Molecular actions of sirolimus: sirolimus and mTor.

Abstract:

:Recent therapeutic strategies to combat organ allograft rejection have focused on T-cell signaling pathways and the molecules that comprise them. The macrolide antibiotic produced by the bacterium Streptomyces hygroscopicus, known as sirolimus or rapamycin, has shown great therapeutic potential in the transplant setting. Sirolimus alone or in combination with other immunosuppressive agents can block acute rejection, chronic graft destruction, and promote permanent allograft acceptance. Sirolimus targets a unique serine-threonine kinase, mammalian target of rapamycin (mTor), which plays a key role in mitogenic and nutritional cells signals. Within T cells, mTor regulates a number of proteins likely dependent on T cell growth factors such as interleukin 2. This review is focused on the molecular mechanisms by which mTor may regulate T-cell signaling cascades and affect T-cell responsiveness, and how sirolimus likely uncouples this activity.

journal_name

Transplant Proc

authors

Kirken RA,Wang YL

doi

10.1016/s0041-1345(03)00230-6

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

227S-230S

issue

3 Suppl

eissn

0041-1345

issn

1873-2623

pii

S0041134503002306

journal_volume

35

pub_type

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