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Sirolimus

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1743: 1003:, 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. 676: 653: 1963: 40: 1782: 1795: 1137:
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.
742: 1763: 1658: 2093:, 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. 31: 1154:
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.
2216:. 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. 9930: 794:
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
2188:, 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. 2084:
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
1806:, 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 1978:
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
2061:(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 1427:, 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 1908:
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,
2204:. 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. 4461:
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".
1749: 1645:(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. 2080:, 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 1066:
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.
1035:(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 3765:
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".
1625:. 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 3341: 2877:"Aadi Bioscience Announces FDA Approval of its First Product Fyarro for Patients with Locally Advanced Unresectable or Metastatic Malignant Perivascular Epithelioid Cell Tumor (PEComa)" 2069:(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. 123: 3136: 2992: 8919: 5810: 9864: 5658:"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" 5866: 1736:
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.
5107: 1561:, 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 7488: 2391: 2361: 2324: 4177:
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".
2734: 9145: 1588:(FKBP12) in a manner similar to tacrolimus. Unlike the tacrolimus-FKBP12 complex, which inhibits calcineurin (PP2B), the sirolimus-FKBP12 complex inhibits the 3870:
Aparicio G, Calvo MB, Medina V, Fernández O, Jiménez P, Lema M, et al. (August 2009). "Comprehensive lung injury pathology induced by mTOR inhibitors".
182: 8912: 9125: 3645: 3016:"Survival Associated With Sirolimus Plus Tacrolimus Maintenance Without Induction Therapy Compared With Standard Immunosuppression After Lung Transplant" 995:
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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Lung toxicity is a serious complication associated with sirolimus therapy, especially in the case of lung transplants. The mechanism of the
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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".
2591:"Rapamycin (AY-22,989), a new antifungal antibiotic. I. Taxonomy of the producing streptomycete and isolation of the active principle" 9574: 9180: 9095: 5607:"New perspectives on the use of mTOR inhibitors in allogeneic haematopoietic stem cell transplantation and graft-versus-host disease" 907:. The compound was originally named rapamycin after the native name of the island, Rapa Nui. Sirolimus was initially developed as an 1592:(mammalian Target Of Rapamycin, rapamycin being another name for sirolimus) pathway by directly binding to mTOR Complex 1 (mTORC1). 9236: 6962: 5858: 5099: 3618:"Sirolimus-induced pneumonitis complicated by pentamidine-induced phospholipidosis in a renal transplant recipient: a case report" 1503:
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
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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.
999:; this can be avoided by using sirolimus instead. It is particularly advantageous in patients with kidney transplants for 4086:
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
9975: 8594: 4911:"Efficacy and safety of mTOR inhibitors (rapamycin and its analogues) for tuberous sclerosis complex: a meta-analysis" 2726: 9985: 6905: 6275: 2105: 1215: 1072: 811: 786: 119: 106: 5420:"Rapamycin: A Bacteria-Derived Immunosuppressant That Has Anti-atherosclerotic Effects and Its Clinical Application" 2165:, thereby lowering the risk of atherosclerosis. Oxidized LDL cholesterol is a major contributor to atherosclerosis. 8939: 8014: 7540: 6039: 9714: 7314: 4499:"Regulating mammalian target of rapamycin to tune vaccination-induced CD8(+) T cell responses for tumor immunity" 2213: 1773: 1716: 1048: 861: 350: 242: 70: 5811:"Study to assess healthy aging in dogs: the Dog Aging Project and Test of Rapamycin in Aging Dogs (TRIAD study)" 4391:
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).
