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Sirolimus

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1771: 1014:, as this disease is likely to recur in the transplanted kidney if a calcineurin-inhibitor is used. However, on 7 October 2008, the FDA approved safety labeling revisions for sirolimus to warn of the risk for decreased renal function associated with its use. In 2009, the FDA notified healthcare professionals that a clinical trial conducted by Wyeth showed an increased mortality in stable liver transplant patients after switching from a calcineurin inhibitor-based immunosuppressive regimen to sirolimus. A 2019 cohort study of nearly 10,000 lung transplant recipients in the US demonstrated significantly improved long-term survival using sirolimus + tacrolimus instead of mycophenolate mofetil + tacrolimus for immunosuppressive therapy starting at one year after transplant. 687: 664: 1991: 51: 1810: 1823: 1148:
malformations in recent years, sirolimus has emerged as a new medical treatment option for both vascular tumors and vascular malformations, as a mammalian target of rapamycin (mTOR), capable of integrating signals from the PI3K/AKT pathway to coordinate proper cell growth and proliferation. Hence, sirolimus is ideal for "proliferative" vascular tumors through the control of tissue overgrowth disorders caused by inappropriate activation of the PI3K/AKT/mTOR pathway as an antiproliferative agent.
753: 1791: 1686: 2121:, increased elderly patients' immune response on an intermittent dose. This led to many in the anti-aging community self-experimenting with the compound. However, because of the different biochemical properties of Sirolimus the dosing is potentially very different than everolimus. Ultimately, due to known side effects of sirolimus, as well as inadequate evidence for optimal dosing, more research is required before sirolimus could be widely prescribed for this purpose. 42: 1165:
after using the drug. The reports involved a total of 84 patients, and improvement was observed in 94% of subjects, especially if treatment began during the early stages of the disease. Sirolimus treatment was applied in several different formulations (ointment, gel, solution, and cream), ranging from 0.003 to 1% concentrations. Reported adverse effects included one case of perioral dermatitis, one case of cephalea, and four cases of irritation.
2244:. In this application, rapamycin is added to cells expressing two fusion constructs, one of which contains the rapamycin-binding FRB domain from mTOR and the other of which contains an FKBP domain. Each fusion protein also contains additional domains that are brought into proximity when rapamycin induces binding of FRB and FKBP. In this way, rapamycin can be used to control and study protein localization and interactions. 9958: 805:
InChI=1S/C51H79NO13/c1-30-16-12-11-13-17-31(2)42(61-8)28-38-21-19-36(7)51(60,65-38)48(57)49(58)52-23-15-14-18-39(52)50(59)64-43(33(4)26-37-20-22-40(53)44(27-37)62-9)29-41(54)32(3)25-35(6)46(56)47(63-10)45(55)34(5)24-30/h11-13,16-17,25,30,32-34,36-40,42-44,46-47,53,56,60H,14-15,18-24,26-29H2,1-10H3/b13-11+,16-12+,31-17+,35-25+/t30-,32-,33-,34-,36-,37+,38+,39+,40-,42+,43+,44-,46-,47+,51-/m1/s1
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right dose for their condition. This is determined by taking a blood sample before the next dose, which gives the trough level. However, good correlation is noted between trough concentration levels and drug exposure, known as area under the concentration-time curve, for both sirolimus (SRL) and tacrolimus (TAC) (SRL: r2 = 0.83; TAC: r2 = 0.82), so only one level need be taken to know its
2216:, or cystic hygroma, is an abnormal growth of lymphatic vessels that usually affects children around the head and neck. Treatment often consists of to removal of the tissue, but the rate of recurrence is high. Sirolimus has shown evidence of being helpful in alleviating symptoms and reducing the size of the malformation. 2112:
of various diseases of aging. Sirolimus was first shown to extend lifespan in wild-type mice in a study published by NIH investigators in 2009; the studies have been replicated in mice of many different genetic backgrounds. A study published in 2020 found late-life sirolimus dosing schedules enhanced
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complex (TSC). Facial angiofibromas occur in 80% of patients with TSC, and the condition is very disfiguring. A retrospective review of English-language medical publications reporting on topical sirolimus treatment of facial angiofibromas found sixteen separate studies with positive patient outcomes
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mouse lifespan in a sex-specific manner where limited rapamycin exposure enhanced male lifespan but not female, providing evidence for sex differences in sirolimus response. The results are further supported by the finding that genetically modified mice with impaired mTORC1 signalling live longer.
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it, thereby introducing the diversity of functionalities observed in rapamycin (figure 1). Once the linear polyketide is complete, L-pipecolic acid, which is synthesized by a lysine cycloamidase from an L-lysine, is added to the terminal end of the polyketide by an NRPS. Then, the NSPS cyclizes the
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of rapamycin are organized into three multienzymes, RapA, RapB, and RapC, which contain a total of 14 modules (figure 1). The three multienzymes are organized such that the first four modules of polyketide chain elongation are in RapA, the following six modules for continued elongation are in RapB,
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are possible side effects of sirolimus; therefore, some transplant centers prefer not to use it immediately after the transplant operation, but instead administer it only after a period of weeks or months. Its optimal role in immunosuppression has not yet been determined, and it remains the subject
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to prevent restenosis in coronary arteries following balloon angioplasty. The sirolimus is formulated in a polymer coating that affords controlled release through the healing period following coronary intervention. Several large clinical studies have demonstrated lower restenosis rates in patients
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The bioavailabiliy of sirolimus is low, and the absorption of sirolimus into the blood stream from the intestine varies widely between patients, with some patients having up to eight times more exposure than others for the same dose. Drug levels are, therefore, taken to make sure patients get the
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mTOR has also been called FRAP (FKBP-rapamycin-associated protein), RAFT (rapamycin and FKBP target), RAPT1, or SEP. The earlier names FRAP and RAFT were coined to reflect the fact that sirolimus must bind FKBP12 first, and only the FKBP12-sirolimus complex can bind mTOR. However, mTOR is now the
1834:, prerapamycin (figure 2), is then modified (figure 3) by an additional five enzymes, which lead to the final product, rapamycin. First, the core macrocycle is modified by RapI, SAM-dependent O-methyltransferase (MTase), which O-methylates at C39. Next, a carbonyl is installed at C9 by RapJ, a 2006:
The antiproliferative effects of sirolimus may have a role in treating cancer. When dosed appropriately, sirolimus can enhance the immune response to tumor targeting or otherwise promote tumor regression in clinical trials. Sirolimus seems to lower the cancer risk in some transplant patients.
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The most common adverse reactions (≥20% occurrence, leading to an 11% treatment discontinuation rate) observed with sirolimus in clinical studies for the treatment of lymphangioleiomyomatosis are: peripheral edema, hypercholesterolemia, abdominal pain, headache, nausea, diarrhea, chest pain,
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Sirolimus is used to treat vascular malformations. Treatment with sirolimus can decrease pain and the fullness of vascular malformations, improve coagulation levels, and slow the growth of abnormal lymphatic vessels. Sirolimus is a relatively new medical therapy for the treatment of vascular
2089:(TSC), a congenital disorder that predisposes those afflicted to benign tumor growth in the brain, heart, kidneys, skin, and other organs. After several studies conclusively linked mTOR inhibitors to remission in TSC tumors, specifically subependymal giant-cell astrocytomas in children and 1438:, which results in diabetes-like symptoms. This includes decreased glucose tolerance and insensitivity to insulin. Sirolimus treatment may additionally increase the risk of type 2 diabetes. In mouse studies, these symptoms can be avoided through the use of alternate dosing regimens or 1936:
have been identified to code for enzymes that have a positive regulatory role in the preparation of rapamycin through the control of rapamycin PKS gene expression. Biosynthesis of this 31-membered macrocycle begins as the loading domain is primed with the starter unit,
2232:. While contrasted results were obtained in clinical trials, pre-clinical studies have shown that Rapamycin can mitigate GVHD by increasing the proliferation of regulatory T cells, inhibiting cytotoxic T cells and lowering the differentiation of effector T cells. 4489:
Aparicio JF, Molnár I, Schwecke T, König A, Haydock SF, Khaw LE, et al. (February 1996). "Organization of the biosynthetic gene cluster for rapamycin in Streptomyces hygroscopicus: analysis of the enzymatic domains in the modular polyketide synthase".
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Gregory MA, Gaisser S, Lill RE, Hong H, Sheridan RM, Wilkinson B, et al. (May 2004). "Isolation and characterization of pre-rapamycin, the first macrocyclic intermediate in the biosynthesis of the immunosuppressant rapamycin by S. hygroscopicus".
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Sirolimus has potential for widespread use as a longevity-promoting drug, with evidence pointing to its ability to prevent age-associated decline of cognitive and physical health. In 2014, researchers at Novartis showed a related compound,
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When applied as a topical preparation, researchers showed that rapamycin can regenerate collagen and reverse clinical signs of aging in elderly patients. The concentrations are far lower than those used to treat angiofibromas.
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The most common adverse reactions (≥30% occurrence, leading to a 5% treatment discontinuation rate) observed with sirolimus in clinical studies of organ rejection prophylaxis in individuals with kidney transplants include:
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Errasti P, Izquierdo D, Martín P, Errasti M, Slon F, Romero A, et al. (October 2010). "Pneumonitis associated with mammalian target of rapamycin inhibitors in renal transplant recipients: a single-center experience".
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monooxygenases (P-450). Then, RapM, another MTase, O-methylates at C16. Finally, RapN, another P-450, installs a hydroxyl at C27 immediately followed by O-methylation by Rap Q, a distinct MTase, at C27 to yield rapamycin.
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McAlister VC, Mahalati K, Peltekian KM, Fraser A, MacDonald AS (June 2002). "A clinical pharmacokinetic study of tacrolimus and sirolimus combination immunosuppression comparing simultaneous to separated administration".
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In the EU, sirolimus, as Rapamune, is indicated for the prophylaxis of organ rejection in adults at low to moderate immunological risk receiving a renal transplant and, as Hyftor, is indicated for the treatment of facial
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Balestri R, Neri I, Patrizi A, Angileri L, Ricci L, Magnano M (January 2015). "Analysis of current data on the use of topical rapamycin in the treatment of facial angiofibromas in tuberous sclerosis complex".
1777: 1673:(PK) profile. PK profiles of SRL and of TAC are unaltered by simultaneous administration. Dose-corrected drug exposure of TAC correlates with SRL (r2 = 0.8), so patients have similar bioavailability of both. 2108:, specifically mTORC1, was first shown to be important in aging in 2003, in a study on worms; sirolimus was shown to inhibit and slow aging in worms, yeast, and flies, and then to improve the condition of 1077:
group in 89 patients for 12 months. The patients were observed for 12 months after the treatment had ended. The most commonly reported side effects of sirolimus treatment of LAM were mouth and lip ulcers,
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are decreased, which suggests an immunosuppressive response. The duration of the inhibition and the exact extent to which mTORC1 and mTORC2 are inhibited play a role, but are not yet well understood.
1046:(LAM), a rare, progressive lung disease that primarily affects women of childbearing age. This made sirolimus the first drug approved to treat this disease. LAM involves lung tissue infiltration with 1470: 3793:
Das BB, Shoemaker L, Subramanian S, Johnsrude C, Recto M, Austin EH (March 2007). "Acute sirolimus pulmonary toxicity in an infant heart transplant recipient: case report and literature review".
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Sun SY, Rosenberg LM, Wang X, Zhou Z, Yue P, Fu H, et al. (August 2005). "Activation of Akt and eIF4E survival pathways by rapamycin-mediated mammalian target of rapamycin inhibition".
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Delgado JF, Torres J, José Ruiz-Cano M, Sánchez V, Escribano P, Borruel S, et al. (September 2006). "Sirolimus-associated interstitial pneumonitis in 3 heart transplant recipients".
1653:. It has linear pharmacokinetics. In studies on N=6 and N=36 subjects, peak concentration was obtained in 1.3 hours +/r- 0.5 hours and the terminal elimination was slow, with a 3369: 2905:"Aadi Bioscience Announces FDA Approval of its First Product Fyarro for Patients with Locally Advanced Unresectable or Metastatic Malignant Perivascular Epithelioid Cell Tumor (PEComa)" 2097:(Novartis's RAD001) to TSC patients off-label. Numerous clinical trials using both rapamycin analogs, involving both children and adults with TSC, are underway in the United States. 134: 3164: 3020: 8947: 5838: 9892: 5686:"Rapamycin inhibits the generation of graft-versus-host disease- and graft-versus-leukemia-causing T cells by interfering with the production of Th1 or Th1 cytotoxic cytokines" 5894: 1764:
is modified by the NRPS, RapP, which attaches L-pipecolate to the terminal end of the polyketide, and then cyclizes the molecule, yielding the unbound product, prerapamycin.
5135: 1589:, but it has a similar suppressive effect on the immune system. Sirolimus inhibits IL-2 and other cytokine receptor-dependent signal transduction mechanisms, via action on 7516: 2419: 2389: 2352: 4205:
Leung LY, Lim HK, Abell MW, Zimmerman JJ (February 2006). "Pharmacokinetics and metabolic disposition of sirolimus in healthy male volunteers after a single oral dose".
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that identified FKBP12, Tor1, and Tor2 as the targets of sirolimus and provided robust support that the FKBP12-sirolimus complex binds to and inhibits Tor1 and Tor2.
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Wendel HG, De Stanchina E, Fridman JS, Malina A, Ray S, Kogan S, et al. (March 2004). "Survival signalling by Akt and eIF4E in oncogenesis and cancer therapy".
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Mannick JB, Del Giudice G, Lattanzi M, Valiante NM, Praestgaard J, Huang B, et al. (December 2014). "mTOR inhibition improves immune function in the elderly".
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McWilliams TJ, Levvey BJ, Russell PA, Milne DG, Snell GI (February 2003). "Interstitial pneumonitis associated with sirolimus: a dilemma for lung transplantation".
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treated with sirolimus-eluting stents when compared to bare-metal stents, resulting in fewer repeat procedures. A sirolimus-eluting coronary stent was marketed by
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Rivera VM, Clackson T, Natesan S, Pollock R, Amara JF, Keenan T, et al. (September 1996). "A humanized system for pharmacologic control of gene expression".
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and that inhibiting mTOR with rapamycin may be a disease-modifying treatment. As of 2016 rapamycin had been tested in small clinical trials in people with lupus.
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Gatto GJ, Boyne MT, Kelleher NL, Walsh CT (March 2006). "Biosynthesis of pipecolic acid by RapL, a lysine cyclodeaminase encoded in the rapamycin gene cluster".
2762: 9173: 1616:(FKBP12) in a manner similar to tacrolimus. Unlike the tacrolimus-FKBP12 complex, which inhibits calcineurin (PP2B), the sirolimus-FKBP12 complex inhibits the 3898:
Aparicio G, Calvo MB, Medina V, Fernández O, Jiménez P, Lema M, et al. (August 2009). "Comprehensive lung injury pathology induced by mTOR inhibitors".
193: 8940: 9153: 3673: 3044:"Survival Associated With Sirolimus Plus Tacrolimus Maintenance Without Induction Therapy Compared With Standard Immunosuppression After Lung Transplant" 1006:
is its low toxicity toward kidneys. Transplant patients maintained on calcineurin inhibitors long-term tend to develop impaired kidney function or even
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Gregory MA, Hong H, Lill RE, Gaisser S, Petkovic H, Low L, et al. (October 2006). "Rapamycin biosynthesis: Elucidation of gene product function".
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Geeurickx M, Labarque V (September 2021). "A narrative review of the role of sirolimus in the treatment of congenital vascular malformations".
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The following adverse effects occurred in 3–20% of individuals taking sirolimus for organ rejection prophylaxis following a kidney transplant:
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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There have been warnings about the use of sirolimus in transplants, where it may increase mortality due to an increased risk of infections.
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A diverse and severe set of negative side effects likely preclude the wide-scale use of rapamycin and its analogs as a prolongevity agent.
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Chhajed PN, Dickenmann M, Bubendorf L, Mayr M, Steiger J, Tamm M (2006). "Patterns of pulmonary complications associated with sirolimus".
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Sirolimus (Fyarro), as protein-bound particles, is indicated for the treatment of adults with locally advanced unresectable or metastatic
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Ferron GM, Mishina EV, Zimmerman JJ, Jusko WJ (April 1997). "Population pharmacokinetics of sirolimus in kidney transplant patients".
2619:"Rapamycin (AY-22,989), a new antifungal antibiotic. I. Taxonomy of the producing streptomycete and isolation of the active principle" 9602: 9208: 9123: 5635:"New perspectives on the use of mTOR inhibitors in allogeneic haematopoietic stem cell transplantation and graft-versus-host disease" 918:. The compound was originally named rapamycin after the native name of the island, Rapa Nui. Sirolimus was initially developed as an 1620:(mammalian Target Of Rapamycin, rapamycin being another name for sirolimus) pathway by directly binding to mTOR Complex 1 (mTORC1). 9264: 6990: 5886: 5127: 3646:"Sirolimus-induced pneumonitis complicated by pentamidine-induced phospholipidosis in a renal transplant recipient: a case report" 1531:
Individuals taking sirolimus are at increased risk of experiencing impaired or delayed wound healing, particularly if they have a
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polyketide, giving prerapamycin, the first enzyme-free product. The macrocyclic core is then customized by a series of post-PKS
5735:"Comprehensive analysis of the immunomodulatory effects of rapamycin on human T cells in graft-versus-host disease prophylaxis" 2557: 2984: 2945: 1928:
have been identified as coding for tailoring enzymes that modify the macrocyclic core to give rapamycin (figure 3). Finally,
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Benjamin D, Colombi M, Moroni C, Hall MN (October 2011). "Rapamycin passes the torch: a new generation of mTOR inhibitors".
