Page last updated: 2024-10-23

azathioprine and Heart Diseases

azathioprine has been researched along with Heart Diseases in 21 studies

Azathioprine: An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed)
azathioprine : A thiopurine that is 6-mercaptopurine in which the mercapto hydrogen is replaced by a 1-methyl-4-nitroimidazol-5-yl group. It is a prodrug for mercaptopurine and is used as an immunosuppressant, prescribed for the treatment of inflammatory conditions and after organ transplantation and also for treatment of Crohn's didease and MS.

Heart Diseases: Pathological conditions involving the HEART including its structural and functional abnormalities.

Research Excerpts

ExcerptRelevanceReference
"The purpose of the study was to compare mitotic activity in the basal cell layer of normal human gingiva and in nifedipine- and immunosuppressive medication-induced gingival overgrowth."7.71Mitotic activity of keratinocytes in nifedipine- and immunosuppressive medication-induced gingival overgrowth. ( Knuuttila, ML; Nurmenniemi, PK; Pernu, HE, 2001)
" Combined immunosuppressive therapy with prednisone and cyclophosphamide might be needed to treat recurrent thrombosis due to Behçet disease."3.80Recurrent right atrial thrombosis due to Behçet disease. ( Fukuda, K; Kuno, T; Kuwana, M; Murata, M; Ono, T; Satoh, T; Tamura, Y, 2014)
"Eighty-five patients with Wegener's granulomatosis were studied for 21 years at the National Institutes of Health."3.75Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years. ( Fauci, AS; Haynes, BF; Katz, P; Wolff, SM, 1983)
"The purpose of the study was to compare mitotic activity in the basal cell layer of normal human gingiva and in nifedipine- and immunosuppressive medication-induced gingival overgrowth."3.71Mitotic activity of keratinocytes in nifedipine- and immunosuppressive medication-induced gingival overgrowth. ( Knuuttila, ML; Nurmenniemi, PK; Pernu, HE, 2001)
" However, optimal cyclosporine exposure can now be achieved through monitoring of cyclosporine levels 2 hours after dosing (C(2) monitoring)."2.42Optimizing the immunosuppressive regimen in heart transplantation. ( Eisen, H; Ross, H, 2004)
"The prevalence of hyperlipidemia in adolescents and young adults who are long-term survivors of pediatric renal transplantation with stable graft function has not previously been examined."1.29Hyperlipidemia in long-term survivors of pediatric renal transplantation. ( Hunninghake, DB; Kashtan, CE; Matas, AJ; Myers, TA; Sharma, AK, 1994)
" The ability to induce "shock protein" synthesis obviously seems to be restricted to toxic drugs."1.28A cell culture assay for the detection of cardiotoxicity. ( Löw-Friedrich, I; Schoeppe, W; von Bredow, F, 1991)
"Forty-nine patients with systemic lupus erythematosus (SLE) during childhood and adolescence presenting over a period of 17 years were followed during treatment with prednisone and azathioprine."1.26Systemic lupus erythematosus within the first two decades of life. ( Blau, EB; Burke, BA; Fish, AJ; Michael, AF; Vernier, RL; Westberg, NG, 1977)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-199010 (47.62)18.7374
1990's3 (14.29)18.2507
2000's5 (23.81)29.6817
2010's3 (14.29)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Kuno, T1
Tamura, Y1
Ono, T1
Murata, M1
Kuwana, M1
Satoh, T1
Fukuda, K1
Lisitsyna, T1
Alekberova, Z1
Ovcharov, P1
Volkov, A1
Korsakova, J1
Nasonov, E1
Baumgart, DC1
Eisen, H1
Ross, H1
David, KM1
Morris, JA1
Steffen, BJ1
Chi-Burris, KS1
Gotz, VP1
Gordon, RD1
Lawson, C1
Holder, AL1
Stanford, RE1
Smith, J1
Rose, ML1
Fauci, AS2
Haynes, BF1
Katz, P1
Wolff, SM2
Wishnick, MM1
Valensi, Q1
Doyle, EF1
Balian, A1
Genieser, NB1
Chrousos, G1
Sharma, AK1
Myers, TA1
Hunninghake, DB1
Matas, AJ1
Kashtan, CE1
Sartori, TM1
Maurizio, PG1
Sara, P1
Ugolino, L1
Annalisa, A1
Panagiotis, T1
Massimo, F1
Antonio, G1
Nurmenniemi, PK1
Pernu, HE1
Knuuttila, ML1
Sgrosso, JL1
Ferrer, J1
Araujo, G1
Romeo, L1
Parisi, C1
Vázquez, MC1
McGeown, MG1
Douglas, JF1
Brown, WA1
Donaldson, RA1
Kennedy, JA1
Loughridge, WG1
Mehta, S1
Hill, CM1
Fish, AJ1
Blau, EB1
Westberg, NG1
Burke, BA1
Vernier, RL1
Michael, AF1
Barnard, CN1
Löw-Friedrich, I1
von Bredow, F1
Schoeppe, W1
Goetz, FC1
Elick, B1
Fryd, D1
Sutherland, DE1
Myers, BD1
Horn, RG1
Dale, DC1
Schulz, HJ1
Reitzig, P1
Lisewski, G1
Dietze, F1
Cooley, DA1
Bloodwell, RD1
Hallman, GL1
Leachman, RD1
Nora, JJ1
Milam, JD1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase I/II Trial of TNFR:Fc (Etanercept) in Patients With Wegener's Granulomatosis[NCT00001901]Phase 260 participants Interventional1999-02-28Completed
Randomized Conversion of Calcineurin-Inhibitors(Tacrolimus to Sirolimus),6-24 Months Post Transplant Prednisone-Free Immunosuppression Regimen: Impact of Incidence of Acute Cellular Rejection,Renal Allograft Function & Lymphocytes Function[NCT00866879]Phase 4275 participants (Actual)Interventional2007-06-30Completed
Genetic Predisposition of Chronic Nephrotoxicity From Calcineurin Inhibitors in Liver Transplant Recipients, Potential Correlation With Urinary Biomarkers[NCT00857844]207 participants (Actual)Observational2007-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Incidence of Acute Cellular Rejection

