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Pregnancy & Renal Transplantation
Pregnancy & Renal Transplantation

... mg/dl had rise in Cr) Women w/ Cr > 3.0 mg/dl have menstrual abnormalities & have much lower chance of conception & carrying fetus to term ...
Dr. Weems`s PowerPoint slides
Dr. Weems`s PowerPoint slides

... induction plus either low-dose cyclosporine or lowdose sirolimus or standard-dose cyclosporine without induction, combined use of daclizumab, MMF, and corticosteroids plus low-dose tacrolimus was advantageous for renal function, allograft survival, and acute rejection rates. ...
Issues in Anesthesia for the Post
Issues in Anesthesia for the Post

... Sirolimus (Rapamune) is neither a calcineurin inhibitor like CSA nor an antimetabolite like azathioprine. It has a distinct cellular target referred to as the mammalian target of rapamycin or mTOR. It inhibits cell cycle progression but is specific, reversible and noncytotoxic. In patients with ren ...
An Update on Immunosuppressive Medications in Transplantation
An Update on Immunosuppressive Medications in Transplantation

... Mycophenolate mofetil has been developed as a replacement for azathioprine for maintenance immunosuppression. It acts by inhibiting inosine monophosphate dehydrogenase, a key enzyme in the de novo purine synthesis pathway, thereby limiting the proliferation of B and T lymphocytes. Three large multic ...
Newer Immunosuppressive Drugs: A Review
Newer Immunosuppressive Drugs: A Review

... acute rejection in cadaveric renal transplantation. A total of 491 patients was enrolled in this multicenter trial with three treatment arms (placebo, MMF 2 g/d, and MMF 3 g/d). This study showed that MMF significantly reduced the rate of biopsy-proven rejection or other treatment failure during the ...
Question
Question

... Current clinical situation Concurrent immunosuppression ...
immunosuppressive drugs after solid organ transplantation
immunosuppressive drugs after solid organ transplantation

... signal initiated by binding of IL-2 to its IL-2 receptor. This signal targets the mTOR complex, which has a key role in the regulation of various processes in the cell affecting cell growth and division. 41 In addition to immunosuppressive properties, mTOR inhibitors also have antiproliferative prop ...
Are post-transplant lymphomas inevitable?
Are post-transplant lymphomas inevitable?

... increase in RA seen when the macula densa is perfused with high NaCl [3]. Also, NO plays complex roles in control of JGA renin release [1-3] and the physiological relationship between NO and renin has not yet been defined. NO also influences sodium excretion and may play a physiological role in cont ...
of control - Dr. Falk Pharma GmbH
of control - Dr. Falk Pharma GmbH

... %ERFP-LC3 positive puncta ...
Immunosuppressants analysis by means of HPLC
Immunosuppressants analysis by means of HPLC

... body‘s rejection of transplanted tissue or organs through the molecular manipulation of the human immune response, thus making a vital contribution to the success of such transplants. In most cases a combination of different immunosuppressive drugs is administered which interrupts the signal cascade ...
lung transplant manual - UCSF | Department of Medicine
lung transplant manual - UCSF | Department of Medicine

... Renal Insufficiency: CrCl 10-50 ml/min, ↓ dose 25% CrCl < 10 ml/min, ↓ dose 50% ...
Document
Document

... Maintenance immunosuppression refers to the classic combination therapy (known clinically as Triple Therapy) to which transplant recipients usually adhere for the rest of their lives. The combination includes: ...
Patient Case - Vanderbilt University Medical Center
Patient Case - Vanderbilt University Medical Center

... – Verapamil fallen out of favor due to ADEs ...


... obliterative bronchiolitis, such as the use of aerosolized cyclosporine, methotrexate, total lymphoid irradiation and phototherapy, are discussed. Finally an immunosuppressive regimen, using these new drugs in lung transplantation is suggested. Eur Respir J 1997; 10: 2630–2637. ...
Pharmaceuticals utilized in stem cell transplant
Pharmaceuticals utilized in stem cell transplant

... agents such as cyclosporine, tacrolimus Gastrointestinal: diarrhea, nausea Headache Hematologic (leukopenia, anemia, thrombocytopenia) ...
Case Report - Thalidomide and hyperkalemia
Case Report - Thalidomide and hyperkalemia

...  Introduction to mTOR inhibitors  mTOR signaling pathway  mTOR inhibitors and transplant  mTOR inhibitors and cancer  Current development of mTOR inhibitors  Conclusion ...
Induction and Maintenance Therapy
Induction and Maintenance Therapy

... The balance of dosages can be altered to enhance efficacy of immunosuppression, but the most effective combination of prescriptions is unique for each individual. As with inductive therapy, the goal of maintenance immunotherapy is to find a balance between “underimmunosuppression” (which results in ...
Heart Transplant Tutoring
Heart Transplant Tutoring

... Potential for right sided HF in the old heart ...
Chemotherapy Review 2002
Chemotherapy Review 2002

... EKG/echocardiogram (cardiomyopathy) 2 years after completing therapy then every 1-5 years depending on treatment ...
Mechanism of action
Mechanism of action

... (Neoral) as initial immunosuppressive therapy, with any combination of additional immunosuppressive treatments in the intervention and control arms. • It excluded trials in which participants received another solid organ in addition to a kidney transplant (such as kidney with pancreas). ...
Dyslipemia are not associated with m-TOR, raptor or - HAL
Dyslipemia are not associated with m-TOR, raptor or - HAL

... The m-TOR inhibitor sirolimus is an immunosuppressive drug used in kidney transplantation. m-TOR binds with Raptor and phosphorylates p70S6 kinase, a protein involved in numerous cell signalling pathways. We investigated the association of candidate polymorphisms in m-TOR, Raptor and p70S6K, sirolim ...
Immunosuppressants_team2011-09
Immunosuppressants_team2011-09

... The potion is a solution of IgG anti-D (antiRhD) antibodies that bind to, and lead to the destruction of, fetal Rh D positive red blood cells that have passed from the fetal circulation to the maternal circulation. Therefore, Rho in a Rhesus negative mother it can prevent sensitization of the matern ...
Maintenance ImmunosuppressionMScFinal6_10_2014
Maintenance ImmunosuppressionMScFinal6_10_2014

...  Cold ischemia time greater than 24 hours  Delayed graft function  Afro- American ethnicity ...
ppt
ppt

... synthesis of interleukins (eg, IL-2) by activated T cells. ...
Clinical Rx Forum Volume 3 Issue 2
Clinical Rx Forum Volume 3 Issue 2

< 1 2 >

Sirolimus



Sirolimus (also known as rapamycin) is a chemical that was discovered by Suren Sehgal, as a product of bacteria discovered on Easter Island (the island is also known as Rapa Nui). It was approved by the US Food and Drug Administration in September 1999 and is marketed under the trade name Rapamune by Pfizer (formerly by Wyeth).Sirolimus was originally developed as an antifungal agent. However, this use was abandoned when it was discovered to have potent immunosuppressive and antiproliferative properties. It has since been shown to prolong the life of mice and might also be useful in the treatment of certain cancers.
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