2261:"FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)" 2006:. However, these drugs have a higher rate of fatal adverse events in cancer patients than control drugs. 1483:. In studies, the skin cancer risk under sirolimus was lower than under other immunosuppressants such as 632: 7466: 5509:"Activation of the Mechanistic Target of Rapamycin in SLE: Explosion of Evidence in the Last Five Years" 3923:
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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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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5374: 5216: 4796: 4274: 4095: 3379: 2451: 2041:. Sirolimus blocks Akt signalling and the cells lose their resistance to the chemotherapy. 2022: 2003: 1926: 1918: 1381: 1326: 1175: 1171: 1121: 1036: 533: 448: 319: 171: 9226: 4673: 4625:"A new role for sirolimus: regression of Kaposi's sarcoma in kidney-transplant recipients" 4497:
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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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4155: 3848: 3685: 3668: 2820: 2564: 9980: 9549: 9256: 7967: 7310: 7300: 6101: 6059: 5993: 5968: 5956: 5913: 5781: 5750: 5738: 5679: 5638: 5587: 5558:"Efficacy of sirolimus in children with lymphatic malformations of the head and neck" 5538: 5486: 5451: 5400: 5340: 5291: 5242: 5158: 5146: 5081: 5029: 4961: 4942: 4812: 4769: 4720: 4658: 4646: 4606: 4602: 4563: 4528: 4479: 4475: 4443: 4408: 4373: 4338: 4302: 4297: 4230: 4226: 4194: 4159: 4111: 4068: 4017: 3981: 3940: 3897: 3852: 3817: 3782: 3732: 3690: 3637: 3590: 3585: 3568: 3541: 3503: 3454: 3405: 3307: 3271: 3230: 3189: 3118: 3047: 2952: 2913: 2824: 2789: 2707: 2612: 2568: 2551:
Simamora P, Alvarez JM, Yalkowsky SH (February 2001). "Solubilization of rapamycin".
2146: 2134: 1910: 1873: 912: 853: 604: 5793: 5691: 4895: 4575: 4242: 3909: 3702: 3602: 3553: 2521: 1962: 473: 9960: 9834: 9554: 9436: 9366: 9251: 9241: 9155: 9005: 7807: 7649: 7644: 7106: 7009: 6672: 6568: 5985: 5946: 5925: 5905: 5773: 5728: 5718: 5669: 5628: 5618: 5577: 5569: 5528: 5520: 5478: 5441: 5431: 5390: 5382: 5330: 5322: 5281: 5273: 5232: 5224: 5138: 5071: 5063: 5019: 5011: 4932: 4922: 4881: 4824: 4804: 4759: 4751: 4712: 4636: 4598: 4555: 4518: 4510: 4471: 4435: 4400: 4365: 4330: 4292: 4282: 4222: 4186: 4151: 4123: 4103: 4058: 4048: 4009: 3971: 3932: 3887: 3879: 3844: 3809: 3774: 3680: 3629: 3580: 3533: 3493: 3485: 3444: 3436: 3395: 3387: 3319: 3299: 3261: 3220: 3179: 3110: 3037: 3027: 2816: 2779: 2769: 2697: 2687: 2602: 2560: 2038: 1807: 1428: 1286: 1199: 1167: 1117: 1084: 1019: 753: 688: 279: 215: 205: 195: 6014: 4716: 2758:"Rapamycin and mTOR: a serendipitous discovery and implications for breast cancer" 9934: 9511: 9406: 9286: 7405: 7290: 5674: 5657: 5363:"Rapamycin as a potential repurpose drug candidate for the treatment of COVID-19" 5142: 3813: 3778: 3425:"Sirolimus is associated with new-onset diabetes in kidney transplant recipients" 2946: 2907: 2062: 1689: 1642: 1548: 1504: 1341: 1211: 1128:. However, this kind of stent may also increase the risk of vascular thrombosis. 1111:
