is a common target of cyclosporine A and FKBP-FK506 complexes. Cell. 1991;66:807–15.

    Article  PubMed  CAS  Google Scholar 

  30. Schreiber SL, Liu J, Albers MW et al. Immunophilin-ligand complexes as probes of intracellular signalling pathways. Transplant Proc. 1991:23:2839–44.

    PubMed  CAS  Google Scholar 

  31. Sigal NH, Dumont FJ, Cyclosporine A, FK 506, and rapamycin: pharmacologic probes of lymphocyte signal transduction. Annu Rev Immunol. 1992;10:519–60.

    PubMed  CAS  Google Scholar 

  32. Morris R. Modes of action of FK506, cyclosporine A, and rapamycin. Transplant Proc. 1994;26:3272–5.

    PubMed  CAS  Google Scholar 

  33. Flanagan WF, Corthesy B, Bram RJ, Crabtree GR. Nuclear association of a T-cell transcription factor blocked by FK-506 and cyclosporine A. Nature. 1991;352:803–7.

    Article  PubMed  CAS  Google Scholar 

  34. Venkataramanan R, Jain A, Warty VS et al. Pharmacokinetics of FK 506 in transplant patients. Transplant Proc. 1991;23:2736–40.

    PubMed  CAS  Google Scholar 

  35. Sewing KF. Pharmacokinetics, dosing principles, and blood level monitoring of FK506. Transplant Proc. 1994;26:3267–9.

    PubMed  CAS  Google Scholar 

  36. Todo S, Fung JJ, Tzakis A et al. One hundred and ten consecutive primary orthotopic liver transplants under FK 506 in adults. Transplant Proc. 1991;23:1397–402.

    PubMed  CAS  Google Scholar 

  37. Tamaura K, Kobayashi M, Hashimoto K et al. A highly sensitive method to assay FK506 levels in plasma. Transplant Proc. 1987;19:23.

    Google Scholar 

  38. Grenier FC, Luczkiw J, Bergmann M et al. A whole blood FK506 assay for the IMx analyzer. Transplant Proc. 1991;23:2748–9.

    PubMed  CAS  Google Scholar 

  39. Abu-Elmagd KM, Fung J, Draviam R et al. Four hour versus 24 hour intravenous infusion of FK 506 in liver transplantation. Transplant Proc. 1991;23:2767–70.

    PubMed  CAS  Google Scholar 

  40. Griffith BP, Bando K, Hardesty RL et al. A prospective randomized trial of FK 506 versus cyclosporine after human pulmonary transplantation. Transplantation. 1994;57:848–51.

    Article  PubMed  CAS  Google Scholar 

  41. Jain AB, Fung J, Todo S el al. One thousand consecutive primary orthotopic liver transplants under FK 506: survival and adverse events. Transplant Proc. 1995;27:1099–1104.

    PubMed  CAS  Google Scholar 

  42. U.S. Multicenter Liver Study Group. Comparing nephrotoxicity of FK 506 and cyclosporine regimens after liver transplantation: preliminary results from U.S. Multicenter Trial. Transplant Proc. 1995;27:1114–16.

    Google Scholar 

  43. Eidelman BH, Abu-Elmagd K, Wilson J et al. Neurological complications of FK506. Transplant Proc. 1991;23:3175–8.

    PubMed  CAS  Google Scholar 

  44. Reyes J, Gayowski T, Fung J et al. Expressive dysphagia possibly related to FK506 in two liver transplant recipients. Transplantation. 1990;50:1043–5.

    Article  PubMed  CAS  Google Scholar 

  45. U.S. Multicentcr FK 506 Liver Study Group. Use of Prograf (FK 506) as rescue therapy for refractory rejection after liver transplantation. Transplant Proc. 1993;25:679–88.

    Google Scholar 

  46. Annitage JM, Fricker FJ, del Nido P et al. A decade (1982–1992) of pediatric cardiac transplantation and the impact of FK 506 immunosuppression. J Thorac Cardiovasc Surg. 1993;105:464–72.

    Google Scholar 

  47. Armitage JM, Kormos RL, Morita S et al. Clinical trial of FK 506 immuno-suppression in adult cardiac transplantation. Ann Thorac Surg. 1992;54:205–10.

    Article  PubMed  CAS  Google Scholar 

  48. Pham SM, Kormos RL, Hattler BG. A prospective trial of tacrolimus (FK506) in clinical heart transplantation: intermediate term results. J Thorac Cardiovasc Surg. 1996;111(4):764–72.

    Article  PubMed  CAS  Google Scholar 

  49. Bolman RM, Elick B, Olivari MT, Ring WS, Arentzen CE. Improved immunosuppression for cardiac transplantation. J Heart Transplant. 1985;4:315–18.

    PubMed  Google Scholar 

  50. Keenan RJ, Konishi H, Paradis I et al. A clinical trial of tacrolimus versus cyclosporine in lung transplantation. Ann Thorac Surg. 1995;60.580–5.

    Article  PubMed  CAS  Google Scholar 

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© 1996 Kluwer Academic Publishers

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Gammie, J.S., Pham, S.M. (1996). Tacrolimus (FK506) in Thoracic Organ Transplantation. In: Cooper, D.K.C., Miller, L.W., Patterson, G.A. (eds) The Transplantation and Replacement of Thoracic Organs. Springer, Dordrecht. https://doi.org/10.1007/978-0-585-34287-0_10

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  • DOI: https://doi.org/10.1007/978-0-585-34287-0_10

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