Tremor and neurotoxicity of tacrolimus and other immunosuppressant treatments in kidney transplanted patients

Starting date
January 15, 2018
Duration (months)
Neurosciences, Biomedicine and Movement Sciences
Managers or local contacts
Tinazzi Michele

Although the introduction of Tacrolimus (TAC) in the immunosuppressive management of transplantation represented a step forward for the prophylaxis of rejection, it associates with several neurological side effects including tremor. Despite previous works mentioned such complication, there are no systematic studies on this and the mechanisms thereby tremor occurs remain unclear, hampering rational therapeutic approaches. Development of tremor in such patients has clear functional implications and aggravates indirect costs related to lost productivity. Our aims are: 1) to define the frequency and characteristics of tremor in transplanted patients on different immunosuppressant regimens, including TAC; 2) to investigate tremor mechanisms, testing the hypotheses of whether TAC-associated tremor generates centrally or relates to peripheral factors; and 3) to address whether tremor relates to impaired levels of certain neuroprotective cytokines that are modulated by calcineurin inhibitors (Bechstein Transpl Int. 2000, Walker et. al., Neurol. Clin. 1988, Ghamdi et. al., Kidney Dis. Transplant 1999)


Funds: assigned and managed by the department

Project participants

Michele Tinazzi
Full Professor
Research areas involved in the project


Research facilities