The antiproliferative effect of sirolimus has also been used in conjunction with
1018:, to provide steroid-free immunosuppression regimens. Impaired wound healing and 982: 944: 916: 841: 307: 287: 2483:"Immunosuppression With Sirolimus After Solid Organ Transplantation in Children" 2482: 1752:
Figure 1: Domain organization of PKS of rapamycin and biosynthetic intermediates
39: 9859: 9779: 9649: 9506: 9361: 9326: 8985: 8744: 8642: 8590: 8188: 7501: 7295: 7163: 6811: 6645: 6624: 6620: 6616: 6244: 6081: 5989: 5573: 5482: 5326: 5004:
The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
4267:
Proceedings of the National Academy of Sciences of the United States of America
2607: 2590: 2232: 2185: 2138: 2101: 2097: 1987: 1854: 1618: 1530:; hence, inhibitors of either protein may increase sirolimus concentrations in 1523: 1393: 1262: 1254: 1112: 1059: 996: 837: 5951: 5934: 5524: 5386: 4927: 4263:"The biosynthetic gene cluster for the polyketide immunosuppressant rapamycin" 3936: 3883: 3225: 3208: 3184: 3167: 2065:
in adults, many US doctors began prescribing sirolimus (Wyeth's Rapamune) and
1794: 9944: 9799: 9674: 9559: 9521: 9416: 9381: 9316: 9115: 9075: 8975: 8801: 8691: 8653: 8630: 8562: 8557: 8547: 8323: 8319: 8307: 8114: 7897: 7862: 7682: 7662: 7445: 7375: 7285: 7192: 6978: 6678: 6600: 6552: 6532: 6390: 6306: 6157: 6123: 5436: 5419: 5100:"Late-Life Rapamycin Regimens Extend Mouse Lifespan in a Sex-Specific Manner" 4650: 4514: 3976: 3959: 2109: 1250: 1157:
In April 2022, sirolimus was approved by the FDA for treating angiofibromas.
1052: 904: 873: 664: 257: 5015: 4287: 4262: 4107: 3391: 2676:"A comprehensive review of immunosuppression used for liver transplantation" 1781: 856:
functions in humans and is especially useful in preventing the rejection of
9884: 9854: 9829: 9784: 9729: 9724: 9709: 9704: 9694: 9689: 9614: 9516: 9496: 9481: 9476: 9471: 9456: 9351: 9341: 9170: 9110: 9045: 9040: 9035: 9030: 9010: 9000: 8841: 8826: 8796: 8776: 8658: 8606: 8567: 8455: 8434: 8341: 8303: 8204: 8179: 8175: 8059: 8024: 7977: 7962: 7917: 7792: 7762: 7687: 7505: 7455: 7415: 7400: 7395: 7111: 7061: 7056: 7036: 6916: 6911: 6774: 6759: 6707: 6683: 6630: 6507: 6497: 6316: 6233: 6228: 6186: 6139: 6096: 6063: 5997: 5960: 5917: 5742: 5642: 5591: 5542: 5490: 5455: 5404: 5344: 5295: 5246: 5150: 5085: 5033: 4946: 4909:
Li M, Zhou Y, Chen C, Yang T, Zhou S, Chen S, et al. (February 2019).