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pathway. The interstitial pneumonitis is not dose-dependent, but is more common in patients with underlying lung disease.
1010:; this can be avoided by using sirolimus instead. It is particularly advantageous in patients with kidney transplants for 4114:
Heitman J, Movva NR, Hall MN (August 1991). "Targets for cell cycle arrest by the immunosuppressant rapamycin in yeast".
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widely accepted name, since Tor was first discovered via genetic and molecular studies of sirolimus-resistant mutants of
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ring of the starting unit is reduced during the transfer to module 1. The starting unit is then modified by a series of
10003: 8622: 4939:"Efficacy and safety of mTOR inhibitors (rapamycin and its analogues) for tuberous sclerosis complex: a meta-analysis" 2754: 10013: 6933: 6303: 2133: 1226: 1083: 822: 797: 130: 117: 5448:"Rapamycin: A Bacteria-Derived Immunosuppressant That Has Anti-atherosclerotic Effects and Its Clinical Application" 2193:, thereby lowering the risk of atherosclerosis. Oxidized LDL cholesterol is a major contributor to atherosclerosis. 8967: 8042: 7568: 6067: 9742: 7342: 4527:"Regulating mammalian target of rapamycin to tune vaccination-induced CD8(+) T cell responses for tumor immunity" 2241: 1801: 1744: 1059: 872: 361: 253: 81: 5839:"Study to assess healthy aging in dogs: the Dog Aging Project and Test of Rapamycin in Aging Dogs (TRIAD study)" 4419:
Graziani EI (May 2009). "Recent advances in the chemistry, biosynthesis and pharmacology of rapamycin analogs".
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Pritchard DI (May 2005). "Sourcing a chemical succession for cyclosporin from parasites and human pathogens".
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O1CC(C1OC)C(C)4CC(=O)(C)/C=C(\C)(O)(OC)C(=O)(C)C(C)\C=C\C=C\C=C(/C)(OC)C2CC(C)(O)(O2)C(=O)C(=O)N3CCCC3C(=O)O4
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As of 2016, studies in cells, animals, and humans have suggested that mTOR activation as process underlying
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Shuchman M (November 2006). "Trading restenosis for thrombosis? New questions about drug-eluting stents".
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Morelon E, Stern M, Israël-Biet D, Correas JM, Danel C, Mamzer-Bruneel MF, et al. (September 2001).
2289:"FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)" 2034:. However, these drugs have a higher rate of fatal adverse events in cancer patients than control drugs. 1511:. In studies, the skin cancer risk under sirolimus was lower than under other immunosuppressants such as 643: 7494: 5537:"Activation of the Mechanistic Target of Rapamycin in SLE: Explosion of Evidence in the Last Five Years" 3951:
Paris A, Goupil F, Kernaonet E, Foulet-Rogé A, Molinier O, Gagnadoux F, et al. (January 2012). "".
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Due to its immunosuppressant activity, Rapamycin has been assessed as prophylaxis or treatment agent of
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Filippone EJ, Carson JM, Beckford RA, Jaffe BC, Newman E, Awsare BK, et al. (September 2011).
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encode for three extremely large and complex multienzymes, RapA, RapB, and RapC, respectively. The
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agent. However, this use was abandoned when it was discovered to have potent immunosuppressive and
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Arriola Apelo SI, Neuman JC, Baar EL, Syed FA, Cummings NE, Brar HK, et al. (February 2016).
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The safety of LAM treatment by sirolimus in people younger than 18 years old has not been tested.
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in mice. Akt signalling promotes cell survival in Akt-positive lymphomas and acts to prevent the
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A plaque, written in Portuguese, commemorating the discovery of sirolimus on Easter Island, near
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Figure 4: Proposed mechanism of lysine cyclodeaminase conversion of L-lysine to L-pipecolic acid
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Triana P, Dore M, Cerezo VN, Cervantes M, Sánchez AV, Ferrero MM, et al. (February 2017).
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around 60 hours +/- 10 hours. Sirolimus was not found to effect the concentration of
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Chung CL, Lawrence I, Hoffman M, Elgindi D, Nadhan K, Potnis M, et al. (December 2019).
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Wijesinha M, Hirshon JM, Terrin M, Magder L, Brown C, Stafford K, et al. (August 2019).
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responsible for rapamycin synthesis have been identified. As expected, three extremely large
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Freixo C, Ferreira V, Martins J, Almeida R, Caldeira D, Rosa M, et al. (January 2020).
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5402: 5244: 4824: 4302: 4123: 3407: 2479: 2069:. Sirolimus blocks Akt signalling and the cells lose their resistance to the chemotherapy. 2050: 2031: 1954: 1946: 1392: 1337: 1186: 1182: 1132: 1047: 544: 459: 330: 182: 9254: 4701: 4653:"A new role for sirolimus: regression of Kaposi's sarcoma in kidney-transplant recipients" 4525:
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Euvrard S, Morelon E, Rostaing L, Goffin E, Brocard A, Tromme I, et al. (July 2012).
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Figure 3: Sequence of "tailoring" steps, which convert unbound prerapamycin into rapamycin
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for "A Phase 2 Study of ABI-009 in Patients With Advanced Malignant PEComa (AMPECT)" at
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14% (oral solution), lower with high-fat meals; 18% (tablet), higher with high-fat meals
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4183: 3876: 3713: 3696: 2848: 2592: 10008: 9577: 9284: 7995: 7338: 7328: 6129: 6087: 6021: 5996: 5984: 5941: 5809: 5778: 5766: 5707: 5666: 5615: 5586:"Efficacy of sirolimus in children with lymphatic malformations of the head and neck" 5566: 5514: 5479: 5428: 5368: 5319: 5270: 5186: 5174: 5109: 5057: 4989: 4970: 4840: 4797: 4748: 4686: 4674: 4634: 4630: 4591: 4556: 4507: 4503: 4471: 4436: 4401: 4366: 4330: 4325: 4258: 4254: 4222: 4187: 4139: 4096: 4045: 4009: 3968: 3925: 3880: 3845: 3810: 3760: 3718: 3665: 3618: 3613: 3596: 3569: 3531: 3482: 3433: 3335: 3299: 3258: 3217: 3146: 3075: 2980: 2941: 2852: 2817: 2735: 2640: 2596: 2579:
Simamora P, Alvarez JM, Yalkowsky SH (February 2001). "Solubilization of rapamycin".
2174: 2162: 1938: 1901: 923: 864: 615: 5821: 5719: 4923: 4603: 4270: 3937: 3730: 3630: 3581: 2549: 1990: 484: 9988: 9862: 9582: 9464: 9394: 9279: 9269: 9183: 9033: 7835: 7677: 7672: 7134: 7037: 6700: 6596: 6013: 5974: 5953: 5933: 5801: 5756: 5746: 5697: 5656: 5646: 5605: 5597: 5556: 5548: 5506: 5469: 5459: 5418: 5410: 5358: 5350: 5309: 5301: 5260: 5252: 5166: 5099: 5091: 5047: 5039: 4960: 4950: 4909: 4852: 4832: 4787: 4779: 4740: 4664: 4626: 4583: 4546: 4538: 4499: 4463: 4428: 4393: 4358: 4320: 4310: 4250: 4214: 4179: 4151: 4131: 4086: 4076: 4037: 3999: 3960: 3915: 3907: 3872: 3837: 3802: 3708: 3657: 3608: 3561: 3521: 3513: 3472: 3464: 3423: 3415: 3347: 3327: 3289: 3248: 3207: 3138: 3065: 3055: 2844: 2807: 2797: 2725: 2715: 2630: 2588: 2066: 1835: 1439: 1297: 1210: 1178: 1128: 1095: 1030: 764: 699: 290: 226: 216: 206: 6042: 4744: 2786:"Rapamycin and mTOR: a serendipitous discovery and implications for breast cancer" 9962: 9539: 9434: 9314: 7433: 7318: 5702: 5685: 5391:"Rapamycin as a potential repurpose drug candidate for the treatment of COVID-19" 5170: 3841: 3806: 3453:"Sirolimus is associated with new-onset diabetes in kidney transplant recipients" 2974: 2935: 2090: 1717: 1670: 1576: 1532: 1352: 1222: 1139:. However, this kind of stent may also increase the risk of vascular thrombosis. 1122:
The antiproliferative effect of sirolimus has also been used in conjunction with
1029:, to provide steroid-free immunosuppression regimens. Impaired wound healing and 993: 955: 927: 852: 318: 298: 2511:"Immunosuppression With Sirolimus After Solid Organ Transplantation in Children" 2510: 1780:
Figure 1: Domain organization of PKS of rapamycin and biosynthetic intermediates
50: 9887: 9807: 9677: 9534: 9389: 9354: 9013: 8772: 8670: 8618: 8216: 7529: 7323: 7191: 6839: 6673: 6652: 6648: 6644: 6272: 6109: 6017: 5601: 5510: 5354: 5032:
The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
4295:
Proceedings of the National Academy of Sciences of the United States of America
2635: 2618: 2260: 2213: 2166: 2129: 2125: 2015: 1882: 1646: 1558:; hence, inhibitors of either protein may increase sirolimus concentrations in 1551: 1404: 1273: 1265: 1123: 1070: 1007: 848: 5979: 5962: 5552: 5414: 4955: 4291:"The biosynthetic gene cluster for the polyketide immunosuppressant rapamycin" 3964: 3911: 3253: 3236: 3212: 3195: 2093:
in adults, many US doctors began prescribing sirolimus (Wyeth's Rapamune) and
1822: 9972: 9827: 9702: 9587: 9549: 9444: 9409: 9344: 9143: 9103: 9003: 8829: 8719: 8681: 8658: 8590: 8585: 8575: 8351: 8347: 8335: 8142: 7925: 7890: 7710: 7690: 7473: 7403: 7313: 7220: 7006: 6706: 6628: 6580: 6560: 6418: 6334: 6185: 6151: 5464: 5447: 5128:"Late-Life Rapamycin Regimens Extend Mouse Lifespan in a Sex-Specific Manner" 4678: 4542: 4004: 3987: 2137: 1461: 1261: 1168:
In April 2022, sirolimus was approved by the FDA for treating angiofibromas.
1063: 915: 884: 675: 268: 5043: 4315: 4290: 4135: 3419: 2704:"A comprehensive review of immunosuppression used for liver transplantation" 1809: 867:
functions in humans and is especially useful in preventing the rejection of
9912: 9882: 9857: 9812: 9757: 9752: 9737: 9732: 9722: 9717: 9642: 9544: 9524: 9509: 9504: 9499: 9484: 9379: 9369: 9198: 9138: 9073: 9068: 9063: 9058: 9038: 9028: 8869: 8854: 8824: 8804: 8686: 8634: 8595: 8483: 8462: 8369: 8331: 8232: 8207: 8203: 8087: 8052: 8005: 7990: 7945: 7820: 7790: 7715: 7533: 7483: 7443: 7428: 7423: 7139: 7089: 7084: 7064: 6944: 6939: 6802: 6787: 6735: 6711: 6658: 6535: 6525: 6344: 6261: 6256: 6214: 6167: 6124: 6091: 6025: 5988: 5945: 5770: 5670: 5619: 5570: 5518: 5483: 5432: 5372: 5323: 5274: 5178: 5113: 5061: 4974: 4937:
Li M, Zhou Y, Chen C, Yang T, Zhou S, Chen S, et al. (February 2019).
4844: 4801: 4783: 4752: 4638: 4595: 4587: 4560: 4475: 4440: 4405: 4370: 4362: 4262: 4226: 4100: 4049: 4013: 3972: 3929: 3884: 3849: 3814: 3764: 3722: 3669: 3622: 3573: 3535: 3486: 3468: 3437: 3339: 3303: 3294: 3277: 3262: 3221: 3150: 3079: 2856: 2821: 2802: 2739: 2665: 2600: 2058: 2019: 1958: 1957:(ACP) and extend the polyketide by two carbons each. After each successive 1757: 1748: 1736: 1559: 1512: 1447: 1408: 1190: 1157: 1136: 1069:
The safety and efficacy of sirolimus treatment of LAM were investigated in
977: 935: 231: 221: 211: 201: 5813: 5711: 4511: 4334: 4191: 4143: 4081: 4065:"Sirolimus and secondary skin-cancer prevention in kidney transplantation" 4064: 3746:"Sirolimus-induced interstitial pneumonitis in a renal transplant patient" 2720: 2703: 2644: 1601:. Ciclosporin and tacrolimus inhibit the secretion of IL-2, by inhibiting 1458:
Lung toxicity is a serious complication associated with sirolimus therapy,
33: 9897: 9867: 9847: 9797: 9672: 9667: 9652: 9622: 9449: 9404: 9364: 9359: 9309: 9304: 9289: 9128: 9088: 8993: 8899: 8879: 8874: 8864: 8844: 8819: 8814: 8797: 8745: 8735: 8730: 8725: 8627: 8554: 8524: 8519: 8514: 8498: 8488: 8468: 8343: 8339: 8327: 8323: 8252: 8156: 8102: 8097: 8062: 8000: 7985: 7975: 7970: 7965: 7960: 7940: 7905: 7860: 7840: 7830: 7785: 7750: 7730: 7686: 7649: 7637: 7632: 7594: 7578: 7524: 7478: 7418: 7408: 7398: 7298: 7288: 7278: 7273: 7238: 7149: 7144: 7119: 7109: 7099: 7074: 7059: 7054: 7012: 6982: 6968: 6963: 6949: 6892: 6850: 6845: 6831: 6826: 6812: 6792: 6745: 6721: 6679: 6663: 6634: 6618: 6586: 6570: 6565: 6540: 6490: 6480: 6475: 6470: 6459: 6449: 6354: 6266: 6224: 6209: 6203: 6199: 6146: 5028:"Rapamycin: An InhibiTOR of Aging Emerges From the Soil of Easter Island" 2190: 2109: 2062: 2042: 1975: 1942: 1892:, which is embedded between the PKS genes and translationally coupled to 1721: 1658: 1650: 1602: 1555: 1504: 1416: 1365: 1341: 1309: 1290: 1102: 1087: 951: 5805: 5256: 4836: 4669: 4652: 3142: 1790: 1685: 1475:  especially in the case of lung transplants. The mechanism of the 504: 9877: 9837: 9782: 9772: 9712: 9697: 9682: 9662: 9637: 9632: 9612: 9607: 9564: 9554: 9519: 9494: 9474: 9439: 9418: 9374: 9349: 9133: 9098: 9083: 9078: 9047: 9008: 8988: 8914: 8909: 8884: 8849: 8834: 8809: 8792: 8782: 8740: 8711: 8676: 8642: 8559: 8549: 8529: 8493: 8478: 8473: 8443: 8377: 8373: 8355: 8303: 8282: 8242: 8237: 8176: 8107: 8082: 8057: 7980: 7915: 7875: 7870: 7850: 7845: 7825: 7815: 7805: 7720: 7700: 7682: 7590: 7468: 7463: 7448: 7388: 7378: 7363: 7358: 7353: 7303: 7293: 7283: 7248: 7226: 7212: 7124: 7114: 7104: 7094: 7079: 7022: 7017: 6996: 6911: 6906: 6864: 6858: 6759: 6716: 6612: 6602: 6555: 6545: 6520: 6515: 6505: 6500: 6495: 6485: 6444: 6429: 6424: 6408: 6349: 6329: 6278: 6238: 6219: 6161: 5761: 5683: 5095: 4617:
Law BK (October 2005). "Rapamycin: an anti-cancer immunosuppressant?".
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Dekeuleneer V, Seront E, Van Damme A, Boon LM, Vikkula M (April 2020).
2345:"Rapamune- sirolimus solution Rapamune- sirolimus tablet, sugar coated" 2118: 2094: 2023: 1937:
4,5-dihydroxocyclohex-1-ene-carboxylic acid, which is derived from the
1831: 1761: 1752: 1582: 1443: 1412: 1399: 1326: 1302: 1257: 1218: 1206: 1194: 1082:, abdominal pain, nausea, sore throat, acne, chest pain, leg swelling, 1022: 895: 729: 515: 6082: 5751: 5734: 5684:
Blazar BR, Taylor PA, Panoskaltsis-Mortari A, Vallera DA (June 1998).
