RT Dissertation/Thesis T1 Development of luminescent techniques for the enhanced detection of immunosuppressants A1 Salis, Francesca K1 immunosuppressants K1 fluorescent labels K1 nanoparticles AB Immunosuppressants (ISs) are drugs used after an organ transplantation to prevent its rejection by inhibiting the body´s inmunological response. In transplanted patients, one of the most critical aspects is the correct dosage of ISs, which are characterized by narrow therapeutic window. At present, therapeutic drug monitoring (TDM) in post-transplanted patients is a standard practice and it consists in the measurement of the total drug plasma level measured just before the next dose by use of analytical techniques such as HPLC or LC-MS. However, recent clinical studies indicate that the free fraction (unbound to proteins) of ISs, which represents only 1-3% of the administered dose, reflects better the toxic or insufficient drug levels. Its clinical determination requires very low limits of detection. Alternative analytical methods such as fluorescence-based immunoassays (FIAs) are being developed for TDM. Some advantages of FIAs are their rapidity, low instrumental cost and high sensitivity. YR 2018 FD 2018 LK http://hdl.handle.net/10347/18030 UL http://hdl.handle.net/10347/18030 LA eng DS Minerva RD 22 abr 2026