4816: 4773: 4755: 4724: 4610: 4567: 4559: 4532: 4447: 4412: 4377: 4342: 4334: 4234: 4198: 4072: 4021: 3985: 3944: 3901: 3856: 3821: 3786: 3736: 3694: 3641: 3594: 3545: 3507: 3458: 3440: 3409: 3311: 3275: 3266: 3249: 3234: 3193: 3122: 3051: 2828: 2793: 2774: 2711: 2637: 2572: 2030: 1991: 1930: 1929:(ACP) and extend the polyketide by two carbons each. After each successive 1729: 1720: 1708: 1531: 1484: 1436: 1397: 1179: 1146: 1125: 1058:
The safety and efficacy of sirolimus treatment of LAM were investigated in
966: 924: 220: 210: 200: 190: 5785: 5683: 4483: 4306: 4163: 4115: 4053: 4037:"Sirolimus and secondary skin-cancer prevention in kidney transplantation" 4036: 3718:"Sirolimus-induced interstitial pneumonitis in a renal transplant patient" 2692: 2675: 2616: 1573:. Ciclosporin and tacrolimus inhibit the secretion of IL-2, by inhibiting 22: 9869: 9839: 9819: 9769: 9644: 9639: 9624: 9594: 9421: 9376: 9336: 9331: 9281: 9276: 9261: 9100: 9060: 8965: 8871: 8851: 8846: 8836: 8816: 8791: 8786: 8769: 8717: 8707: 8702: 8697: 8599: 8526: 8496: 8491: 8486: 8470: 8460: 8440: 8315: 8311: 8299: 8295: 8224: 8128: 8074: 8069: 8034: 7972: 7957: 7947: 7942: 7937: 7932: 7912: 7877: 7832: 7812: 7802: 7757: 7722: 7702: 7658: 7621: 7609: 7604: 7566: 7550: 7496: 7450: 7390: 7380: 7370: 7270: 7260: 7250: 7245: 7210: 7121: 7116: 7091: 7081: 7071: 7046: 7031: 7026: 6984: 6954: 6940: 6935: 6921: 6864: 6822: 6817: 6803: 6798: 6784: 6764: 6717: 6693: 6651: 6635: 6606: 6590: 6558: 6542: 6537: 6512: 6462: 6452: 6447: 6442: 6431: 6421: 6326: 6238: 6196: 6181: 6175: 6171: 6118: 5000:"Rapamycin: An InhibiTOR of Aging Emerges From the Soil of Easter Island" 2162: 2081: 2034: 2014: 1947: 1914: 1864:, which is embedded between the PKS genes and translationally coupled to 1693: 1630: 1622: 1574: 1527: 1476: 1405: 1354: 1330: 1298: 1279: 1091: 1076: 940: 5777: 5228: 4808: 4641: 4624: 3114: 1762: 1657: 493: 9849: 9809: 9754: 9744: 9684: 9669: 9654: 9634: 9609: 9604: 9584: 9579: 9536: 9526: 9491: 9466: 9446: 9411: 9390: 9346: 9321: 9105: 9070: 9055: 9050: 9019: 8980: 8960: 8886: 8881: 8856: 8821: 8806: 8781: 8764: 8754: 8712: 8683: 8648: 8614: 8531: 8521: 8501: 8465: 8450: 8445: 8415: 8349: 8345: 8327: 8275: 8254: 8214: 8209: 8148: 8079: 8054: 8029: 7952: 7887: 7847: 7842: 7822: 7817: 7797: 7787: 7777: 7692: 7672: 7654: 7562: 7440: 7435: 7420: 7360: 7350: 7335: 7330: 7325: 7275: 7265: 7255: 7220: 7198: 7184: 7096: 7086: 7076: 7066: 7051: 6994: 6989: 6968: 6883: 6878: 6836: 6830: 6731: 6688: 6584: 6574: 6527: 6517: 6492: 6487: 6477: 6472: 6467: 6457: 6416: 6401: 6396: 6380: 6321: 6301: 6250: 6210: 6191: 6133: 5733: 5655: 5067: 4589:
Law BK (October 2005). "Rapamycin: an anti-cancer immunosuppressant?".
4063: 3489: 3166:
Dekeuleneer V, Seront E, Van Damme A, Boon LM, Vikkula M (April 2020).
2317:"Rapamune- sirolimus solution Rapamune- sirolimus tablet, sugar coated" 2090: 2066: 1995: 1909:
4,5-dihydroxocyclohex-1-ene-carboxylic acid, which is derived from the
1803: 1733: 1724: 1554: 1432: 1401: 1388: 1315: 1291: 1246: 1207: 1195: 1183: 1071:, abdominal pain, nausea, sore throat, acne, chest pain, leg swelling, 1011: 884: 718: 504: 6054: 5723: 5706: 5656:
Blazar BR, Taylor PA, Panoskaltsis-Mortari A, Vallera DA (June 1998).