The primary purpose of this research study is to evaluate whether the use of mycophenolate mofetil/Cellcept ® and either tacrolimus/Prograf ® (Group #1) or mycophenolate mofetil/Cellcept ® and sirolimus/Rapamune® (Group #2) impacts the incidence of acute cellular rejection in post-kidney transplant patients. This study will examine whether switching from tacrolimus to sirolimus will better preserve long-term kidney function. (NCT00866879)
Timeframe: Assessed at 6 Months, 12 Months, 24 Months, months 24 reported

InterventionParticipants (Count of Participants)
Control7
Transition to Sirolimus Group31

Percentage of Regulatory T Cells

"Specifically we reported here the percentage of regulatory T cells that were present in the two groups at 24 months post randomization.~With peripheral leukocytes taken at baseline (first visit) prior to randomization and at 6, 12 and 24 Months post-randomization, researchers will also review possible modifications of lymphocytes function and of the lymphocytes subpopulations that might have occurred as a consequence of the switch from tacrolimus to sirolimus (randomization)." (NCT00866879)
Timeframe: Assessed at 6 Months, 12 Months, 24 Months, months 24 reported

Intervention% of Treg Cells (Mean)
Control75
Transition to Sirolimus Group98

Renal Allograft Function Calculated With e-GFR and Proteinuria

Evaluate whether CI conversion (tacrolimus→sirolimus) contributes positively or negatively on the renal allograft function calculated with e-GFR and proteinuria (NCT00866879)
Timeframe: Assessed at 6 Months, 12 Months, 24 Months, months 24 reported

InterventionmL/min (Mean)
Control57.6
Transition to Sirolimus Group58.4

Evaluate if CI Conversion Impacts on Lipid Profile, Incidence of Hypertension, Malignancies, and Opportunistic Infections and Post-transplant DM

In addition to monitoring renal allograft function, evaluation will be conducted on the incidence of acute rejection, patient and graft survival, the impact of CI conversion on the lipid profile, the incidence of hypertension, malignancies, opportunistic infections and post-transplant DM (de novo diabetes mellitus). (NCT00866879)
Timeframe: Assessed at 6 Months, 12 Months, 24 Months, months 24 reported