5651: 5634: 4467: 4284: 4282: 4280: 3920: 3565: 3389: 3387: 3362:"FDA Approves Nobelpharma's Topical Treatment for Facial Angiofibroma" 3331: 41: 9792: 9787: 9777: 9762: 9747: 9692: 9647: 9617: 9479: 9459: 9384: 9324: 9319: 9188: 9118: 9108: 9053: 8904: 8894: 8889: 8859: 8839: 8787: 8777: 8765: 8760: 8706: 8701: 8647: 8580: 8453: 8448: 8433: 8428: 8423: 8413: 8408: 8403: 8308: 8298: 8277: 8272: 8267: 8262: 8257: 8247: 8227: 8191: 8186: 8181: 8171: 8166: 8133: 8128: 8123: 8092: 8072: 8067: 7910: 7900: 7725: 7573: 7458: 7453: 7438: 7413: 7368: 7348: 7308: 7243: 7207: 7129: 6925: 6878: 6807: 6773: 6740: 6550: 6530: 6439: 6179: 4432: 4397: 2264: 2054: 1979: 1966: 1374: 1370: 1313: 966: 934:(FDA) in September 1999. Hyftor was approved for treatment of facial 844: 470: 343: 5937: 5305: 4914: 4897: 9707: 9687: 9657: 9529: 9489: 9339: 9329: 9203: 8654: 8418: 8222: 8161: 8117: 8077: 8047: 7800: 7664: 7660: 7585: 7393: 7268: 6957: 6465: 6375: 6311: 6233: 4277: 3384: 1995: 1508: 1384: 1358: 1345: 1079: 902: 564: 495: 112: 5156: 4574:
Easton JB, Houghton PJ (October 2006). "mTOR and cancer therapy".
3827: 2382:"Fyarro- sirolimus injection, powder, lyophilized, for suspension" 1507:
from exposure to sunlight or UV radiation, and risk of developing
1185:, abdominal pain, headache, nausea, diarrhea, pain, constipation, 752: 631: 9917: 9902: 9832: 9294: 9018: 7758: 6886: 1971: 1950: 1724: 1609: 1520: 1230: 1101:
While sirolimus was considered for treatment of LAM, it received
880: 876: 4239: 3792: 2169:
seen in very serious cases of COVID-19. Moreover, inhibition of
1090:. Serious side effects including hypersensitivity and swelling ( 7201: 7032: 4814: 3950: 1897: 1885:(figure 4) for incorporation at the end of the polyketide. The 1878: 1874: 1662: 1642: 1639: 1598: 1594: 1547: 1544: 1435: 1431: 1253: 1202: 1062:
signaling pathway, resulting in the release of lymphangiogenic
868: 595: 3594: 3551: 3320:
Journal of the European Academy of Dermatology and Venereology
3193: 3100:"FDA approves Rapamune to treat LAM, a very rare lung disease" 2073:-positive lymphomas were completely resistant to the therapy; 99: 8638: 8364: 8198: 8147: 7627: 6900: 6753: 5887:"Dog aging project - TRIAD (Test of Rapamycin in Aging Dogs)" 4026: 2074: 2070: 1962: 1870: 1843: 1091: 910:
and was isolated for the first time in 1972, from samples of
743: 575: 323: 5960: 5791: 5535:
Oaks Z, Winans T, Huang N, Banki K, Perl A (December 2016).
5287: 5230: 4062: 3897: 3862: 3643: 3041: 2669: 1503:
Sirolimus may increase an individual's risk for contracting
648: 8753: 8539: 8037: 7763: 7745: 7735: 7695: 7563: 6872: 6820: 6781: 6767: 6321: 6195: 6006:
Journal of Vascular Surgery. Venous and Lymphatic Disorders
5336: 5233:"mTOR is a key modulator of ageing and age-related disease" 4488: 4288: 4169: 3499: 3393: 3316: 2105: 1886: 1863: 1613: 1590: 1484: 1483:
inhibitors is unclear, and may have nothing to do with the
1480: 1055: 1017:
Sirolimus can also be used alone, or in conjunction with a
555: 8955: 5077: 1900:, an NPRS responsible for incorporating L-pipecolic acid, 6729: 5923: 5231:
Johnson SC, Rabinovitch PS, Kaeberlein M (January 2013).
3275: 2871:"Drug Approval Package: Rapamune (Sirolimus) NDA# 021083" 2296: 2268: 2132:
decreases, which suggests an immunostimulatory response,
2124:
Sirolimus has complex effects on the immune system—while
2046: 2010:
Sirolimus was shown to inhibit the progression of dermal
1490: 1434:
appears to mediate the drug's benefits, it also inhibits
8968: 5867:
Washington State University Veterinary Teaching Hospital
4524: 2578: 1696: with: content on this topic from . You can help by 875:(mTOR) kinase inhibitor that reduces the sensitivity of 5288:
Weichhart T, Hengstschläger M, Linke M (October 2015).
4453: 3985: 3450: 1760:
of the linear polyketide are in RapC. Then, the linear
5732: 4383: 4347: 4204: 3554:
Respiration; International Review of Thoracic Diseases
3451:
Johnston O, Rose CL, Webster AC, Gill JS (July 2008).
2937:
Drug Discovery: Practices, Processes, and Perspectives
2752: 2240:
Rapamycin is used in biology research as an agent for
2077:-expressing lymphomas are not sensitive to sirolimus. 2026:(RAD001), are being tested for use in cancers such as 1953:
or methylmalonyl substrates, which are attached to an
9946: 3694: 2339: 2337: 2335: 2333: 987: 5891:
Iowa State University College of Veterinary Medicine
5843:
University of Georgia College of Veterinary Medicine
5583: 5534: 5025: 4730: 4165: 4163: 4161: 2616: 2331: 2329: 2327: 2325: 2323: 2321: 2319: 2317: 2315: 2313: 1904:
and cyclization of prerapamycin. In addition, genes
1105:
designation status because LAM is a rare condition.
5290:"Regulation of innate immune cell function by mTOR" 5202:"Can a Kidney Transplant Drug Keep You From Aging?" 2544: 2542: 2540: 2281: 2235: 4867:"Combination therapy drives cancer into remission" 3278:"Sirolimus in the Treatment of Vascular Anomalies" 3237:"Sirolimus in the treatment of vascular anomalies" 2701: 2376: 2374: 2372: 2370: 1739:of the rapamycin core is accomplished by a type I 1156:Sirolimus has been used as a topical treatment of 6003: 4158: 2976:Nanotechnology in Medicine: Emerging Applications 2697: 2695: 2693: 2691: 2689: 2687: 2556:. National Center for Biotechnology Information. 2310: 1535:in excess of 30 kg/m (classified as obese). 1042:In May 2015, the FDA approved sirolimus to treat 9970: 4889: 4412: 4113: 3196:"Theranostic Advances in Vascular Malformations" 2753:Qari S, Walters P, Lechtenberg S (21 May 2021). 2617:Vézina C, Kudelski A, Sehgal SN (October 1975). 2537: 1086:, headache, dizziness, muscle pain and elevated 483: 5388: 5384: 5382: 5021: 5019: 5017: 5015: 4377: 2828: 2439: 2437: 2404: 2367: 2159:severe acute respiratory syndrome coronavirus 2 2157:Rapamycin has been proposed as a treatment for 1608:The mode of action of sirolimus is to bind the 890:This compound also has a use in cardiovascular 458: 441:conta-16,24,26,28-tetraene-2,3,10,14,20-pentone 5584:Wiegand S, Dietz A, Wichmann G (August 2022). 5530: 5528: 4936: 4573: 2684: 129: 8941: 7510: 6068: 5496: 3865:The Journal of Heart and Lung Transplantation 3830:The Journal of Heart and Lung Transplantation 3795:The Journal of Heart and Lung Transplantation 3547: 3545: 3457:Journal of the American Society of Nephrology 2474: 2472: 2470: 2080: 1661:, which is also metabolized primarily by the 998:Immunosuppression § Deliberately induced 437:19,30-dimethoxy-15,17,21,23,29,35-hexamethyl- 5490: 5445: 5439: 5379: 5071: 5012: 4808: 4702:"Fatal AEs Higher with mTOR Drugs in Cancer" 4341: 4198: 4107: 3354: 3269: 3228: 3187: 2434: 2219: 1058:). Loss of TSC2 gene function activates the 116: 9224: 5525: 3093: 3091: 3089: 2702:Mukherjee S, Mukherjee U (1 January 2009). 1796:Figure 2: Prerapamycin, unbound product of 1756:and the final four modules to complete the 1037: 235: 9275:Allopregnanedione (5α-dihydroprogesterone) 8948: 8934: 7517: 7503: 6075: 6061: 5632: 5590:European Archives of Oto-Rhino-Laryngology 5026:Arriola Apelo SI, Lamming DW (July 2016). 3743: 3542: 2467: 2014:in patients with renal transplants. Other 685: 662: 523: 5978: 5760: 5750: 5701: 5660: 5650: 5609: 5560: 5473: 5463: 5422: 5362: 5313: 5264: 5103: 5051: 4964: 4954: 4913: 4791: 4668: 4550: 4482: 4324: 4314: 4090: 4080: 4003: 3919: 3712: 3697:"Sirolimus-associated pulmonary toxicity" 3612: 3525: 3476: 3427: 3293: 3252: 3211: 3069: 3059: 3013:"Sirolimus (marketed as Rapamune) Safety" 2972: 2834: 2811: 2801: 2729: 2719: 2662:"Cypher Sirolimus-eluting Coronary Stent" 2656: 2654: 2634: 2263:examining the effect of rapamycin on the 2208: 2143: 2085:Sirolimus also shows promise in treating 1526: 1425: 1142: 1111: 1073:that compared sirolimus treatment with a 543: 8973:Tooltip Constitutive androstane receptor 5639:British Journal of Clinical Pharmacology 5389:Husain A, Byrareddy SN (November 2020). 4699: 4456:Journal of the American Chemical Society 4418: 3200:The Journal of Investigative Dermatology 3128: 3122: 3086: 2185:Rapamycin can accelerate degradation of 1989: 1821: 1747:(NRPS). The domains responsible for the 1479:caused by sirolimus and other macrolide 1034:of a number of ongoing clinical trials. 4619:Critical Reviews in Oncology/Hematology 4610: 2933: 2612: 2610: 2230:hematopoietic stem cell transplantation 2100: 1002:The chief advantage sirolimus has over 658: 503: 14: 9971: 9728:Pregnanedione (5β-dihydroprogesterone) 9114:Pregnanedione (5β-dihydroprogesterone) 4172:Clinical Pharmacology and Therapeutics 3023:from the original on 16 September 2016 2993:from the original on 30 September 2020 2755:"The Dirty Drug and the Ice Cream Tub" 2651: 2581:International Journal of Pharmaceutics 2045:and sirolimus has been shown to drive 1491:Lowered effectiveness of immune system 676: 277: 90: 8929: 7498: 6056: 5897:from the original on 23 February 2023 5873:from the original on 23 February 2023 5849:from the original on 23 February 2023 5199: 5138:from the original on 28 February 2021 4895: 4712:from the original on 28 February 2021 3900:Clinical & Translational Oncology 3282:European Journal of Pediatric Surgery 3097: 2915:from the original on 27 November 2021 2392:from the original on 19 December 2021 2355:from the original on 27 November 2021 624: 603: 583: 262: 124: 107: 4765: 4759: 4386:Organic & Biomolecular Chemistry 3744:Mingos MA, Kane GC (December 2005). 2885:from the original on 1 February 2022 2783: 2607: 2508: 2165:effects could prevent or reduce the 1680: 970:perivascular epithelioid cell tumour 861:perivascular epithelioid cell tumour 630: 225: 215: 205: 5739:American Journal of Transplantation 5446:Liu Y, Yang F, Zou S, Qu L (2019). 4616: 4069:The New England Journal of Medicine 3234: 3131:The New England Journal of Medicine 3110:from the original on 14 August 2016 2954:from the original on 19 August 2020 2911:(Press release). 23 November 2021. 2790:Clinical and Translational Medicine 2560:from the original on 16 August 2016 2455:from the original on 13 August 2021 1869:has been established to code for a 1633: 1593:, and thereby blocks activation of 1570: 1319:Thrombotic thrombocytopenic purpura 938:in the European Union in May 2023. 887:(IL-2), inhibiting their activity. 855:, treat a rare lung disease called 563: 474: 24: 5916: 5633:Lutz M, Mielke S (November 2016). 4987: 4219:10.1097/01.ftd.0000179838.33020.34 4042:10.1016/j.transproceed.2010.07.066 3676:from the original on 7 August 2020 3662:10.1016/j.transproceed.2011.06.060 3061:10.1001/jamanetworkopen.2019.10297 2525:from the original on 18 April 2020 2422:from the original on 24 March 2022 2247: 2180: 1171: 1050:-like cells with mutations of the 988:Prevention of transplant rejection 25: 10035: 6034: 5132:Nicotinamide Mononucleotide (NMN) 5000:from the original on 25 July 2021 4943:Orphanet Journal of Rare Diseases 3714:10.1097/01.TP.0000118413.92211.B6 3165:"Venous Malformation: Treatments" 2765:from the original on 25 July 2021 2259:are participating in a long-term 1227:upper respiratory tract infection 1084:upper respiratory tract infection 1066:. Sirolimus blocks this pathway. 439:11,36-dioxa-4-azatricyclohexatria 156: 9956: 4877:from the original on 1 June 2022 4657:Nature Clinical Practice Urology 4631:10.1016/j.critrevonc.2004.09.009 4255:10.1097/00007691-200206000-00004 3953:Revue des Maladies Respiratoires 3774:from the original on 5 June 2022 3614:10.1097/00007890-200109150-00008 3372:from the original on 1 June 2022 2934:Li JJ, Corey EJ (3 April 2013). 2236:Applications in biology research 1808: 1789: 1769: 1684: 1638:Sirolimus is metabolized by the 1543:Sirolimus is metabolized by the 1453: 1151: 716: 710: 49: 40: 5863:"Dog Aging Project TRIAD Study" 5828: 5785: 5726: 5677: 5626: 5577: 5395:Chemico-Biological Interactions 5330: 5281: 5224: 5212:from the original on 8 May 2023 5193: 5150: 5120: 4981: 4930: 4898:"Therapeutics: Means to an end" 4859: 4724: 4700:Bankhead C (17 February 2013). 