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recommended that sirolimus be used initially in a regimen with cyclosporine and corticosteroids; cyclosporine should be withdrawn two to four months after transplantation.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...
Peking University International Hospital, Beijing, Beijing, China
Radboudumc, HECOVAN workgroup, Nijmegen, Gelderland, Netherlands
National Institutes of Health Clinical Center, Bethesda, Maryland, United States
University of Pittsburgh Cancer Institute (UPCI), Pittsburgh, Pennsylvania, United States
Moffitt Cancer Center, Tampa, Florida, United States
Fred Hutch/University of Washington Cancer Consortium, Seattle, Washington, United States
National Institutes of Health Clinical Center, Bethesda, Maryland, United States
Peking Union Medical College Hospital, Beijing, Beijing, China
Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
University of Pennsylvania, Philadelphia, Pennsylvania, United States
University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
National Institutes of Health Clinical Center, Bethesda, Maryland, United States
OHSU Knight Cancer Institute, Portland, Oregon, United States
Peking union medical college hospital, Beijing, China
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