5623: 5606: 4439: 4256: 4254: 4252: 3892: 3537: 3361: 3359: 3334:"FDA Approves Nobelpharma's Topical Treatment for Facial Angiofibroma" 3303: 30: 9764: 9759: 9749: 9734: 9719: 9664: 9619: 9589: 9451: 9431: 9356: 9296: 9291: 9160: 9090: 9080: 9025: 8876: 8866: 8861: 8831: 8811: 8759: 8749: 8737: 8732: 8678: 8673: 8619: 8552: 8425: 8420: 8405: 8400: 8395: 8385: 8380: 8375: 8280: 8270: 8249: 8244: 8239: 8234: 8229: 8219: 8199: 8163: 8158: 8153: 8143: 8138: 8105: 8100: 8095: 8064: 8044: 8039: 7882: 7872: 7697: 7545: 7430: 7425: 7410: 7385: 7340: 7320: 7280: 7215: 7179: 7101: 6897: 6850: 6779: 6745: 6712: 6522: 6502: 6411: 6151: 4404: 4369: 2236: 2026: 1951: 1938: 1363: 1359: 1302: 955: 923:(FDA) in September 1999. Hyftor was approved for treatment of facial 833: 459: 332: 5909: 5277: 4886: 4869: 9679: 9659: 9629: 9501: 9461: 9311: 9301: 9175: 8626: 8390: 8194: 8133: 8089: 8049: 8019: 7772: 7636: 7632: 7557: 7365: 7240: 6929: 6437: 6347: 6283: 6205: 4249: 3356: 1967: 1480: 1373: 1347: 1334: 1068: 891: 553: 484: 101: 5128: 4546:
Easton JB, Houghton PJ (October 2006). "mTOR and cancer therapy".
3799: 2354:"Fyarro- sirolimus injection, powder, lyophilized, for suspension" 1479:
from exposure to sunlight or UV radiation, and risk of developing
1174:, abdominal pain, headache, nausea, diarrhea, pain, constipation, 741: 620: 9889: 9874: 9804: 9266: 8990: 7730: 6858: 1943: 1922: 1696: 1581: 1492: 1219: 1090:
While sirolimus was considered for treatment of LAM, it received
869: 865: 4211: 3764: 2141:
seen in very serious cases of COVID-19. Moreover, inhibition of
1079:. Serious side effects including hypersensitivity and swelling ( 7173: 7004: 4786: 3922: 1869: 1857:(figure 4) for incorporation at the end of the polyketide. The 1850: 1846: 1634: 1614: 1611: 1570: 1566: 1519: 1516: 1424: 1420: 1242: 1191: 1051:
signaling pathway, resulting in the release of lymphangiogenic
857: 584: 3566: 3523: 3292:
Journal of the European Academy of Dermatology and Venereology
3165: 3072:"FDA approves Rapamune to treat LAM, a very rare lung disease" 2045:-positive lymphomas were completely resistant to the therapy; 88: 8610: 8336: 8170: 8119: 7599: 6872: 6725: 5859:"Dog aging project - TRIAD (Test of Rapamycin in Aging Dogs)" 3998: 2046: 2042: 1934: 1842: 1815: 1080: 899:
and was isolated for the first time in 1972, from samples of
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Oaks Z, Winans T, Huang N, Banki K, Perl A (December 2016).
5259: 5202: 4034: 3869: 3834: 3615: 3013: 2641: 1475:
Sirolimus may increase an individual's risk for contracting
637: 8725: 8511: 8009: 7735: 7717: 7707: 7667: 7535: 6844: 6792: 6753: 6739: 6293: 6167: 5978:
Journal of Vascular Surgery. Venous and Lymphatic Disorders
5308: 5205:"mTOR is a key modulator of ageing and age-related disease" 4460: 4260: 4141: 3471: 3365: 3288: 2077: 1858: 1835: 1585: 1562: 1456: 1455:
inhibitors is unclear, and may have nothing to do with the
1452: 1044: 1006:
Sirolimus can also be used alone, or in conjunction with a
544: 8927: 5049: 1872:, an NPRS responsible for incorporating L-pipecolic acid, 6701: 5895: 5203:
Johnson SC, Rabinovitch PS, Kaeberlein M (January 2013).
