Effects of tacrolimus on ischemia-reperfusion injury

Shawn D. St. Peter, Adyr A. Moss, David C. Mulligan

Research output: Contribution to journalReview article

32 Scopus citations


In addition to efficacious immunosuppression for the benefit of organ transplantation, tacrolimus has diverse actions that result in amelioration of ischemia-reperfusion injury. Knowledge is accumulating rapidly on the mechanisms through which tacrolimus exerts these cytoprotective effects, including alterations in microcirculation, free radical metabolism, calcium-activated pathways, inflammatory cascades, mitochondrial stability, apoptosis, stress-response proteins, and tissue recovery. Within the nucleus, actions mediating the effects of tacrolimus appear to be dominantly influenced by interactions with the transcription factor, nuclear factor-κB. Because tacrolimus is a cornerstone agent in immunosuppression regimens throughout the world and knowledge of its cellular mechanisms is evolving, it is important to update the clinical literature with this information. We reviewed the published literature with intent to portray the interactions of tacrolimus in the intricate cellular mechanisms initiated by ischemia and reperfusion.

Original languageEnglish (US)
Pages (from-to)105-116
Number of pages12
JournalLiver Transplantation
Issue number2
StatePublished - Feb 1 2003


ASJC Scopus subject areas

  • Surgery
  • Hepatology
  • Transplantation

Cite this

St. Peter, S. D., Moss, A. A., & Mulligan, D. C. (2003). Effects of tacrolimus on ischemia-reperfusion injury. Liver Transplantation, 9(2), 105-116. https://doi.org/10.1053/jlts.2003.50020