Operational tolerance: Past lessons and future prospects
Josh Levitsky – 14 January 2011 – Every liver transplant (LT) center has had patients who either self‐discontinue immunosuppressive (IS) therapy or are deliberately withdrawn due to a research protocol or clinical concern (ie, lymphoproliferative disorder [LPD], overwhelming infection). This is understandable because maintenance IS therapy, particularly calcineurin inhibitors (CNI), is associated with significant cost, side effects, and considerable long‐term morbidity and mortality.