4693: 4645: 4567: 4518: 4447: 4233: 4056: 4020: 3979: 3944: 3891: 3856: 3821: 3786: 3737: 3688: 3637: 3588: 3493: 3444: 3310: 3157: 3035: 3005: 2973:Koprowski G (7 February 2012). 2966: 2927: 2897: 2863: 2777: 2746: 2242:chemically induced dimerization 1877:cycloamidase, which converts L- 1745:nonribosomal peptide synthetase 1730: 1565: 1538: 941: 873:mechanistic target of rapamycin 810:Key:QFJCIRLUMZQUOT-HPLJOQBZSA-N 9280:Allopregnanolone (brexanolone) 5926:Nature Reviews. Drug Discovery 5159:Science Translational Medicine 2572: 2502: 1982:by P-450s to yield rapamycin. 1498: 1430:While sirolimus inhibition of 930:. It was approved by the U.S. 847:compound that is used to coat 839:and sold under the brand name 719: 704: 13: 1: 9935:Receptor/signaling modulators 9893:Tropanyl 3,5-dimethulbenzoate 9743:Pregnenolone 16α-carbonitrile 4871:Cold Spring Harbor Laboratory 4745:10.1158/0008-5472.CAN-05-0917 4184:10.1016/S0009-9236(97)90192-2 3877:10.1016/S1053-2498(02)00564-8 2849:10.1016/S1359-6446(05)03395-7 2593:10.1016/s0378-5173(00)00617-7 2274: 2152: 6140:dihydroorotate dehydrogenase 5703:10.4049/jimmunol.160.11.5355 5541:Current Rheumatology Reports 5171:10.1126/scitranslmed.3009892 4504:10.1016/0378-1119(95)00800-4 3992:Journal of Clinical Oncology 3842:10.1016/j.healun.2006.05.013 3807:10.1016/j.healun.2006.12.004 3104:Food and Drug Administration 3017:Food and Drug Administration 2877:Food and Drug Administration 2203:systemic lupus erythematosus 1896:, encodes for an additional 1743:(PKS) in conjunction with a 1676: 1336:Abnormal healing, increased 932:Food and Drug Administration 7: 9470:Dodecylbenzenesulfonic acid 9229:Tooltip Pregnane X receptor 8957:Xenobiotic-sensing receptor 6119:purine synthesis inhibitors 5967:Journal of Vascular Surgery 4243:Therapeutic Drug Monitoring 4207:Therapeutic Drug Monitoring 4030:Transplantation Proceedings 3650:Transplantation Proceedings 3241:Journal of Vascular Surgery 1985: 1581:Unlike the similarly named 10: 10040: 8020:Tyrosine kinase inhibitors 6018:10.1016/j.jvsv.2021.03.001 5602:10.1007/s00405-022-07378-8 5511:10.1152/physrev.00047.2003 5355:10.1007/s11357-019-00113-y 5294:Nature Reviews. Immunology 3169:Boston Children's Hospital 2708:Journal of Transplantation 2636:10.7164/antibiotics.28.721 2623:The Journal of Antibiotics 2228:(GVHD), a complication of 2173:by rapamycin could reduce 2087:tuberous sclerosis complex 2081:Tuberous sclerosis complex 1645:and is a substrate of the 1574: 1550:and is a substrate of the 1466:Excessive citations inline 1115: 1052:tuberous sclerosis complex 991: 956:organ transplant rejection 912:Streptomyces hygroscopicus 907:Streptomyces hygroscopicus 853:organ transplant rejection 694:Chemical and physical data 10004:Drugs developed by Pfizer 9926: 9222: 8966: 8610: 8387: 8028: 8018: 7886:Mirvetuximab soravtansine 7778: 7659: 7619: 7554: 7541: 7261: 7189: 7162: 7047: 6690: 6392: 6383: 6374: 6367: 6320: 6304:IL-1 receptor antagonists 6302: 6293: 6247: 6178: 6108: 6099: 5980:10.1016/j.jvs.2019.06.217 5553:10.1007/s11926-016-0622-8 5452:Frontiers in Pharmacology 5415:10.1016/j.cbi.2020.109282 4956:10.1186/s13023-019-1012-x 4772:British Journal of Cancer 3965:10.1016/j.rmr.2010.03.026 3912:10.1007/s12094-009-0394-y 3254:10.1016/j.jvs.2019.08.246 3213:10.1016/j.jid.2019.10.001 2940:. John Wiley & Sons. 2515:Pediatric Pharmacotherapy 2485:European Medicines Agency 2449:European Medicines Agency 2226:Graft-versus-host disease 2220:Graft-versus-host disease 2049:-positive lymphomas into 2001: 1323:hemolytic uremic syndrome 1012:hemolytic-uremic syndrome 958:and for the treatment of 818: 793: 773: 763: 741: 728: 698: 693: 674: 642: 614: 594: 574: 554: 534: 514: 494: 469: 449: 357: 352: 342: 329: 317: 307: 297: 289: 252: 247: 192: 170: 144: 80: 72: 62: 57: 48: 39: 10014:Drugs developed by Wyeth 9853:Testosterone isocaproate 9768:Reverse triiodothyronine 8030:Receptor tyrosine kinase 7556:Receptor tyrosine kinase 7177:Anti-lymphocyte globulin 5465:10.3389/fphar.2018.01520 4543:10.4049/jimmunol.1103365 4005:10.1200/JCO.2010.29.2235 2784:Seto B (November 2012). 2196: 2187:oxidized LDL cholesterol 1627:Saccharomyces cerevisiae 1477:interstitial pneumonitis 1094:) have been observed in 1044:lymphangioleiomyomatosis 1038:Lymphangioleiomyomatosis 960:lymphangioleiomyomatosis 894:technologies to inhibit 857:lymphangioleiomyomatosis 68:Rapamune, Fyarro, Hyftor 9245:17α-Hydroxyprogesterone 9240:17α-Hydroxypregnenolone 7620:Others for solid tumors 7526:Targeted cancer therapy 7172:Anti-thymocyte globulin 6084:Immunosuppressive drugs 4766:Chan S (October 2004). 4421:Natural Product Reports 4316:10.1073/pnas.92.17.7839 4136:10.1126/science.1715094 3420:10.1126/science.1215135 3235:Lee BB (January 2020). 3098:Pahon E (28 May 2015). 2412:"Hyftor- sirolimus gel" 2028:glioblastoma multiforme 1519:, and lower than under 1471:considered for deletion 1411:, menstrual disorders ( 1389:squamous cell carcinoma 1199:urinary tract infection 928:ability to inhibit mTOR 431:)-1,18-dihydroxy-12-{(2 7881:Loncastuximab tesirine 7610:Trastuzumab deruxtecan 6977:Interleukin-6 receptor 6403:Complement component 5 6040:Clinical trial number 4784:10.1038/sj.bjc.6602162 4588:10.1038/sj.onc.1209886 4363:10.1002/anie.200453764 3469:10.1681/ASN.2007111202 3295:10.1055/s-0036-1593383 2803:10.1186/2001-1326-1-29 2214:Lymphatic malformation 2209:Lymphatic malformation 2144:Topical administration 1998: 1850:(ORF's) designated as 1827: 1527:Impaired wound healing 1517:calcineurin inhibitors 1426:Diabetes-like symptoms 1287:deep venous thrombosis 1279:Venous thromboembolism 1143:Vascular malformations 1135:, under the tradename 1112:Coronary stent coating 1004:calcineurin inhibitors 926:properties due to its 901:It is produced by the 9979:Anti-aging substances 8984:6,7-Dimethylesculetin 7956:Sacituzumab govitecan 7896:Moxetumomab pasudotox 7866:Inotuzumab ozogamicin 7769:Gemtuzumab ozogamicin 7605:Trastuzumab emtansine 7546:monoclonal antibodies 7530:antineoplastic agents 5690:Journal of Immunology 5499:Physiological Reviews 5044:10.1093/gerona/glw090 4902:Nature Reviews Cancer 4531:Journal of Immunology 4082:10.1056/NEJMoa1204166 3019:(FDA). 11 June 2009. 2909:Aadi Bioscience, Inc. 2451:. 17 September 2018. 1993: 1947:Claisen condensations 1825: 1614:FK-binding protein 12 1587:calcineurin inhibitor 1585:, sirolimus is not a 1133:Johnson & Johnson 1116:Further information: 1027:mycophenolate mofetil 1019:calcineurin inhibitor 871:transplants. It is a 9571:Hypericum perforatum 9560:Hetacillin potassium 7811:Belantamab mafodotin 5200:Janin A (May 2023). 5134:. 11 November 2020. 4990:"What is rapamycin?" 4896:Novak K (May 2004). 4663:(5): 211. May 2005. 2837:Drug Discovery Today 2101:Effects on longevity 2032:mantle cell lymphoma 1955:acyl carrier protein 1393:basal cell carcinoma 1338:lactic dehydrogenase 1187:hypertriglyceridemia 1183:hypercholesterolemia 10019:Ophthalmology drugs 9400:Cyproterone acetate 9300:Amlodipine besylate 8664:Denileukin diftitox 8326:(ALK, ROS1, NTRK), 7931:Polatuzumab vedotin 7921:Oportuzumab monatox 5806:10.1038/nm0996-1028 5407:2020CBI...33109282H 5257:10.1038/nature11861 5249:2013Natur.493..338J 5206:Wall Street Journal 4837:10.1038/nature02369 4829:2004Natur.428..332W 4670:10.1038/ncponc0156x 4307:1995PNAS...92.7839S 4128:1991Sci...253..905H 3412:2012Sci...335.1638L 3406:(6076): 1638–1643. 3143:10.1056/NEJMp068234 2721:10.1155/2009/701464 2418:. 28 January 2021. 2254:veterinary medicine 2039:combination therapy 1848:open reading frames 1741:polyketide synthase 843:among others, is a 765:Solubility in water 36: 27:Pharmaceutical drug 9984:Immunosuppressants 9873:Thonzonium bromide 9628:Methylprednisolone 9429:prasterone sulfate 8350:(ROS1, TRK, ALK), 7856:Enfortumab vedotin 7334:Diroximel fumarate 7007:IL-2 receptor/CD25 6435:Certolizumab pegol 6088:Immunosuppressants 6048:ClinicalTrials.gov 5096:10.1111/acel.13269 3518:10.1111/acel.12405 3175:on 17 January 2021 2979:. Momentum Press. 2257:teaching hospitals 2171:cell proliferation 1999: 1828: 1283:pulmonary embolism 1162:tuberous sclerosis 1118:Drug-eluting stent 982:tuberous sclerosis 892:drug-eluting stent 76:Rapamycin, ABI-009 32: 9944: 9943: 9578:Indinavir sulfate 9285:Alpha-Lipoic acid 9260:Δ-Androstenedione 9250:Δ-Androstenedione 8923: 8922: 8606: 8605: 8014: 8013: 7996:Tisotumab vedotin 7492: 7491: 7339:Efgartigimod alfa 7329:Dimethyl fumarate 7257: 7256: 7185: 7184: 7158: 7157: 6363: 6362: 6289: 6288: 6130:Mycophenolic acid 5869:. 28 March 2022. 5752:10.1111/ajt.16505 5696:(11): 5355–5365. 5652:10.1111/bcp.13022 5243:(7432): 338–345. 5165:(268): 268ra179. 4873:. 17 March 2004. 4823:(6980): 332–337. 4739:(16): 7052–7058. 4582:(48): 6436–6446. 4468:10.1021/ja0587603 4462:(11): 3838–3847. 4392:(19): 3565–3568. 4357:(19): 2551–2553. 4351:Angewandte Chemie 4301:(17): 7839–7843. 4122:(5022): 905–909. 3998:(13): 1750–1756. 3759:(12): 1659–1661. 3566:10.1159/000087945 3332:10.1111/jdv.12665 3137:(19): 1949–1952. 3048:JAMA Network Open 2986:978-1-60650-250-1 2947:978-1-118-35446-9 2191:endothelial cells 2175:viral replication 2163:immunosuppressive 1939:shikimate pathway 1902:chain termination 1842:The biosynthetic 1714: 1713: 1423: 1422: 1229:, dizziness, and 924:antiproliferative 865:immunosuppressant 863:(PEComa). It has 830: 829: 754:Interactive image 644:CompTox Dashboard 435:)-1--2-propanyl}- 281: 266: 160: 127: 110: 93: 16:(Redirected from 10031: 10024:Chemical biology 9961: 9960: 9959: 9952: 9863:Thiamylal sodium 9598:γ-linolenic acid 9594:α-Linolenic acid 9592:Linolenic acid: 9583:Lasalocid sodium 9573:(St John's wort) 9465:Docusate calcium 9395:Cyclophosphamide 9270:Allopregnanediol 9255:Δ-Androstenediol 9230: 9226: 9184:Ethinylestradiol 9034:Cyclophosphamide 8974: 8970: 8950: 8943: 8936: 8927: 8926: 8637:peptide against 8210:(AXL, ALK, LTK)) 8026: 8025: 7836:Dinutuximab beta 7552: 7551: 7519: 7512: 7505: 7496: 7495: 7135:Telimomab aritox 7038:Zolimomab aritox 6859:CD62L/L-selectin 6597:Immunoglobulin E 6390: 6389: 6381: 6380: 6372: 6371: 6300: 6299: 6106: 6105: 6077: 6070: 6063: 6054: 6053: 6029: 6012:(5): 1321–1333. 6000: 5982: 5957: 5910: 5906: 5904: 5902: 5882: 5880: 5878: 5858: 5856: 5854: 5845:. 29 July 2022. 5832: 5826: 5825: 5800:(9): 1028–1032. 5789: 5783: 5782: 5764: 5754: 5745:(8): 2662–2674. 5730: 5724: 5723: 5705: 5681: 5675: 5674: 5664: 5654: 5645:(5): 1171–1179. 5630: 5624: 5623: 5613: 5596:(8): 3801–3810. 5581: 5575: 5574: 5564: 5532: 5523: 5522: 5505:(4): 1381–1478. 5494: 5488: 5487: 5477: 5467: 5443: 5437: 5436: 5426: 5386: 5377: 5376: 5366: 5334: 5328: 5327: 5317: 5285: 5279: 5278: 5268: 5228: 5222: 5221: 5219: 5217: 5197: 5191: 5190: 5154: 5148: 5147: 5145: 5143: 5124: 5118: 5117: 5107: 5075: 5069: 5068: 5055: 5023: 5010: 5009: 5007: 5005: 4985: 4979: 4978: 4968: 4958: 4934: 4928: 4927: 4917: 4893: 4887: 4886: 4884: 4882: 4863: 4857: 4856: 4812: 4806: 4805: 4795: 4778:(8): 1420–1424. 4763: 4757: 4756: 4728: 4722: 4721: 4719: 4717: 4697: 4691: 4690: 4672: 4649: 4643: 4642: 4614: 4608: 4607: 4571: 4565: 4564: 4554: 4537:(7): 3080–3087. 4522: 4516: 4515: 4486: 4480: 4479: 4451: 4445: 4444: 4433:10.1039/b804602f 4416: 4410: 4409: 4398:10.1039/b608813a 4381: 4375: 4374: 4345: 4339: 4338: 4328: 4318: 4286: 4275: 4274: 4237: 4231: 4230: 4202: 4196: 4195: 4167: 4156: 4155: 4111: 4105: 4104: 4094: 4084: 4060: 4054: 4053: 4036:(8): 3053–3054. 4024: 4018: 4017: 4007: 3983: 3977: 3976: 3948: 3942: 3941: 3923: 3895: 3889: 3888: 3860: 3854: 3853: 3836:(9): 1171–1174. 3825: 3819: 3818: 3790: 3784: 3783: 3781: 3779: 3773: 3753:Respiratory Care 3750: 3741: 3735: 3734: 3716: 3707:(8): 1215–1220. 3692: 3686: 3685: 3683: 3681: 3656:(7): 2792–2797. 