Improved Fetal Hemoglobin With mTOR Inhibitor-Based Immunosuppression in a Kidney Transplant Recipient With Sickle Cell Disease

Am J Transplant. 2017 Aug;17(8):2212-2214. doi: 10.1111/ajt.14263. Epub 2017 Mar 30.

Abstract

Fetal hemoglobin induction is a key point in the management of sickle cell disease (SCD). We report the case of a kidney transplant recipient with SCD who was treated with everolimus, a mammalian target of rapamycin inhibitor. At 10 months after initiating therapy, the patient's fetal hemoglobin level was dramatically increased (from 4.8% to 15%) and there was excellent tolerance to treatment.

Keywords: anemia; clinical research/practice; everolimus; immunosuppressant; kidney disease; kidney transplantation/nephrology; mechanistic target of rapamycin.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anemia, Sickle Cell / surgery*
  • Everolimus / therapeutic use*
  • Fetal Hemoglobin / metabolism*
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Kidney Transplantation*
  • Male
  • Prognosis
  • TOR Serine-Threonine Kinases / antagonists & inhibitors*
  • Transplant Recipients*

Substances

  • Immunosuppressive Agents
  • Fetal Hemoglobin
  • Everolimus
  • MTOR protein, human
  • TOR Serine-Threonine Kinases