3247: 2843:"Drug Approval Package: Rapamune (Sirolimus) NDA# 021083" 2268: 2240: 2104:
decreases, which suggests an immunostimulatory response,
2096:
Sirolimus has complex effects on the immune system—while
2018: 1982:
Sirolimus was shown to inhibit the progression of dermal
1462: 1423:
appears to mediate the drug's benefits, it also inhibits
8940: 5839:
Washington State University Veterinary Teaching Hospital
4496: 2550: 1668: with: content on this topic from . You can help by 864:(mTOR) kinase inhibitor that reduces the sensitivity of 5260:
Weichhart T, Hengstschläger M, Linke M (October 2015).
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of the linear polyketide are in RapC. Then, the linear
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Respiration; International Review of Thoracic Diseases
3423:
Johnston O, Rose CL, Webster AC, Gill JS (July 2008).
2909:
Drug Discovery: Practices, Processes, and Perspectives
2724: 2212:
Rapamycin is used in biology research as an agent for
2049:-expressing lymphomas are not sensitive to sirolimus. 1998:(RAD001), are being tested for use in cancers such as 1925:
or methylmalonyl substrates, which are attached to an
9918: 3666: 2311: 2309: 2307: 2305: 976: 5863:
Iowa State University College of Veterinary Medicine
5815:
University of Georgia College of Veterinary Medicine
5555: 5506: 4997: 4702: 4137: 4135: 4133: 2588: 2303: 2301: 2299: 2297: 2295: 2293: 2291: 2289: 2287: 2285: 1876:
and cyclization of prerapamycin. In addition, genes
1094:
designation status because LAM is a rare condition.
5262:"Regulation of innate immune cell function by mTOR" 5174:"Can a Kidney Transplant Drug Keep You From Aging?" 2516: 2514: 2512: 2253: 2207: 4839:"Combination therapy drives cancer into remission" 3250:"Sirolimus in the Treatment of Vascular Anomalies" 3209:"Sirolimus in the treatment of vascular anomalies" 2673: 2348: 2346: 2344: 2342: 1711:of the rapamycin core is accomplished by a type I 1145:Sirolimus has been used as a topical treatment of 5975: 4130: 2948:Nanotechnology in Medicine: Emerging Applications 2669: 2667: 2665: 2663: 2661: 2659: 2528:. National Center for Biotechnology Information. 2282: 1507:in excess of 30 kg/m (classified as obese). 1031:In May 2015, the FDA approved sirolimus to treat 9942: 4861: 4384: 4085: 3168:"Theranostic Advances in Vascular Malformations" 2725:Qari S, Walters P, Lechtenberg S (21 May 2021). 2589:Vézina C, Kudelski A, Sehgal SN (October 1975). 2509: 1075:, headache, dizziness, muscle pain and elevated 472: 5360: 5356: 5354: 4993: 4991: 4989: 4987: 4349: 2800: 2411: 2409: 2376: 2339: 2131:severe acute respiratory syndrome coronavirus 2 2129:Rapamycin has been proposed as a treatment for 1580:The mode of action of sirolimus is to bind the 879:This compound also has a use in cardiovascular 447: 430:conta-16,24,26,28-tetraene-2,3,10,14,20-pentone 5556:Wiegand S, Dietz A, Wichmann G (August 2022). 