3641: 3635: 3634: 3616: 3592: 3586: 3585: 3549: 3540: 3539: 3529: 3497: 3491: 3490: 3480: 3463:(7): 1411–1418. 3448: 3442: 3441: 3431: 3391: 3382: 3381: 3379: 3377: 3368:. 7 April 2022. 3358: 3352: 3351: 3314: 3308: 3307: 3297: 3273: 3267: 3266: 3256: 3232: 3226: 3225: 3215: 3191: 3185: 3184: 3182: 3180: 3171:. Archived from 3161: 3155: 3154: 3126: 3120: 3119: 3117: 3115: 3095: 3084: 3083: 3073: 3063: 3039: 3033: 3032: 3030: 3028: 3009: 3003: 3002: 3000: 2998: 2970: 2964: 2963: 2961: 2959: 2931: 2925: 2924: 2922: 2920: 2901: 2895: 2894: 2892: 2890: 2867: 2861: 2860: 2832: 2826: 2825: 2815: 2805: 2781: 2775: 2774: 2772: 2770: 2750: 2744: 2743: 2733: 2723: 2699: 2682: 2681: 2679: 2677: 2672:on 27 April 2003 2668:. Archived from 2658: 2649: 2648: 2638: 2614: 2605: 2604: 2576: 2570: 2569: 2567: 2565: 2554:PubChem Compound 2546: 2535: 2534: 2532: 2530: 2509:Buck ML (2006). 2506: 2500: 2498: 2496: 2494: 2476: 2465: 2464: 2462: 2460: 2441: 2432: 2431: 2429: 2427: 2408: 2402: 2401: 2399: 2397: 2378: 2365: 2364: 2362: 2360: 2341: 2308: 2307: 2305: 2303: 2293:nctr-crs.fda.gov 2285: 2067:cyclophosphamide 2012:Kaposi's sarcoma 1941:. Note that the 1836:cytochrome P-450 1812: 1793: 1773: 1709: 1706: 1688: 1681: 1634:Pharmacokinetics 1571:Pharmacodynamics 1474: 1291:rapid heart rate 1245:Adverse effects 1239: 1238: 1211:thrombocytopenia 1179:peripheral edema 1131:, a division of 1096:renal transplant 1031:thrombocytopenia 980:associated with 835:, also known as 826: 825: 756: 736: 721: 718: 712: 706: 689: 678: 667: 666: 652: 650: 634: 628: 607: 587: 567: 547: 527: 507: 487: 477: 476: 462: 334: 279: 276: 271: 264: 261: 239: 229: 219: 209: 158: 155: 137: 126: 123: 120: 109: 106: 103: 92: 89: 53: 44: 37: 35: 31: 21: 10039: 10038: 10034: 10033: 10032: 10030: 10029: 10028: 9969: 9968: 9967: 9957: 9955: 9947: 9945: 9940: 9922: 9823:Suberoylanilide 9540:Fluorometholone 9435:Dibunate sodium 9315:Aurothioglucose 9228: 9218: 9154:3,17β-Estradiol 8972: 8962: 8954: 8924: 8919: 8773:Pi3K inhibitors 8671:mTOR inhibitors 8602: 8383: 8354:(VEGFR, FGFR), 8010: 7774: 7655: 7615: 7537: 7523: 7493: 7488: 7434:Rozanolixizumab 7319:Deucravacitinib 7253: 7181: 7154: 7043: 6692: 6686: 6394: 6359: 6316: 6295: 6285: 6243: 6183: 6174: 6110:Antimetabolites 6101: 6095: 6081: 6037: 6032: 5938:10.1038/nrd3531 5932:(11): 868–880. 5919: 5917:Further reading 5914: 5913: 5909: 5900: 5898: 5885: 5876: 5874: 5861: 5852: 5850: 5837: 5833: 5829: 5794:Nature Medicine 5790: 5786: 5731: 5727: 5682: 5678: 5631: 5627: 5582: 5578: 5533: 5526: 5495: 5491: 5444: 5440: 5387: 5380: 5335: 5331: 5306:10.1038/nri3901 5300:(10): 599–614. 5286: 5282: 5229: 5225: 5215: 5213: 5198: 5194: 5155: 5151: 5141: 5139: 5126: 5125: 5121: 5076: 5072: 5024: 5013: 5003: 5001: 4986: 4982: 4935: 4931: 4915:10.1038/nrc1349 4894: 4890: 4880: 4878: 4865: 4864: 4860: 4813: 4809: 4764: 4760: 4733:Cancer Research 4729: 4725: 4715: 4713: 4698: 4694: 4651: 4650: 4646: 4615: 4611: 4572: 4568: 4523: 4519: 4487: 4483: 4452: 4448: 4417: 4413: 4382: 4378: 4346: 4342: 4287: 4278: 4238: 4234: 4203: 4199: 4168: 4159: 4112: 4108: 4061: 4057: 4025: 4021: 3984: 3980: 3949: 3945: 3896: 3892: 3861: 3857: 3826: 3822: 3791: 3787: 3777: 3775: 3771: 3748: 3742: 3738: 3701:Transplantation 3693: 3689: 3679: 3677: 3642: 3638: 3601:Transplantation 3593: 3589: 3550: 3543: 3498: 3494: 3449: 3445: 3392: 3385: 3375: 3373: 3360: 3359: 3355: 3315: 3311: 3274: 3270: 3233: 3229: 3192: 3188: 3178: 3176: 3163: 3162: 3158: 3127: 3123: 3113: 3111: 3096: 3087: 3054:(8): e1910297. 3040: 3036: 3026: 3024: 3011: 3010: 3006: 2996: 2994: 2987: 2971: 2967: 2957: 2955: 2948: 2932: 2928: 2918: 2916: 2903: 2902: 2898: 2888: 2886: 2869: 2868: 2864: 2843:(10): 688–691. 2833: 2829: 2782: 2778: 2768: 2766: 2751: 2747: 2700: 2685: 2675: 2673: 2660: 2659: 2652: 2629:(10): 721–726. 2615: 2608: 2577: 2573: 2563: 2561: 2548: 2547: 2538: 2528: 2526: 2507: 2503: 2492: 2490: 2478: 2477: 2468: 2458: 2456: 2445:"Rapamune EPAR" 2443: 2442: 2435: 2425: 2423: 2410: 2409: 2405: 2395: 2393: 2380: 2379: 2368: 2358: 2356: 2343: 2342: 2311: 2301: 2299: 2287: 2286: 2282: 2277: 2250: 2248:Veterinary uses 2238: 2222: 2211: 2199: 2183: 2181:Atherosclerosis 2161:insofar as its 2155: 2146: 2103: 2091:angiomyolipomas 2083: 2061:drugs, such as 2016:mTOR inhibitors 2004: 1988: 1820: 1819: 1818: 1817: 1816: 1813: 1805: 1804: 1794: 1783: 1782: 1781: 1779: 1774: 1733: 1718:natural product 1716:Sirolimus is a 1710: 1704: 1701: 1694:needs expansion 1679: 1671:pharmacokinetic 1636: 1579: 1577:mTOR inhibitors 1573: 1568: 1541: 1533:body mass index 1529: 1501: 1493: 1459: 1456: 1428: 1353:Musculoskeletal 1250:Body as a whole 1223:nasopharyngitis 1174: 1172:Adverse effects 1154: 1145: 1124:coronary stents 1120: 1114: 1071:clinical trials 1040: 1000: 994:Organ rejection 990: 944: 849:coronary stents 821: 819: 814: 811: 806: 801: 800: 789: 786: 781: 780: 759: 734: 724: 715: 709: 670: 646: 638: 610: 590: 570: 550: 530: 510: 490: 473: 465: 445: 442: 440: 438: 436: 418: 365: 364: 332: 309:Protein binding 299:Bioavailability 291:Pharmacokinetic 285: 269: 243: 173: 166: 147: 140: 28: 23: 22: 15: 12: 11: 5: 10037: 10027: 10026: 10021: 10016: 10011: 10006: 10001: 9996: 9991: 9986: 9981: 9966: 9965: 9942: 9941: 9939: 9938: 9931: 9927: 9924: 9923: 9921: 9920: 9915: 9906: 9905: 9900: 9895: 9890: 9888:Troleandomycin 9885: 9880: 9875: 9870: 9865: 9860: 9855: 9850: 9845: 9840: 9835: 9830: 9825: 9820: 9815: 9810: 9808:Spironolactone 9805: 9800: 9795: 9790: 9785: 9780: 9775: 9770: 9765: 9760: 9755: 9750: 9745: 9740: 9735: 9730: 9725: 9720: 9715: 9710: 9705: 9700: 9695: 9690: 9685: 9680: 9678:Norelgestromin 9675: 9670: 9665: 9660: 9655: 9650: 9645: 9640: 9635: 9630: 9625: 9620: 9615: 9610: 9605: 9600: 9590: 9585: 9580: 9575: 9567: 9562: 9557: 9552: 9547: 9542: 9537: 9535:Flucloxacillin 9532: 9527: 9522: 9517: 9512: 9507: 9502: 9497: 9492: 9487: 9482: 9477: 9472: 9467: 9462: 9457: 9452: 9447: 9442: 9437: 9432: 9422: 9412: 9407: 9402: 9397: 9392: 9390:Corticosterone 9387: 9382: 9377: 9372: 9367: 9362: 9357: 9355:Chlorpromazine 9352: 9347: 9342: 9337: 9332: 9327: 9322: 9317: 9312: 9307: 9302: 9297: 9292: 9287: 9282: 9277: 9272: 9267: 9262: 9257: 9252: 9247: 9242: 9233: 9231: 9220: 9219: 9217: 9216: 9211: 9206: 9201: 9196: 9191: 9186: 9181: 9176: 9174:17-Androstanol 9171: 9169:3β-Androstanol 9166: 9164:3α-Androstenol 9161: 9159:3α-Androstanol 9156: 9147: 9146: 9141: 9136: 9131: 9126: 9121: 9116: 9111: 9106: 9101: 9096: 9091: 9086: 9081: 9076: 9071: 9066: 9061: 9056: 9051: 9041: 9036: 9031: 9026: 9021: 9016: 9014:Chlorpromazine 9011: 9006: 9001: 8996: 8991: 8986: 8977: 8975: 8964: 8963: 8953: 8952: 8945: 8938: 8930: 8921: 8920: 8918: 8917: 8912: 8907: 8902: 8897: 8892: 8887: 8882: 8877: 8872: 8867: 8862: 8857: 8852: 8847: 8842: 8837: 8832: 8827: 8822: 8817: 8812: 8807: 8802: 8801: 8800: 8795: 8790: 8785: 8780: 8770: 8769: 8768: 8763: 8750: 8749: 8748: 8743: 8738: 8733: 8728: 8720:CDK inhibitors 8716: 8715: 8714: 8709: 8704: 8691: 8690: 8689: 8684: 8679: 8667: 8651: 8631: 8619:fusion protein 8614: 8612: 8608: 8607: 8604: 8603: 8601: 8600: 8599: 8598: 8593: 8588: 8583: 8578: 8565: 8564: 8563: 8562: 8557: 8552: 8535: 8534: 8533: 8532: 8527: 8522: 8517: 8504: 8503: 8502: 8501: 8496: 8491: 8486: 8481: 8476: 8471: 8458: 8457: 8451: 8439: 8438: 8437: 8436: 8431: 8426: 8421: 8416: 8411: 8406: 8393: 8391: 8385: 8384: 8382: 8381: 8360: 8359: 8358:(VEGFR, EGFR). 8314: 8313: 8312: 8311: 8306: 8301: 8288: 8287: 8286: 8285: 8280: 8275: 8270: 8265: 8260: 8255: 8250: 8245: 8240: 8235: 8230: 8225: 8212: 8211: 8195: 8189: 8184: 8179: 8174: 8169: 8164: 8159: 8139: 8138: 8137: 8136: 8131: 8126: 8116:HER1/EGFR and 8112: 8111: 8105: 8100: 8095: 8090: 8085: 8080: 8075: 8070: 8065: 8060: 8055: 8050: 8034: 8032: 8023: 8016: 8015: 8012: 8011: 8009: 8008: 8003: 7998: 7993: 7988: 7983: 7978: 7973: 7968: 7963: 7958: 7953: 7948: 7943: 7938: 7933: 7928: 7923: 7918: 7913: 7908: 7903: 7898: 7893: 7888: 7883: 7878: 7873: 7868: 7863: 7858: 7853: 7848: 7843: 7838: 7833: 7828: 7823: 7818: 7813: 7808: 7803: 7798: 7795:+hyaluronidase 7788: 7782: 7780: 7776: 7775: 7773: 7772: 7755: 7754: 7728: 7723: 7718: 7713: 7708: 7703: 7669: 7667: 7657: 7656: 7654: 7653: 7641: 7635: 7623: 7621: 7617: 7616: 7614: 7613: 7607: 7602: 7599:+hyaluronidase 7582: 7576: 7560: 7558: 7549: 7539: 7538: 7522: 7521: 7514: 7507: 7499: 7490: 7489: 7487: 7486: 7481: 7476: 7471: 7466: 7461: 7456: 7451: 7446: 7441: 7436: 7431: 7426: 7421: 7416: 7411: 7406: 7401: 7396: 7391: 7386: 7381: 7376: 7371: 7366: 7361: 7356: 7351: 7346: 7343:+hyaluronidase 7336: 7331: 7326: 7324:Deuruxolitinib 7321: 7316: 7311: 7306: 7301: 7296: 7291: 7286: 7281: 7276: 7271: 7265: 7263: 7259: 7258: 7255: 7254: 7252: 7251: 7246: 7241: 7236: 7235: 7234: 7229: 7217: 7216: 7215: 7210: 7197: 7195: 7187: 7186: 7183: 7182: 7180: 7179: 7174: 7168: 7166: 7160: 7159: 7156: 7155: 7153: 7152: 7147: 7142: 7137: 7132: 7127: 7122: 7117: 7112: 7107: 7102: 7097: 7092: 7087: 7082: 7077: 7072: 7067: 7062: 7057: 7051: 7049: 7045: 7044: 7042: 7041: 7028: 7027: 7026: 7025: 7020: 7015: 7002: 7001: 7000: 6999: 6987: 6986: 6985: 6973: 6972: 6971: 6966: 6954: 6953: 6952: 6947: 6942: 6930: 6929: 6928: 6917: 6916: 6915: 6914: 6909: 6897: 6896: 6895: 6883: 6882: 6881: 6869: 6868: 6867: 6855: 6854: 6853: 6848: 6836: 6835: 6834: 6829: 6817: 6816: 6815: 6810: 6805: 6800: 6797:+hyaluronidase 6790: 6778: 6777: 6776: 6764: 6763: 6762: 6750: 6749: 6748: 6743: 6738: 6726: 6725: 6724: 6719: 6714: 6709: 6696: 6694: 6688: 6687: 6685: 6684: 6683: 6682: 6669: 6668: 6667: 6666: 6661: 6640: 6639: 6638: 6637: 6624: 6623: 6622: 6621: 6608: 6607: 6606: 6605: 6592: 6591: 6590: 6589: 6576: 6575: 6574: 6573: 6568: 6563: 6558: 6553: 6548: 6543: 6538: 6533: 6528: 6523: 6518: 6513: 6508: 6503: 6498: 6493: 6488: 6483: 6478: 6473: 6468: 6455: 6454: 6453: 6452: 6447: 6442: 6437: 6432: 6427: 6414: 6413: 6412: 6411: 6398: 6396: 6387: 6378: 6369: 6365: 6364: 6361: 6360: 6358: 6357: 6352: 6347: 6342: 6337: 6332: 6326: 6324: 6318: 6317: 6315: 6314: 6308: 6306: 6297: 6291: 6290: 6287: 6286: 6284: 6283: 6282: 6281: 6273:PDE4 inhibitor 6269: 6264: 6259: 6253: 6251: 6245: 6244: 6242: 6241: 6236: 6230: 6229: 6228: 6227: 6222: 6217: 6212: 6191: 6189: 6176: 6175: 6173: 6172: 6171: 6170: 6157: 6156: 6155: 6154: 6149: 6135: 6134: 6133: 6132: 6127: 6114: 6112: 6103: 6097: 6096: 6080: 6079: 6072: 6065: 6057: 6051: 6050: 6036: 6035:External links 6033: 6031: 6030: 6001: 5973:(1): 318–327. 5958: 5920: 5918: 5915: 5912: 5911: 5908: 5907: 5883: 5859: 5834: 5827: 5784: 5725: 5676: 5625: 5576: 5524: 5489: 5438: 5378: 5349:(6): 861–869. 5329: 5280: 5223: 5192: 5149: 5119: 5090:(11): e13269. 5070: 5038:(7): 841–849. 5011: 4980: 4929: 4888: 4858: 4807: 4758: 4723: 4706:Med Page Today 4692: 4644: 4609: 4566: 4517: 4481: 4446: 4427:(5): 602–609. 4411: 4376: 4340: 4276: 4249:(3): 346–350. 4232: 4197: 4178:(4): 416–428. 4157: 4106: 4075:(4): 329–339. 4055: 4019: 3978: 3943: 3906:(8): 499–510. 3890: 3871:(2): 210–213. 3855: 3820: 3801:(3): 296–298. 3785: 3736: 3687: 3636: 3607:(5): 787–790. 3587: 3560:(3): 367–374. 3541: 3492: 3443: 3383: 3353: 3309: 3268: 3227: 3206:(4): 756–763. 3186: 3156: 3121: 3085: 3034: 3004: 2985: 2965: 2946: 2926: 2896: 2862: 2827: 2776: 2745: 2683: 2650: 2606: 2587:(1–2): 25–29. 