Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria Streptomyces hygroscopicus, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive a...
Sirolimus is indicated for the prophylaxis of organ rejection in patients aged 13 years or older receiving renal transplants. In patients at low-to moderate-immunologic risk, it is recommended that sirolimus be used initially in a regimen with cyclosporine and corticosteroids; cyclosporine should be withdrawn two to four months after transplantation. In pati...
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States
Mayo Clinic, Rochester, Minnesota, United States
Mayo Clinic, Rochester, Minnesota, United States
Philip Clements, MD, Los Angeles, California, United States
University of California, San Francisco, San Francisco, California, United States
Children's Hospital, Philadelphia, Philadelphia, Pennsylvania, United States
Children's Hospital, Boston, Boston, Massachusetts, United States
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