5502: 5500: 4908: 4545: 2656: 118: 8913: 7482: 6040: 5468: 3837:The Journal of Heart and Lung Transplantation 3802:The Journal of Heart and Lung Transplantation 3767:The Journal of Heart and Lung Transplantation 3519: 3517: 3429:Journal of the American Society of Nephrology 2446: 2444: 2442: 2052: 1633:, which is also metabolized primarily by the 987:Immunosuppression § Deliberately induced 426:19,30-dimethoxy-15,17,21,23,29,35-hexamethyl- 5462: 5417: 5411: 5351: 5043: 4984: 4780: 4674:"Fatal AEs Higher with mTOR Drugs in Cancer" 4313: 4170: 4079: 3326: 3241: 3200: 3159: 2406: 2191: 1047:). Loss of TSC2 gene function activates the 105: 9196: 5497: 3065: 3063: 3061: 2674:Mukherjee S, Mukherjee U (1 January 2009). 1768:Figure 2: Prerapamycin, unbound product of 1728:and the final four modules to complete the 1026: 224: 9247:Allopregnanedione (5α-dihydroprogesterone) 8920: 8906: 7489: 7475: 6047: 6033: 5604: 5562:European Archives of Oto-Rhino-Laryngology 4998:Arriola Apelo SI, Lamming DW (July 2016). 3715: 3514: 2439: 1986:in patients with renal transplants. Other 674: 651: 512: 5950: 5732: 5722: 5673: 5632: 5622: 5581: 5532: 5445: 5435: 5394: 5334: 5285: 5236: 5075: 5023: 4936: 4926: 4885: 4763: 4640: 4522: 4454: 4296: 4286: 4062: 4052: 3975: 3891: 3684: 3669:"Sirolimus-associated pulmonary toxicity" 3584: 3497: 3448: 3399: 3265: 3224: 3183: 3041: 3031: 2985:"Sirolimus (marketed as Rapamune) Safety" 2944: 2806: 2783: 2773: 2701: 2691: 2634:"Cypher Sirolimus-eluting Coronary Stent" 2628: 2626: 2606: 2235:examining the effect of rapamycin on the 2180: 2115: 2057:Sirolimus also shows promise in treating 1498: 1414: 1131: 1100: 1062:that compared sirolimus treatment with a 532: 8945:Tooltip Constitutive androstane receptor 5611:British Journal of Clinical Pharmacology 5361:Husain A, Byrareddy SN (November 2020). 4671: 4428:Journal of the American Chemical Society 4390: 3172:The Journal of Investigative Dermatology 3100: 3094: 3058: 2157:Rapamycin can accelerate degradation of 1961: 1793: 1719:(NRPS). The domains responsible for the 1451:caused by sirolimus and other macrolide 1023:of a number of ongoing clinical trials. 4591:Critical Reviews in Oncology/Hematology 4582: 2905: 2584: 2582: 2202:hematopoietic stem cell transplantation 2072: 991:The chief advantage sirolimus has over 647: 492: 9943: 9700:Pregnanedione (5β-dihydroprogesterone) 9086:Pregnanedione (5β-dihydroprogesterone) 4144:Clinical Pharmacology and Therapeutics 2995:from the original on 16 September 2016 2965:from the original on 30 September 2020 2727:"The Dirty Drug and the Ice Cream Tub" 2623: 2553:International Journal of Pharmaceutics 2017:and sirolimus has been shown to drive 1463:Lowered effectiveness of immune system 665: 266: 79: 8901: 7470: 6028: 5869:from the original on 23 February 2023 5845:from the original on 23 February 2023 5821:from the original on 23 February 2023 5171: 5110:from the original on 28 February 2021 4867: 4684:from the original on 28 February 2021 3872:Clinical & Translational Oncology 3254:European Journal of Pediatric Surgery 3069: 2887:from the original on 27 November 2021 2364:from the original on 19 December 2021 2327:from the original on 27 November 2021 613: 592: 572: 251: 113: 96: 4737: 4731: 4358:Organic & Biomolecular Chemistry 3716:Mingos MA, Kane GC (December 2005). 