2571: 2536: 2501: 2466: 2433: 2403: 2366: 2309: 2279: 2278: 2276: 2273: 2261:clinical study 2249: 2246: 2237: 2234: 2221: 2218: 2210: 2207: 2198: 2195: 2182: 2179: 2167:cytokine storm 2154: 2151: 2145: 2142: 2102: 2099: 2082: 2079: 2003: 2000: 1987: 1984: 1978:by MTases and 1883:pipecolic acid 1814: 1807: 1806: 1795: 1788: 1787: 1786: 1785: 1784: 1776: 1775: 1768: 1767: 1766: 1751:of the linear 1732: 1729: 1712: 1711: 1691: 1689: 1678: 1675: 1647:P-glycoprotein 1635: 1632: 1572: 1569: 1567: 1564: 1552:P-glycoprotein 1540: 1537: 1528: 1525: 1500: 1497: 1492: 1489: 1455: 1452: 1427: 1424: 1421: 1420: 1405:Pyelonephritis 1402: 1396: 1395: 1382: 1378: 1377: 1368: 1362: 1361: 1355: 1349: 1348: 1334: 1330: 1329: 1316: 1306: 1305: 1300: 1294: 1293: 1276: 1274:Cardiovascular 1270: 1269: 1266:herpes simplex 1251: 1247: 1246: 1243: 1173: 1170: 1153: 1150: 1144: 1141: 1113: 1110: 1064:growth factors 1039: 1036: 1008:kidney failure 989: 986: 943: 940: 828: 827: 816: 815: 813: 812: 809: 807: 804: 796: 795: 794: 791: 790: 788: 787: 784: 776: 775: 774: 771: 770: 767: 761: 760: 758: 757: 749: 747: 739: 738: 732: 726: 725: 722: 713: 707: 702: 696: 695: 691: 690: 680: 672: 671: 669: 668: 655: 653: 640: 639: 637: 636: 620: 618: 612: 611: 609: 608: 600: 598: 592: 591: 589: 588: 580: 578: 572: 571: 569: 568: 560: 558: 552: 551: 549: 548: 540: 538: 532: 531: 529: 528: 520: 518: 512: 511: 509: 508: 500: 498: 492: 491: 489: 488: 480: 478: 467: 466: 464: 463: 455: 453: 447: 446: 444: 443: 368: 360: 359: 358: 355: 354: 350: 349: 346: 340: 339: 336: 327: 326: 321: 315: 314: 311: 305: 304: 301: 295: 294: 287: 286: 284: 283: 274: 258: 256: 250: 249: 245: 244: 242: 241: 198: 196: 190: 189: 176: 174:administration 168: 167: 165: 164: 162: 152: 150: 142: 141: 139: 138: 121: 104: 86: 84: 78: 77: 74: 70: 69: 66: 60: 59: 55: 54: 46: 45: 26: 9: 6: 4: 3: 2: 10036: 10025: 10022: 10020: 10017: 10015: 10012: 10010: 10007: 10005: 10002: 10000: 9997: 9995: 9992: 9990: 9987: 9985: 9982: 9980: 9977: 9976: 9974: 9964: 9954: 9953: 9950: 9937: 9936: 9932: 9929: 9928: 9925: 9919: 9916: 9914: 9911: 9908: 9907: 9904: 9901: 9899: 9896: 9894: 9891: 9889: 9886: 9884: 9881: 9879: 9876: 9874: 9871: 9869: 9866: 9864: 9861: 9859: 9856: 9854: 9851: 9849: 9846: 9844: 9841: 9839: 9836: 9834: 9831: 9829: 9828:Sulfisoxazole 9826: 9824: 9821: 9819: 9816: 9814: 9811: 9809: 9806: 9804: 9801: 9799: 9796: 9794: 9791: 9789: 9786: 9784: 9781: 9779: 9776: 9774: 9771: 9769: 9766: 9764: 9761: 9759: 9756: 9754: 9751: 9749: 9746: 9744: 9741: 9739: 9736: 9734: 9731: 9729: 9726: 9724: 9721: 9719: 9716: 9714: 9711: 9709: 9706: 9704: 9703:Phenobarbital 9701: 9699: 9696: 9694: 9691: 9689: 9686: 9684: 9681: 9679: 9676: 9674: 9671: 9669: 9666: 9664: 9661: 9659: 9656: 9654: 9651: 9649: 9646: 9644: 9641: 9639: 9636: 9634: 9631: 9629: 9626: 9624: 9621: 9619: 9616: 9614: 9611: 9609: 9606: 9604: 9601: 9599: 9595: 9591: 9589: 9588:Levothyroxine 9586: 9584: 9581: 9579: 9576: 9574: 9572: 9568: 9566: 9563: 9561: 9558: 9556: 9553: 9551: 9550:Guggulsterone 9548: 9546: 9543: 9541: 9538: 9536: 9533: 9531: 9528: 9526: 9523: 9521: 9518: 9516: 9513: 9511: 9508: 9506: 9503: 9501: 9498: 9496: 9493: 9491: 9488: 9486: 9483: 9481: 9478: 9476: 9473: 9471: 9468: 9466: 9463: 9461: 9458: 9456: 9453: 9451: 9448: 9446: 9445:Dicloxacillin 9443: 9441: 9438: 9436: 9433: 9430: 9426: 9423: 9420: 9416: 9413: 9411: 9410:Dexamethasone 9408: 9406: 9403: 9401: 9398: 9396: 9393: 9391: 9388: 9386: 9383: 9381: 9378: 9376: 9373: 9371: 9368: 9366: 9363: 9361: 9358: 9356: 9353: 9351: 9348: 9346: 9345:Cephaloridine 9343: 9341: 9338: 9336: 9333: 9331: 9328: 9326: 9323: 9321: 9318: 9316: 9313: 9311: 9308: 9306: 9303: 9301: 9298: 9296: 9293: 9291: 9288: 9286: 9283: 9281: 9278: 9276: 9273: 9271: 9268: 9266: 9263: 9261: 9258: 9256: 9253: 9251: 9248: 9246: 9243: 9241: 9238: 9235: 9234: 9232: 9227: 9221: 9215: 9212: 9210: 9207: 9205: 9202: 9200: 9197: 9195: 9192: 9190: 9187: 9185: 9182: 9180: 9177: 9175: 9172: 9170: 9167: 9165: 9162: 9160: 9157: 9155: 9152: 9149: 9148: 9145: 9144:Valproic acid 9142: 9140: 9137: 9135: 9132: 9130: 9127: 9125: 9122: 9120: 9117: 9115: 9112: 9110: 9107: 9105: 9104:Phenobarbital 9102: 9100: 9097: 9095: 9092: 9090: 9087: 9085: 9082: 9080: 9077: 9075: 9072: 9070: 9067: 9065: 9062: 9060: 9057: 9055: 9052: 9049: 9045: 9042: 9040: 9037: 9035: 9032: 9030: 9027: 9025: 9022: 9020: 9017: 9015: 9012: 9010: 9007: 9005: 9004:Carbamazepine 9002: 9000: 8997: 8995: 8992: 8990: 8987: 8985: 8982: 8979: 8978: 8976: 8971: 8965: 8961: 8958: 8951: 8946: 8944: 8939: 8937: 8932: 8931: 8928: 8916: 8913: 8911: 8908: 8906: 8903: 8901: 8898: 8896: 8893: 8891: 8888: 8886: 8883: 8881: 8878: 8876: 8873: 8871: 8868: 8866: 8863: 8861: 8858: 8856: 8853: 8851: 8848: 8846: 8843: 8841: 8838: 8836: 8833: 8831: 8830:Larotrectinib 8828: 8826: 8823: 8821: 8818: 8816: 8813: 8811: 8808: 8806: 8803: 8799: 8796: 8794: 8791: 8789: 8786: 8784: 8781: 8779: 8776: 8775: 8774: 8771: 8767: 8764: 8762: 8759: 8758: 8757: 8755: 8751: 8747: 8744: 8742: 8739: 8737: 8734: 8732: 8729: 8727: 8724: 8723: 8722: 8721: 8717: 8713: 8710: 8708: 8705: 8703: 8700: 8699: 8698: 8696: 8692: 8688: 8685: 8683: 8682:Ridaforolimus 8680: 8678: 8675: 8674: 8673: 8672: 8668: 8665: 8661: 8660: 8656: 8652: 8649: 8645: 8644: 8640: 8636: 8632: 8629: 8625: 8624: 8620: 8616: 8615: 8613: 8609: 8597: 8594: 8592: 8591:Pirtobrutinib 8589: 8587: 8586:Orelabrutinib 8584: 8582: 8579: 8577: 8576:Acalabrutinib 8574: 8573: 8572: 8571: 8567: 8566: 8561: 8558: 8556: 8553: 8551: 8548: 8547: 8546: 8545: 8541: 8537: 8536: 8531: 8528: 8526: 8523: 8521: 8518: 8516: 8513: 8512: 8511: 8510: 8506: 8505: 8500: 8497: 8495: 8492: 8490: 8487: 8485: 8482: 8480: 8477: 8475: 8472: 8470: 8467: 8466: 8465: 8464: 8460: 8459: 8455: 8452: 8450: 8446: 8445: 8441: 8440: 8435: 8432: 8430: 8427: 8425: 8422: 8420: 8417: 8415: 8412: 8410: 8407: 8405: 8402: 8401: 8400: 8399: 8395: 8394: 8392: 8390: 8386: 8379: 8375: 8371: 8368: 8366: 8362: 8361: 8357: 8353: 8352:Selpercatinib 8349: 8348:Repotrectinib 8345: 8341: 8337: 8336:Larotrectinib 8333: 8329: 8325: 8322: 8320: 8316: 8315: 8310: 8307: 8305: 8302: 8300: 8297: 8296: 8295: 8294: 8290: 8289: 8284: 8281: 8279: 8276: 8274: 8271: 8269: 8266: 8264: 8261: 8259: 8256: 8254: 8251: 8249: 8246: 8244: 8241: 8239: 8236: 8234: 8231: 8229: 8226: 8224: 8221: 8220: 8219: 8218: 8214: 8213: 8209: 8205: 8201: 8200: 8196: 8193: 8190: 8188: 8185: 8183: 8180: 8178: 8175: 8173: 8170: 8168: 8165: 8163: 8160: 8158: 8154: 8153: 8149: 8144: 8143:RTK class III 8141: 8140: 8135: 8132: 8130: 8127: 8125: 8122: 8121: 8120: 8119: 8114: 8113: 8109: 8106: 8104: 8101: 8099: 8096: 8094: 8091: 8089: 8086: 8084: 8081: 8079: 8076: 8074: 8071: 8069: 8066: 8064: 8061: 8059: 8056: 8054: 8051: 8049: 8045: 8044: 8039: 8036: 8035: 8033: 8031: 8027: 8024: 8021: 8017: 8007: 8004: 8002: 7999: 7997: 7994: 7992: 7989: 7987: 7984: 7982: 7979: 7977: 7974: 7972: 7969: 7967: 7964: 7962: 7959: 7957: 7954: 7952: 7949: 7947: 7944: 7942: 7939: 7937: 7934: 7932: 7929: 7927: 7926:Pembrolizumab 7924: 7922: 7919: 7917: 7914: 7912: 7909: 7907: 7904: 7902: 7899: 7897: 7894: 7892: 7891:Mogamulizumab 7889: 7887: 7884: 7882: 7879: 7877: 7874: 7872: 7869: 7867: 7864: 7862: 7859: 7857: 7854: 7852: 7849: 7847: 7844: 7842: 7839: 7837: 7834: 7832: 7829: 7827: 7824: 7822: 7819: 7817: 7814: 7812: 7809: 7807: 7804: 7802: 7799: 7796: 7792: 7789: 7787: 7784: 7783: 7781: 7777: 7770: 7766: 7765: 7760: 7757: 7756: 7752: 7748: 7747: 7742: 7738: 7737: 7732: 7729: 7727: 7724: 7722: 7719: 7717: 7714: 7712: 7711:Mosunetuzumab 7709: 7707: 7704: 7702: 7698: 7697: 7692: 7691:Mosunetuzumab 7688: 7684: 7680: 7679: 7674: 7671: 7670: 7668: 7666: 7662: 7658: 7651: 7647: 7646: 7642: 7639: 7636: 7634: 7630: 7629: 7625: 7624: 7622: 7618: 7611: 7608: 7606: 7603: 7600: 7596: 7592: 7588: 7587: 7583: 7580: 7577: 7575: 7571: 7570: 7565: 7562: 7561: 7559: 7557: 7553: 7550: 7547: 7544: 7540: 7535: 7531: 7527: 7520: 7515: 7513: 7508: 7506: 7501: 7500: 7497: 7485: 7482: 7480: 7477: 7475: 7474:Tildrakizumab 7472: 7470: 7467: 7465: 7462: 7460: 7457: 7455: 7452: 7450: 7447: 7445: 7442: 7440: 7437: 7435: 7432: 7430: 7427: 7425: 7422: 7420: 7417: 7415: 7412: 7410: 7407: 7405: 7404:Pegcetacoplan 7402: 7400: 7397: 7395: 7392: 7390: 7387: 7385: 7382: 7380: 7377: 7375: 7372: 7370: 7367: 7365: 7362: 7360: 7357: 7355: 7352: 7350: 7347: 7344: 7340: 7337: 7335: 7332: 7330: 7327: 7325: 7322: 7320: 7317: 7315: 7314:Darvadstrocel 7312: 7310: 7307: 7305: 7302: 7300: 7297: 7295: 7292: 7290: 7287: 7285: 7282: 7280: 7277: 7275: 7272: 7270: 7267: 7266: 7264: 7260: 7250: 7247: 7245: 7242: 7240: 7237: 7233: 7230: 7228: 7225: 7224: 7223: 7222: 7221:TNF inhibitor 7218: 7214: 7211: 7209: 7206: 7205: 7204: 7203: 7199: 7198: 7196: 7193: 7188: 7178: 7175: 7173: 7170: 7169: 7167: 7165: 7161: 7151: 7148: 7146: 7143: 7141: 7138: 7136: 7133: 7131: 7128: 7126: 7123: 7121: 7118: 7116: 7113: 7111: 7108: 7106: 7103: 7101: 7098: 7096: 7093: 7091: 7088: 7086: 7083: 7081: 7078: 7076: 7073: 7071: 7068: 7066: 7063: 7061: 7058: 7056: 7053: 7052: 7050: 7046: 7039: 7035: 7034: 7030: 7029: 7024: 7021: 7019: 7016: 7014: 7011: 7010: 7009: 7008: 7004: 7003: 6998: 6995: 6994: 6993: 6992: 6988: 6984: 6981: 6980: 6979: 6978: 6974: 6970: 6967: 6965: 6962: 6961: 6960: 6959: 6955: 6951: 6948: 6946: 6943: 6941: 6938: 6937: 6936: 6935: 6931: 6927: 6924: 6923: 6922: 6919: 6918: 6913: 6910: 6908: 6905: 6904: 6903: 6902: 6898: 6894: 6891: 6890: 6889: 6888: 6887:CD147/Basigin 6884: 6880: 6877: 6876: 6875: 6874: 6870: 6866: 6863: 6862: 6861: 6860: 6856: 6852: 6849: 6847: 6844: 6843: 6842: 6841: 6837: 6833: 6830: 6828: 6825: 6824: 6823: 6822: 6818: 6814: 6811: 6809: 6806: 6804: 6801: 6798: 6794: 6791: 6789: 6786: 6785: 6784: 6783: 6779: 6775: 6772: 6771: 6770: 6769: 6765: 6761: 6758: 6757: 6756: 6755: 6751: 6747: 6744: 6742: 6739: 6737: 6734: 6733: 6732: 6731: 6727: 6723: 6720: 6718: 6715: 6713: 6710: 6708: 6707:Muromonab-CD3 6705: 6704: 6703: 6702: 6698: 6697: 6695: 6689: 6681: 6678: 6677: 6676: 6675: 6671: 6670: 6665: 6662: 6660: 6657: 6656: 6655: 6654: 6650: 6646: 6642: 6641: 6636: 6633: 6632: 6631: 6630: 6626: 6625: 6620: 6617: 6616: 6615: 6614: 6610: 6609: 6604: 6601: 6600: 6599: 6598: 6594: 6593: 6588: 6585: 6584: 6583: 6582: 6581:Interleukin 5 6578: 6577: 6572: 6569: 6567: 6564: 6562: 6561:Tildrakizumab 6559: 6557: 6554: 6552: 6549: 6547: 6544: 6542: 6539: 6537: 6534: 6532: 6529: 6527: 6524: 6522: 6519: 6517: 6514: 6512: 6509: 6507: 6504: 6502: 6499: 6497: 6494: 6492: 6489: 6487: 6484: 6482: 6479: 6477: 6474: 6472: 6469: 6467: 6464: 6463: 6462: 6461: 6457: 6456: 6451: 6448: 6446: 6443: 6441: 6438: 6436: 6433: 6431: 6428: 6426: 6423: 6422: 6421: 6420: 6416: 6415: 6410: 6407: 6406: 6405: 6404: 6400: 6399: 6397: 6395:(noncellular) 6391: 6388: 6386: 6382: 6379: 6377: 6373: 6370: 6368:Extracellular 6366: 6356: 6353: 6351: 6348: 6346: 6343: 6341: 6338: 6336: 6335:Ridaforolimus 6333: 6331: 6328: 6327: 6325: 6323: 6319: 6313: 6310: 6309: 6307: 6305: 6301: 6298: 6294:Intracellular 6292: 6280: 6277: 6276: 6275: 6274: 6270: 6268: 6265: 6263: 6260: 6258: 6255: 6254: 6252: 6250: 6246: 6240: 6237: 6235: 6232: 6231: 6226: 6223: 6221: 6218: 6216: 6213: 6211: 6208: 6207: 6206: 6205: 6201: 6197: 6193: 6192: 6190: 6187: 6181: 6177: 6169: 6166: 6165: 6164: 6163: 6159: 6158: 6153: 6152:Teriflunomide 6150: 6148: 6145: 6144: 6142: 6141: 6137: 6136: 6131: 6128: 6126: 6123: 6122: 6121: 6120: 6116: 6115: 6113: 6111: 6107: 6104: 6100:Intracellular 6098: 6093: 6089: 6085: 6078: 6073: 6071: 6066: 6064: 6059: 6058: 6055: 6049: 6045: 6044: 6039: 6038: 6027: 6023: 6019: 6015: 6011: 6007: 6002: 5998: 5994: 5990: 5986: 5981: 5976: 5972: 5968: 5964: 5959: 5955: 5951: 5947: 5943: 5939: 5935: 5931: 5927: 5922: 5921: 5896: 5892: 5888: 5884: 5872: 5868: 5864: 5860: 5848: 5844: 5840: 5836: 5835: 5831: 5823: 5819: 5815: 5811: 5807: 5803: 5799: 5795: 5788: 5780: 5776: 5772: 5768: 5763: 5758: 5753: 5748: 5744: 5740: 5736: 5729: 5721: 5717: 5713: 5709: 5704: 5699: 5695: 5691: 5687: 5680: 5672: 5668: 5663: 5658: 5653: 5648: 5644: 5640: 5636: 5629: 5621: 5617: 5612: 5607: 5603: 5599: 5595: 5591: 5587: 5580: 5572: 5568: 5563: 5558: 5554: 5550: 5546: 5542: 5538: 5531: 5529: 5520: 5516: 5512: 5508: 5504: 5500: 5493: 5485: 5481: 5476: 5471: 5466: 5461: 5457: 5453: 5449: 5442: 5434: 5430: 5425: 5420: 5416: 5412: 5408: 5404: 5400: 5396: 5392: 5385: 5383: 5374: 5370: 5365: 5360: 5356: 5352: 5348: 5344: 5340: 5333: 5325: 5321: 5316: 5311: 5307: 5303: 5299: 5295: 5291: 5284: 5276: 5272: 5267: 5262: 5258: 5254: 5250: 5246: 5242: 5238: 5234: 5227: 5211: 5207: 5203: 5196: 5188: 5184: 5180: 5176: 5172: 5168: 5164: 5160: 5153: 5137: 5133: 5129: 5123: 5115: 5111: 5106: 5101: 5097: 5093: 5089: 5085: 5081: 5074: 5067: 5063: 5059: 5054: 5049: 5045: 5041: 5037: 5033: 5029: 5022: 5020: 5018: 5016: 4999: 4995: 4994:New Scientist 4991: 4984: 4976: 4972: 4967: 4962: 4957: 4952: 4948: 4944: 4940: 4933: 4925: 4921: 4916: 4911: 4907: 4903: 4899: 4892: 4876: 4872: 4868: 4862: 4854: 4850: 4846: 4842: 4838: 4834: 4830: 4826: 4822: 4818: 4811: 4803: 4799: 4794: 4789: 4785: 4781: 4777: 4773: 4769: 4762: 4754: 4750: 4746: 4742: 4738: 4734: 4727: 4711: 4707: 4703: 4696: 4688: 4684: 4680: 4676: 4671: 4666: 4662: 4658: 4654: 4648: 4640: 4636: 4632: 4628: 4624: 4620: 4613: 4605: 4601: 4597: 4593: 4589: 4585: 4581: 4577: 4570: 4562: 4558: 4553: 4548: 4544: 4540: 4536: 4532: 4528: 4521: 4513: 4509: 4505: 4501: 4497: 4493: 4485: 4477: 4473: 4469: 4465: 4461: 4457: 4450: 4442: 4438: 4434: 4430: 4426: 4422: 4415: 4407: 4403: 4399: 4395: 4391: 4387: 4380: 4372: 4368: 4364: 4360: 4356: 4352: 4344: 4336: 4332: 4327: 4322: 4317: 4312: 4308: 4304: 4300: 4296: 4292: 4285: 4283: 4281: 4272: 4268: 4264: 4260: 4256: 4252: 4248: 4244: 4236: 4228: 4224: 4220: 4216: 4212: 4208: 4201: 4193: 4189: 4185: 4181: 4177: 4173: 4166: 4164: 4162: 4153: 4149: 4145: 4141: 4137: 4133: 4129: 4125: 4121: 4117: 4110: 4102: 4098: 4093: 4088: 4083: 4078: 4074: 4070: 4066: 4059: 4051: 4047: 4043: 4039: 4035: 4031: 4023: 4015: 4011: 4006: 4001: 3997: 3993: 3989: 3982: 3974: 3970: 3966: 3962: 3958: 3955:(in French). 