,
Interventionnumber of incidents (Number)
InfectionsMalignanciesProteinuraHyperlipidemiaNODATBK viremiaBK nephropathyNeutropenia
Control334129315122
Transition to Sirolimus Group8396119228535

Patient and Graft Survival

This study also reviews the impact of the immunosuppressive medications on patient and graft survival. (NCT00866879)
Timeframe: Assessed at 6 Months, 12 Months, 24 Months, months 24 reported

,
Interventionnumber of incidents (Number)
Kidney transplant lossPatient death
Control43
Transition to Sirolimus Group1210

Reviews

5 reviews available for azathioprine and Heart Diseases

ArticleYear
Left ventricular intracardiac thrombus in a patient with Behçet disease successfully treated with immunosuppressive agents without anticoagulation: a case report and review of the literature.
    Rheumatology international, 2015, Volume: 35, Issue:11

    Topics: Adrenal Cortex Hormones; Anticoagulants; Azathioprine; Behcet Syndrome; Drug Therapy, Combination; H

2015
Optimizing the immunosuppressive regimen in heart transplantation.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2004, Volume: 23, Issue:5 Suppl

    Topics: Adrenal Cortex Hormones; Azathioprine; Calcineurin Inhibitors; Cyclosporine; Dose-Response Relations

2004
Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years.
    Annals of internal medicine, 1983, Volume: 98, Issue:1

    Topics: Adolescent; Adult; Aged; Azathioprine; Clinical Trials as Topic; Cyclophosphamide; Drug Administrati

1983
Renal transplantation in diabetes.
    Clinics in endocrinology and metabolism, 1986, Volume: 15, Issue:4

    Topics: Adolescent; Adult; Age Factors; Azathioprine; Child; Costs and Cost Analysis; Diabetes Mellitus; Dia

1986
Cyclosporine nephrotoxicity.
    Kidney international, 1986, Volume: 30, Issue:6

    Topics: Acute Kidney Injury; Adult; Azathioprine; Creatine; Cyclosporins; Glomerular Filtration Rate; Glomer

1986
Cyclosporine nephrotoxicity.
    Kidney international, 1986, Volume: 30, Issue:6

    Topics: Acute Kidney Injury; Adult; Azathioprine; Creatine; Cyclosporins; Glomerular Filtration Rate; Glomer

1986
Cyclosporine nephrotoxicity.
    Kidney international, 1986, Volume: 30, Issue:6

    Topics: Acute Kidney Injury; Adult; Azathioprine; Creatine; Cyclosporins; Glomerular Filtration Rate; Glomer

1986
Cyclosporine nephrotoxicity.
    Kidney international, 1986, Volume: 30, Issue:6

    Topics: Acute Kidney Injury; Adult; Azathioprine; Creatine; Cyclosporins; Glomerular Filtration Rate; Glomer

1986

Trials

1 trial available for azathioprine and Heart Diseases

ArticleYear
Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years.
    Annals of internal medicine, 1983, Volume: 98, Issue:1

    Topics: Adolescent; Adult; Aged; Azathioprine; Clinical Trials as Topic; Cyclophosphamide; Drug Administrati

1983

Other Studies

16 other studies available for azathioprine and Heart Diseases

ArticleYear
Recurrent right atrial thrombosis due to Behçet disease.
    The Canadian journal of cardiology, 2014, Volume: 30, Issue:10

    Topics: Anticoagulants; Azathioprine; Behcet Syndrome; Disease Progression; Heart Atria; Heart Diseases; Hum

2014
How many lives does an ulcerative colitis patient have?
    Lancet (London, England), 2010, Sep-11, Volume: 376, Issue:9744

    Topics: Abscess; Adrenal Cortex Hormones; Adult; Antibodies, Monoclonal; Aortic Valve Insufficiency; Atriove

2010
Mycophenolate mofetil vs. azathioprine is associated with decreased acute rejection, late acute rejection, and risk for cardiovascular death in renal transplant recipients with pre-transplant diabetes.
    Clinical transplantation, 2005, Volume: 19, Issue:2

