Relapse of aplastic anemia responsive to sirolimus combined with cyclosporine.

Abstract:

:Aplastic anemia (AA) is an immune-mediated disease. Although most patients are responsive to immunosuppressive therapy (IST) with a combination of anti-thymocyte globulin (ATG) and cyclosporine (CsA), some patients relapse or are refractory to IST. Sirolimus (rapamysin) inhibits the serine-threonine kinase mammalian target of rapamysin (mTOR), and blocks CsA-resistant and calcium-independent pathways late in the progression of the T-cell cycle. We report two cases of AA which relapsed after CsA and ATG plus CsA, respectively. They achieved transfusion independence after retreatment with sirolimus in combination with a CsA.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

He G,Zhang X,Wu D,Sun A,Wang X

doi

10.1002/pbc.22865

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1133-5

issue

7

eissn

1545-5009

issn

1545-5017

journal_volume

56

pub_type

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