3954: 3947: 3939: 3935: 3931: 3927: 3922: 3917: 3913: 3909: 3905: 3901: 3894: 3886: 3882: 3878: 3874: 3870: 3866: 3859: 3851: 3847: 3843: 3839: 3835: 3831: 3824: 3816: 3812: 3808: 3804: 3800: 3796: 3789: 3770: 3766: 3762: 3758: 3754: 3747: 3740: 3732: 3728: 3724: 3720: 3715: 3710: 3706: 3702: 3698: 3691: 3675: 3671: 3667: 3663: 3659: 3655: 3651: 3647: 3640: 3632: 3628: 3624: 3620: 3615: 3610: 3606: 3602: 3598: 3591: 3583: 3579: 3575: 3571: 3567: 3563: 3559: 3555: 3548: 3546: 3537: 3533: 3528: 3523: 3519: 3515: 3511: 3507: 3503: 3496: 3488: 3484: 3479: 3474: 3470: 3466: 3462: 3458: 3454: 3447: 3439: 3435: 3430: 3425: 3421: 3417: 3413: 3409: 3405: 3401: 3397: 3390: 3388: 3371: 3367: 3363: 3357: 3349: 3345: 3341: 3337: 3333: 3329: 3325: 3321: 3313: 3305: 3301: 3296: 3291: 3287: 3283: 3279: 3272: 3264: 3260: 3255: 3250: 3246: 3242: 3238: 3231: 3223: 3219: 3214: 3209: 3205: 3201: 3197: 3190: 3174: 3170: 3166: 3160: 3152: 3148: 3144: 3140: 3136: 3132: 3125: 3109: 3105: 3101: 3094: 3092: 3090: 3081: 3077: 3072: 3067: 3062: 3057: 3053: 3049: 3045: 3038: 3022: 3018: 3014: 3008: 2992: 2988: 2982: 2978: 2977: 2969: 2953: 2949: 2943: 2939: 2938: 2930: 2914: 2910: 2906: 2900: 2884: 2880: 2878: 2872: 2866: 2858: 2854: 2850: 2846: 2842: 2838: 2831: 2823: 2819: 2814: 2809: 2804: 2799: 2795: 2791: 2787: 2780: 2764: 2760: 2756: 2749: 2741: 2737: 2732: 2727: 2722: 2717: 2713: 2709: 2705: 2698: 2696: 2694: 2692: 2690: 2688: 2671: 2667: 2663: 2657: 2655: 2646: 2642: 2637: 2632: 2628: 2624: 2620: 2613: 2611: 2602: 2598: 2594: 2590: 2586: 2582: 2575: 2559: 2555: 2551: 2545: 2543: 2541: 2524: 2520: 2516: 2512: 2505: 2489:. 9 June 2023 2488: 2486: 2481: 2480:"Hyftor EPAR" 2475: 2473: 2471: 2454: 2450: 2446: 2440: 2438: 2421: 2417: 2413: 2407: 2391: 2387: 2383: 2377: 2375: 2373: 2371: 2354: 2350: 2346: 2340: 2338: 2336: 2334: 2332: 2330: 2328: 2326: 2324: 2322: 2320: 2318: 2316: 2314: 2298: 2294: 2290: 2284: 2280: 2272: 2270: 2266: 2262: 2258: 2255: 2245: 2243: 2233: 2231: 2227: 2217: 2215: 2206: 2204: 2194: 2192: 2188: 2178: 2176: 2172: 2168: 2164: 2160: 2150: 2141: 2139: 2135: 2131: 2127: 2122: 2120: 2114: 2111: 2107: 2098: 2096: 2092: 2088: 2078: 2076: 2072: 2068: 2064: 2060: 2056: 2052: 2048: 2044: 2040: 2035: 2033: 2029: 2025: 2022:(CCI-779) or 2021: 2017: 2013: 2008: 1997: 1992: 1983: 1981: 1977: 1973: 1968: 1964: 1960: 1956: 1952: 1948: 1944: 1940: 1935: 1931: 1927: 1923: 1919: 1915: 1911: 1907: 1903: 1899: 1895: 1891: 1888: 1884: 1880: 1876: 1872: 1868: 1865: 1861: 1857: 1853: 1849: 1845: 1840: 1837: 1833: 1824: 1811: 1803: 1799: 1792: 1778: 1772: 1765: 1763: 1759: 1754: 1750: 1746: 1742: 1738: 1728: 1726: 1723: 1719: 1708: 1699: 1695: 1692:This section 1690: 1687: 1683: 1682: 1674: 1672: 1666: 1664: 1660: 1656: 1652: 1648: 1644: 1641: 1631: 1629: 1628: 1621: 1619: 1615: 1611: 1606: 1604: 1600: 1596: 1592: 1588: 1584: 1578: 1563: 1561: 1557: 1553: 1549: 1546: 1536: 1534: 1524: 1522: 1518: 1514: 1510: 1506: 1496: 1488: 1486: 1482: 1478: 1472: 1468: 1467: 1463: 1454:Lung toxicity 1451: 1449: 1445: 1441: 1437: 1433: 1418: 1414: 1410: 1409:ovarian cysts 1406: 1403: 1401: 1398: 1397: 1394: 1390: 1386: 1383: 1380: 1379: 1376: 1372: 1369: 1367: 1364: 1363: 1360: 1356: 1354: 1351: 1350: 1347: 1343: 1339: 1335: 1332: 1331: 1328: 1324: 1320: 1317: 1315: 1311: 1308: 1307: 1304: 1301: 1299: 1296: 1295: 1292: 1288: 1284: 1280: 1277: 1275: 1272: 1271: 1267: 1263: 1262:herpes zoster 1259: 1255: 1252: 1249: 1248: 1244: 1241: 1240: 1237: 1234: 1232: 1228: 1224: 1220: 1214: 1212: 1208: 1204: 1200: 1196: 1192: 1188: 1184: 1180: 1169: 1166: 1163: 1159: 1158:angiofibromas 1152:Angiofibromas 1149: 1140: 1138: 1134: 1130: 1125: 1119: 1109: 1106: 1104: 1099: 1097: 1093: 1089: 1085: 1081: 1076: 1072: 1067: 1065: 1061: 1057: 1053: 1049: 1048:smooth muscle 1045: 1035: 1032: 1028: 1024: 1020: 1015: 1013: 1009: 1005: 999: 995: 985: 983: 979: 973: 971: 968: 963: 961: 957: 953: 949: 946:Sirolimus is 939: 937: 933: 929: 925: 921: 917: 916:Easter Island 913: 909: 908: 904: 899: 897: 893: 888: 886: 885:interleukin-2 882: 878: 874: 870: 866: 862: 858: 854: 850: 846: 842: 838: 834: 824: 817: 808: 803: 802: 799: 792: 783: 782: 779: 772: 768: 766: 762: 755: 751: 750: 748: 745: 740: 733: 731: 727: 703: 701: 697: 692: 688: 684: 681: 679: 677:ECHA InfoCard 673: 665: 661: 660:DTXSID5023582 657: 656: 654: 645: 641: 633: 632:RCSB PDB 627: 622: 621: 619: 617: 613: 606: 602: 601: 599: 597: 593: 586: 582: 581: 579: 577: 573: 566: 562: 561: 559: 557: 553: 546: 542: 541: 539: 537: 533: 526: 522: 521: 519: 517: 513: 506: 502: 501: 499: 497: 493: 486: 482: 481: 479: 472: 468: 461: 457: 456: 454: 452: 448: 434: 430: 426: 422: 416: 412: 408: 404: 400: 396: 392: 388: 384: 380: 376: 372: 367: 366: 363: 356: 351: 347: 345: 341: 337: 335: 328: 325: 322: 320: 316: 312: 310: 306: 302: 300: 296: 292: 288: 282: Rx-only 275: 272: 260: 259: 257: 255: 251: 246: 238: 233: 228: 223: 218: 213: 208: 203: 200: 199: 197: 195: 191: 188: 184: 180: 177: 175: 169: 163: 154: 153: 151: 149: 143: 136: 132: 122: 119: 114: 105: 102: 97: 88: 87: 85: 83: 79: 75: 71: 67: 65: 61: 58:Clinical data 56: 52: 47: 43: 38: 30: 19: 9999:Orphan drugs 9933: 9913:Ketoconazole 9910:Antagonists: 9909: 9883:Troglitazone 9858:Tetracycline 9813:Spiroxatrine 9802: 9758:Quingestrone 9753:Progesterone 9738:Pregnenolone 9733:Pregnanolone 9723:Pregnanediol 9718:Prednisolone 9643:Mifepristone 9570: 9545:Griseofulvin 9525:Fenbendazole 9510:Famprofazone 9505:Erythromycin 9500:Epothilone B 9485:Eburnamonine 9380:Clotrimazole 9370:Clofenvinfos 9305:Antimycotics 9236: 9199:Okadaic acid 9151:Antagonists: 9150: 9139:Troglitazone 9074:Mifepristone 9069:Methoxychlor 9064:Griseofulvin 9059:Ellagic acid 9039:Cypermethrin 9029:Clotrimazole 8980: 8870:Pexidartinib 8855:Odronextamab 8825:Gilteritinib 8805:Cabozantinib 8752: 8718: 8693: 8687:Temsirolimus 8669: 8653: 8635:proapoptotic 8633: 8617: 8596:Zanubrutinib 8568: 8538: 8507: 8484:Lestaurtinib 8463:Janus kinase 8461: 8442: 8396: 8389:Non-receptor 8370:Cabozantinib 8363: 8332:Infigratinib 8317: 8291: 8233:Fruquintinib 8215: 8208:Gilteritinib 8204:Lestaurtinib 8197: 8146: 8115: 8088:Mobocertinib 8053:Aumolertinib 8041: 8006:Tremelimumab 7991:Tislelizumab 7946:Retifanlimab 7821:Blinatumomab 7791:Atezolizumab 7762: 7744: 7734: 7716:Obinutuzumab 7694: 7676: 7643: 7626: 7584: 7567: 7484:Upadacitinib 7444:Satralizumab 7429:Ritlecitinib 7424:Risankizumab 7219: 7200: 7140:Teprotumumab 7090:Inebilizumab 7085:Fontolizumab 7065:Atorolimumab 7033:T-lymphocyte 7031: 7005: 6989: 6975: 6956: 6945:Lerdelimumab 6940:Bertilimumab 6932: 6920: 6899: 6885: 6871: 6857: 6838: 6819: 6803:Pascolizumab 6788:Obinutuzumab 6780: 6766: 6752: 6736:Clenoliximab 6728: 6712:Otelixizumab 6699: 6672: 6659:Lebrikizumab 6643: 6627: 6611: 6595: 6579: 6536:Satralizumab 6526:Risankizumab 6458: 6417: 6401: 6393:Serum target 6345:Temsirolimus 6339: 6271: 6262:Pomalidomide 6257:Lenalidomide 6215:Pimecrolimus 6194: 6168:Methotrexate 6160: 6138: 6125:Azathioprine 6117: 6102:(initiation) 6041: 6009: 6005: 5970: 5966: 5929: 5925: 5899:. Retrieved 5890: 5875:. Retrieved 5866: 5851:. Retrieved 5842: 5830: 5797: 5793: 5787: 5742: 5738: 5728: 5693: 5689: 5679: 5642: 5638: 5628: 5593: 5589: 5579: 5544: 5540: 5502: 5498: 5492: 5455: 5451: 5441: 5398: 5394: 5346: 5342: 5332: 5297: 5293: 5283: 5240: 5236: 5226: 5214:. Retrieved 5205: 5195: 5162: 5158: 5152: 5140:. Retrieved 5131: 5122: 5087: 5083: 5073: 5065: 5035: 5031: 5002:. Retrieved 4993: 4983: 4946: 4942: 4932: 4905: 4901: 4891: 4879:. Retrieved 4870: 4861: 4820: 4816: 4810: 4775: 4771: 4761: 4736: 4732: 4726: 4714:. Retrieved 4705: 4695: 4660: 4656: 4647: 4625:(1): 47–60. 4622: 4618: 4612: 4579: 4575: 4569: 4534: 4530: 4520: 4495: 4491: 4484: 4459: 4455: 4449: 4424: 4420: 4414: 4389: 4385: 4379: 4354: 4350: 4343: 4298: 4294: 4246: 4242: 4235: 4213:(1): 51–61. 4210: 4206: 4200: 4175: 4171: 4119: 4115: 4109: 4072: 4068: 4058: 4033: 4029: 4022: 3995: 3991: 3981: 3959:(1): 64–69. 3956: 3952: 3946: 3903: 3899: 3893: 3868: 3864: 3858: 3833: 3829: 3823: 3798: 3794: 3788: 3776:. Retrieved 3756: 3752: 3739: 3704: 3700: 3690: 3680:24 September 3678:. Retrieved 3653: 3649: 3639: 3604: 3600: 3590: 3557: 3553: 3512:(1): 28–38. 3509: 3505: 3495: 3460: 3456: 3446: 3403: 3399: 3374:. Retrieved 3365: 3356: 3326:(1): 14–20. 3323: 3319: 3312: 3288:(1): 86–90. 3285: 3281: 3271: 3244: 3240: 3230: 3203: 3199: 3189: 3177:. Retrieved 3173:the original 3168: 3159: 3134: 3130: 3124: 3112:. Retrieved 3051: 3047: 3037: 3025:. Retrieved 3007: 2995:. Retrieved 2975: 2968: 2956:. Retrieved 2936: 2929: 2917:. Retrieved 2908: 2899: 2887:. Retrieved 2874: 2865: 2840: 2836: 2830: 2793: 2789: 2779: 2767:. Retrieved 2758: 2748: 2711: 2707: 2674:. Retrieved 2670:the original 2666:Cypher Stent 2626: 2622: 2584: 2580: 2574: 2562:. Retrieved 2553: 2527:. Retrieved 2518: 2514: 2504: 2491:. Retrieved 2483: 2457:. Retrieved 2448: 2424:. Retrieved 2415: 2406: 2394:. Retrieved 2385: 2357:. Retrieved 2348: 2300:. Retrieved 2292: 2283: 2252:A number of 2251: 2239: 2223: 2212: 2200: 2184: 2156: 2147: 2128:goes up and 2123: 2115: 2110:mouse models 2104: 2084: 2059:chemotherapy 2036: 2020:temsirolimus 2009: 2005: 1976:methylations 1959:condensation 1933: 1929: 1925: 1921: 1917: 1913: 1909: 1905: 1893: 1889: 1866: 1859: 1855: 1851: 1841: 1829: 1758:biosynthesis 1749:biosynthesis 1737:biosynthesis 1734: 1731:Biosynthesis 1715: 1702: 1698:adding to it 1693: 1667: 1637: 1625: 1622: 1607: 1580: 1566:Pharmacology 1560:blood plasma 1542: 1539:Interactions 1530: 1513:azathioprine 1505:skin cancers 1502: 1494: 1464: 1457: 1448:temsirolimus 1429: 1235: 1215: 1193:, increased 1191:hypertension 1175: 1167: 1155: 1146: 1121: 1107: 1100: 1068: 1041: 1016: 1001: 978:angiofibroma 974: 964: 945: 942:Medical uses 936:angiofibroma 911: 905: 900: 889: 859:, and treat 840: 836: 832: 831: 820:   432: 428: 424: 420: 414: 410: 406: 402: 398: 394: 390: 386: 382: 378: 374: 370: 348:Mostly fecal 331:Elimination 254:Legal status 248:Legal status 82:License data 29: 9898:Zafirlukast 9868:Thiothixene 9848:Terconazole 9798:Simvastatin 9673:Nisoldipine 9668:Nilvadipine 9653:Nicardipine 