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Azathioprine; Black People; Cause of Death; Diabetes Com

2005
Anti-intercellular adhesion molecule-1 antibodies in sera of heart transplant recipients: a role in endothelial cell activation.
    Transplantation, 2005, Jul-27, Volume: 80, Issue:2

    Topics: Adult; Animals; Antibody Formation; Azathioprine; Base Sequence; CHO Cells; Cricetinae; DNA Primers;

2005
Churg-Strauss syndrome. Development of cardiomyopathy during corticosteroid treatment.
    American journal of diseases of children (1960), 1982, Volume: 136, Issue:4

    Topics: Adolescent; Asthma; Azathioprine; Cardiomyopathies; Cyclophosphamide; Granuloma; Heart Diseases; Hum

1982
Hyperlipidemia in long-term survivors of pediatric renal transplantation.
    Clinical transplantation, 1994, Volume: 8, Issue:3 Pt 1

    Topics: Adolescent; Adult; Azathioprine; Child; Child, Preschool; Cholesterol; Cholesterol, HDL; Cohort Stud

1994
Relation between long-term steroid treatment after heart transplantation, hypofibrinolysis and myocardial microthrombi generation.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 1999, Volume: 18, Issue:7

    Topics: Azathioprine; Biopsy; Coronary Artery Disease; Cyclosporine; Drug Therapy, Combination; Female; Fibr

1999
Mitotic activity of keratinocytes in nifedipine- and immunosuppressive medication-induced gingival overgrowth.
    Journal of periodontology, 2001, Volume: 72, Issue:2

    Topics: Adult; Aged; Azathioprine; Calcium Channel Blockers; Cell Count; Cyclosporine; Epithelial Cells; Epi

2001
Histopathological findings in heart transplant patients under tacrolimus-mycophenolate mofetil versus cyclosporine microemulsion-azathioprine.
    Transplantation proceedings, 2002, Volume: 34, Issue:1

    Topics: Adolescent; Adult; Azathioprine; Cyclosporine; Drug Therapy, Combination; Female; Graft Rejection; H

2002
Low dose steroid from the day following renal transplantation.
    Proceedings of the European Dialysis and Transplant Association. European Dialysis and Transplant Association, 1979, Volume: 16

    Topics: Adolescent; Adult; Aged; Azathioprine; Central Nervous System Diseases; Child; Colonic Neoplasms; Do

1979
Systemic lupus erythematosus within the first two decades of life.
    The American journal of medicine, 1977, Volume: 62, Issue:1

    Topics: Adolescent; Azathioprine; Central Nervous System Diseases; Child; Child, Preschool; Female; Follow-U

1977
The present status of heart transplantation.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1975, Feb-15, Volume: 49, Issue:7

    Topics: Adult; Antilymphocyte Serum; Azathioprine; Coronary Disease; Echocardiography; Electrocardiography;

1975
A cell culture assay for the detection of cardiotoxicity.
    Journal of pharmacological methods, 1991, Volume: 25, Issue:2

    Topics: Animals; Autoradiography; Azathioprine; Cells, Cultured; Cyclosporins; Electrophoresis, Polyacrylami

1991
Wegener's granulomatosis.
    Annals of internal medicine, 1974, Volume: 81, Issue:4

    Topics: Adolescent; Adult; Aged; Azathioprine; Child; Child, Preschool; Cyclophosphamide; Diagnosis, Differe

1974
[Malabsorption syndrome and intestinal pseudoobstruction in primary vascular and heart amyloidosis].
    Deutsche Zeitschrift fur Verdauungs- und Stoffwechselkrankheiten, 1973, Volume: 33, Issue:4

    Topics: Adult; Amyloidosis; Antibody Formation; Antigen-Antibody Complex; Azathioprine; Chloramphenicol; Cys

1973
Cardiac transplantation: general considerations and results.
    Annals of surgery, 1969, Volume: 169, Issue:6

    Topics: Antilymphocyte Serum; Azathioprine; Brain Diseases; Child, Preschool; Electrocardiography; Female; H

1969