9623:Metacycline 9450:Dimercaprol 9405:Demecolcine 9365:Clindamycin 9360:Ciglitazone 9310:Artemisinin 9290:Ambrisentan 9194:Nigramide J 9129:Telmisartan 9089:Nicardipine 8999:Benfuracarb 8994:Artemisinin 8900:Tebentafusp 8880:Regorafenib 8875:Quizartinib 8865:Pemigatinib 8845:Midostaurin 8820:Erdafitinib 8815:Entrectinib 8798:Parsaclisib 8746:Trilaciclib 8736:Palbociclib 8731:Dalpiciclib 8726:Abemaciclib 8628:Aflibercept 8555:Entrectinib 8525:Selumetinib 8520:Cobimetinib 8515:Binimetinib 8499:Ruxolitinib 8489:Momelotinib 8469:Baricitinib 8367:inhibitors: 8344:Pralsetinib 8340:Pemigatinib 8328:Futibatinib 8324:Entrectinib 8321:inhibitors: 8253:Regorafenib 8157:Avapritinib 8103:Rociletinib 8098:Osimertinib 8063:Dacomitinib 8001:Toripalimab 7986:Teclistamab 7976:Talquetamab 7971:Tafasitamab 7966:Sugemalimab 7961:Serplulimab 7951:Sabatolimab 7941:Ramucirumab 7936:Prolgolimab 7906:Necitumumab 7861:Epcoritamab 7841:Dostarlimab 7831:Daratumumab 7786:Amivantamab 7751:Alemtuzumab 7741:Brentuximab 7731:Tositumomab 7706:Ibritumomab 7687:Elranatamab 7650:Bevacizumab 7638:Edrecolomab 7633:Catumaxomab 7595:Trastuzumab 7579:Panitumumab 7479:Tofacitinib 7419:Ravulizumab 7409:Pirfenidone 7399:Peficitinib 7299:Canakinumab 7289:Briakinumab 7279:Bimekizumab 7274:Baricitinib 7239:Aflibercept 7150:Vepalimomab 7145:Vapaliximab 7120:Rovelizumab 7110:Pexelizumab 7100:Morolimumab 7075:Cedelizumab 7060:Anifrolumab 7055:Alemtuzumab 7013:Basiliximab 6983:Tocilizumab 6969:Vedolizumab 6964:Natalizumab 6950:Metelimumab 6893:Gavilimomab 6851:Toralizumab 6846:Teneliximab 6832:Lumiliximab 6827:Gomiliximab 6813:Ublituximab 6793:Ocrelizumab 6746:Zanolimumab 6722:Visilizumab 6680:Secukinumab 6664:Ustekinumab 6635:Elsilimomab 6619:Faralimomab 6587:Mepolizumab 6571:Ustekinumab 6566:Tocilizumab 6541:Secukinumab 6491:Canakinumab 6481:Briakinumab 6476:Bimekizumab 6471:Basiliximab 6460:Interleukin 6450:Nerelimomab 6355:Zotarolimus 6296:(reception) 6267:Thalidomide 6225:Voclosporin 6210:Ciclosporin 6204:Calcineurin 6200:Cyclophilin 6147:Leflunomide 6143:inhibitors 6043:NCT02494570 5901:23 February 5877:23 February 5853:23 February 5762:2268/256132 5343:GeroScience 4716:19 February 4498:(1): 9–16. 4092:2445/178597 2919:26 November 2550:"Rapamycin" 2459:26 November 2396:19 December 2359:26 November 2063:doxorubicin 2057:effects of 2043:doxorubicin 1943:cyclohexane 1873:-dependent 1722:macrocyclic 1705:August 2016 1659:ciclosporin 1651:efflux pump 1603:calcineurin 1556:efflux pump 1499:Cancer risk 1417:menorrhagia 1366:Respiratory 1342:hypokalemia 1325:(TTP/HUS), 1310:Hematologic 1264:infection, 1103:orphan drug 1088:cholesterol 737: g·mol 683:100.107.147 353:Identifiers 338:57–63 hours 183:intravenous 73:Other names 64:Trade names 9994:Macrolides 9973:Categories 9878:Tianeptine 9843:Tenylidone 9838:Tacrolimus 9783:Rimexolone 9773:Rifampicin 9713:Plicamycin 9698:Paclitaxel 9683:Omeprazole 9663:Nifedipine 9638:Mevastatin 9633:Metyrapone 9613:Lovastatin 9608:Loratadine 9565:Hyperforin 9555:Haloprogin 9520:Felodipine 9495:Enzacamene 9475:Dronabinol 9440:Diclazuril 9419:prasterone 9375:Chloroxine 9350:Cephradine 9320:Bile acids 9134:Tolnaftate 9099:Permethrin 9084:Nevirapine 9079:Nefazodone 9048:prasterone 9009:Carvedilol 8989:Amiodarone 8960:modulators 8915:Venetoclax 8910:Vandetanib 8885:Ripretinib 8850:Nintedanib 8835:Lenvatinib 8810:Capmatinib 8793:Idelalisib 8783:Copanlisib 8756:inhibitors 8741:Ribociclib 8712:Vismodegib 8697:inhibitors 8677:Everolimus 8643:prohibitin 8560:Lorlatinib 8550:Crizotinib 8530:Trametinib 8494:Pacritinib 8479:Filgotinib 8474:Fedratinib 8378:Crizotinib 8374:Capmatinib 8356:Vandetanib 8304:Brigatinib 8283:Vandetanib 8243:Nintedanib 8238:Lenvatinib 8177:Ripretinib 8108:Vandetanib 8083:Lazertinib 8058:Brigatinib 7981:Tarlatamab 7916:Olaratumab 7876:Isatuximab 7871:Ipilimumab 7851:Elotuzumab 7846:Durvalumab 7826:Cemiplimab 7816:Bermekimab 7806:Axatilimab 7721:Ofatumumab 7701:Glofitamab 7683:Glofitamab 7591:Pertuzumab 7469:Sutimlimab 7464:Spesolimab 7449:Siltuximab 7389:Olokizumab 7379:Ixekizumab 7374:Itacitinib 7364:Guselkumab 7359:Fingolimod 7354:Filgotinib 7304:Crovalimab 7294:Brodalumab 7284:Blisibimod 7249:Rilonacept 7232:Opinercept 7227:Etanercept 7213:Belatacept 7164:Polyclonal 7125:Siplizumab 7115:Reslizumab 7105:Ofatumumab 7095:Maslimomab 7080:Emapalumab 7023:Inolimomab 7018:Daclizumab 6997:Odulimomab 6912:Ruplizumab 6907:Frexalimab 6865:Aselizumab 6760:Efalizumab 6717:Teplizumab 6613:Interferon 6603:Omalizumab 6556:Spesolimab 6546:Siltuximab 6521:Rilonacept 6516:Olokizumab 6506:Ixekizumab 6501:Guselkumab 6496:Daclizumab 6486:Brodalumab 6445:Infliximab 6430:Afelimomab 6425:Adalimumab 6409:Eculizumab 6385:Monoclonal 6376:Antibodies 6350:Umirolimus 6330:Everolimus 6279:Apremilast 6239:Gusperimus 6220:Tacrolimus 6188:inhibitors 6180:Macrolides 6162:antifolate 5547:(12): 73. 5401:: 109282. 5084:Aging Cell 4988:Lawton G. 4908:(5): 332. 3921:2183/19864 3506:Aging Cell 3247:(1): 328. 2889:1 February 2714:: 701464. 2302:22 October 2275:References 2153:SARS-CoV-2 2119:everolimus 2095:everolimus 2024:everolimus 2018:, such as 1980:oxidations 1832:macrocycle 1762:polyketide 1753:polyketide 1583:tacrolimus 1575:See also: 1444:everolimus 1413:amenorrhea 1400:Urogenital 1327:leukopenia 1303:Stomatitis 1268:infection 1258:lymphocele 1219:stomatitis 1207:arthralgia 1195:creatinine 1098:patients. 1025:), and/or 1023:tacrolimus 992:See also: 972:(PEComa). 952:prevention 920:antifungal 896:restenosis 851:, prevent 742:3D model ( 730:Molar mass 616:PDB ligand 585:CHEBI:9168 545:W36ZG6FT64 516:ChemSpider 460:53123-88-9 451:CAS Number 362:IUPAC name 319:Metabolism 9803:Sirolimus 9793:Ritonavir 9788:Riodipine 9778:Rifaximin 9763:Reserpine 9748:Proadifen 9693:Oxatomide 9648:Nafcillin 9618:Meclizine 9480:Droxidopa 9460:Docetaxel 9385:Colforsin 9335:Bumecaine 9325:Bithionol 9237:Agonists: 9214:T-0901317 9189:Meclizine 9119:Reserpine 9109:Phenytoin 9094:Octicizer 9054:Efavirenz 8981:Agonists: 8905:Tepotinib 8895:Sunitinib 8890:Sorafenib 8860:Pazopanib 8840:Masitinib 8788:Duvelisib 8778:Alpelisib 8766:Sotorasib 8761:Adagrasib 8707:Sonidegib 8702:Glasdegib 8648:Adipotide 8581:Ibrutinib 8454:Dasatinib 8449:Bosutinib 8434:Radotinib 8429:Ponatinib 8424:Nilotinib 8414:Dasatinib 8409:Bosutinib 8404:Asciminib 8372:(VEGFR), 8330:(FGFR2), 8309:Ceritinib 8299:Alectinib 8278:Toceranib 8273:Tivozanib 8268:Sunitinib 8263:Sorafenib 8258:Semaxanib 8248:Pazopanib 8228:Cediranib 8192:Toceranib 8187:Sunitinib 8182:Sorafenib 8172:Pazopanib 8167:Masitinib 8134:Tucatinib 8129:Neratinib 8124:Lapatinib 8093:Olmutinib 8073:Gefitinib 8068:Erlotinib 8043:HER1/EGFR 7911:Nivolumab 7901:Naxitamab 7726:Rituximab 7574:Cetuximab 7569:HER1/EGFR 7459:Sirukumab 7454:Siponimod 7439:Sarilumab 7414:Ponesimod 7384:Netakimab 7369:Iptacopan 7349:Etrasimod 7309:Danicopan 7244:Alefacept 7208:Abatacept 7130:Talizumab 7070:Begelomab 6926:Belimumab 6879:Galiximab 6808:Rituximab 6774:Erlizumab 6741:Keliximab 6551:Sirukumab 6531:Sarilumab 6511:Netakimab 6440:Golimumab 6340:Sirolimus 5997:207831199 5779:231766741 5187:206685475 4949:(1): 39. 4687:198175394 4679:1743-4289 2796:(1): 29. 2265:longevity 2055:cytotoxic 2051:remission 1967:dehydrate 1830:The core 1677:Chemistry 1655:half life 1610:cytosolic 1469:is being 1375:epistaxis 1371:Pneumonia 1333:Metabolic 1314:lymphatic 1298:Digestive 1197:, fever, 1021:(such as 984:complex. 967:malignant 948:indicated 914:found on 903:bacterium 845:macrolide 837:rapamycin 833:Sirolimus 605:ChEMBL413 344:Excretion 333:half-life 172:Routes of 146:Pregnancy 135:Sirolimus 118:Sirolimus 34:Sirolimus 10009:Polyenes 9963:Medicine 9930:See also 9818:SR-12813 9708:Piperine 9688:Orlistat 9658:Nicotine 9530:Fentanyl 9515:Febantel 9490:Ecopipam 9455:Dinaline 9340:Cafestol 9330:Bosentan 9204:PK-11195 8695:hedgehog 8657:against 8655:exotoxin 8621:against 8570:Bruton's 8419:Imatinib 8342:(FGFR), 8338:(NTRK), 8223:Axitinib 8162:Axitinib 8118:HER2/neu 8078:Icotinib 8048:Afatinib 8022:("-nib") 7801:Avelumab 7673:lymphoid 7665:lymphoma 7661:Leukemia 7586:HER2/neu 7548:("-mab") 7394:Ozanimod 7269:Avacopan 7262:Unsorted 7048:Unsorted 6958:Integrin 6691:Cellular 6466:Anakinra 6312:Anakinra 6234:Abetimus 6086: / 6026:33737259 5989:31676179 5946:22037041 5895:Archived 5871:Archived 5847:Archived 5822:30469863 5771:33512760 5720:31313976 5671:27245261 5620:35526176 5571:27812954 5519:15383655 5484:30666207 5458:: 1520. 5433:33031791 5373:31761958 5324:26403194 5275:23325216 5210:Archived 5179:25540326 5142:23 March 5136:Archived 5114:33145977 5062:27208895 4998:Archived 4975:30760308 4924:45906785 4881:23 March 4875:Archived 4845:15029198 4802:15365568 4753:16103051 4710:Archived 4639:16039868 4604:19250234 4596:17041628 4576:Oncogene 4561:22379028 4476:16536560 4441:19387497 4406:16990929 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1346:diabetes 1225:, acne, 1080:diarrhea 950:for the 841:Rapamune 823:(verify) 525:10482078 496:DrugBank 232:QC01EB90 194:ATC code 179:By mouth 148:category 113:DailyMed 18:Rapamune 9989:Lactams 9918:Sesamin 9903:Zeranol 9833:Suramin 9603:LOE-908 9295:AMI-193 9209:S-07662 9124:TCPOBOP 9019:Chrysin 8398:bcr-abl 7759:myeloid 7190:-cept ( 5954:1227277 5814:8782462 5712:9605135 5662:5061796 5611:9249683 5562:5314949 5475:6330346 5424:7536130 5403:Bibcode 5364:6925069 5315:6095456 5266:3687363 5245:Bibcode 5105:7681050 5053:4906330 5004:25 July 4966:6373010 4853:4426215 4825:Bibcode 4793:2409926 4552:3311730 4512:8635756 4335:7644502 4303:Bibcode 4192:9129559 4152:9937225 4144:1715094 4124:Bibcode 4116:Science 3778:4 April 3527:4717280 3478:2440303 3429:3324089 3408:Bibcode 3400:Science 3366:FDAnews 3348:9967001 3106:(FDA). 3102:. U.S. 3071:6716294 3015:. U.S. 2813:3561035 2769:25 July 2731:2809333 2676:1 April 2645:1102508 2529:4 April 2493:12 June 1972:enzymes 1951:malonyl 1725:lactone 1649:(P-gp) 1599:B cells 1554:(P-gp) 1521:placebo 1440:analogs 1340:(LDH), 1242:System 1231:myalgia 1075:placebo 962:(LAM). 881:B cells 877:T cells 769:0.0026 735:914.187 700:Formula 505:DB00877 485:5284616 471:PubChem 273:Rx-only 270:WARNING 234: ( 224: ( 222:S01XA23 214: ( 212:L01EG04 210:) 204: ( 202:L04AH01 187:topical 161: C 133::  115::  98::  9949:Portal 9425:DHEA-S 9265:AA-861 7645:VEGF-A 7202:CTLA-4 7192:Fusion 6693:target 6674:IL-17A 6651:, and 6184:other 6024:  5995:  5987:  5952:  5944:  5820:  5812:  5777:  5769:  5718:  5710:  5669:  5659:  5618:  5608:  5569:  5559:  5517:  5482:  5472:  5431:  5421:  5371:  5361:  5322:  5312:  5273:  5263:  5237:Nature 5185:  5177:  5112:  5102:  5060:  5050:  4973:  4963:  4922:  4851:  4843:  4817:Nature 4800:  4790:  4751:  4685:  4677:  4637:  4602:  4594:  4559:  4549:  4510:  4474:  4439:  4404:  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4267:S2CID 4148:S2CID 3934:S2CID 3772:(PDF) 3749:(PDF) 3727:S2CID 3627:S2CID 3578:S2CID 3344:S2CID 2879:(FDA) 2875:U.S. 2521:(2). 2487:(EMA) 2197:Lupus 2130:IL-10 2126:IL-12 2075:eIF4E 2071:Bcl-2 1949:with 1881:to L- 1844:genes 1460:‹The 1357:Bone 1160:with 1092:edema 798:InChI 744:JSmol 623:RAP ( 576:ChEBI 324:Liver 9596:and 9415:DHEA 9179:AITC 9044:DHEA 8754:KRAS 8659:IL-2 8641:and 8623:VEGF 8540:EML4 8199:FLT3 8150:and 8038:ErbB 7764:CD33 7746:CD52 7736:CD30 7696:CD20 7564:ErbB 6921:BLyS 6873:CD80 6840:CD40 6821:CD23 6782:CD20 6768:CD18 6629:IL-6 6322:mTOR 6196:FKBP 6186:IL-2 6022:PMID 5985:PMID 5942:PMID 5903:2023 5879:2023 5855:2023 5810:PMID 5767:PMID 5708:PMID 5667:PMID 5616:PMID 5567:PMID 5515:PMID 5480:PMID 5429:PMID 5369:PMID 5320:PMID 5271:PMID 5218:2023 5175:PMID 5144:2022 5110:PMID 5058:PMID 5006:2021 4971:PMID 4883:2022 4841:PMID 4798:PMID 4749:PMID 4718:2013 4675:ISSN 4635:PMID 4592:PMID 4557:PMID 4508:PMID 4492:Gene 4472:PMID 4437:PMID 4402:PMID 4367:PMID 4331:PMID 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