2857:from the original on 1 February 2022 2755: 2579: 2480: 2137:effects could prevent or reduce the 1652: 959:perivascular epithelioid cell tumour 850:perivascular epithelioid cell tumour 619: 214: 204: 194: 5711:American Journal of Transplantation 5418:Liu Y, Yang F, Zou S, Qu L (2019). 4588: 4041:The New England Journal of Medicine 3206: 3103:The New England Journal of Medicine 3082:from the original on 14 August 2016 2926:from the original on 19 August 2020 2883:(Press release). 23 November 2021. 2762:Clinical and Translational Medicine 2532:from the original on 16 August 2016 2427:from the original on 13 August 2021 1841:has been established to code for a 1605: 1565:, and thereby blocks activation of 1542: 1308:Thrombotic thrombocytopenic purpura 927:in the European Union in May 2023. 876:(IL-2), inhibiting their activity. 844:, treat a rare lung disease called 552: 463: 13: 5888: 5605:Lutz M, Mielke S (November 2016). 4959: 4191:10.1097/01.ftd.0000179838.33020.34 4014:10.1016/j.transproceed.2010.07.066 3648:from the original on 7 August 2020 3634:10.1016/j.transproceed.2011.06.060 3033:10.1001/jamanetworkopen.2019.10297 2497:from the original on 18 April 2020 2394:from the original on 24 March 2022 2219: 2152: 1160: 1039:-like cells with mutations of the 977:Prevention of transplant rejection 14: 10007: 6006: 5104:Nicotinamide Mononucleotide (NMN) 4972:from the original on 25 July 2021 4915:Orphanet Journal of Rare Diseases 3686:10.1097/01.TP.0000118413.92211.B6 3137:"Venous Malformation: Treatments" 2737:from the original on 25 July 2021 2231:are participating in a long-term 1216:upper respiratory tract infection 1073:upper respiratory tract infection 1055:. Sirolimus blocks this pathway. 428:11,36-dioxa-4-azatricyclohexatria 145: 9928: 4849:from the original on 1 June 2022 4629:Nature Clinical Practice Urology 4603:10.1016/j.critrevonc.2004.09.009 4227:10.1097/00007691-200206000-00004 3925:Revue des Maladies Respiratoires 3746:from the original on 5 June 2022 3586:10.1097/00007890-200109150-00008 3344:from the original on 1 June 2022 2906:Li JJ, Corey EJ (3 April 2013). 2208:Applications in biology research 1780: 1761: 1741: 1656: 1610:Sirolimus is metabolized by the 1515:Sirolimus is metabolized by the 1442: 1140: 705: 699: 38: 29: 5835:"Dog Aging Project TRIAD Study" 5800: 5757: 5698: 5649: 5598: 5549: 5367:Chemico-Biological Interactions 5302: 5253: 5196: 5184:from the original on 8 May 2023 5165: 5122: 5092: 4953: 4902: 4870:"Therapeutics: Means to an end" 4831: 4696: 4672:Bankhead C (17 February 2013). 4665: 4617: 4539: 4490: 4419: 4205: 4028: 3992: 3951: 3916: 3863: 3828: 3793: 3758: 3709: 3660: 3609: 3560: 3465: 3416: 3282: 3129: 3007: 2977: 2945:Koprowski G (7 February 2012). 2938: 2899: 2869: 2835: 2749: 2718: 2214:chemically induced dimerization 1849:cycloamidase, which converts L- 1717:nonribosomal peptide synthetase 1702: 1537: 1510: 930: 862:mechanistic target of rapamycin 799:Key:QFJCIRLUMZQUOT-HPLJOQBZSA-N 9252:Allopregnanolone (brexanolone) 5898:Nature Reviews. Drug Discovery 5131:Science Translational Medicine 2544: 2474: 1954:by P-450s to yield rapamycin. 1470: 1419:While sirolimus inhibition of 919:. It was approved by the U.S. 836:compound that is used to coat 828:and sold under the brand name 708: 693: 1: 9907:Receptor/signaling modulators 9865:Tropanyl 3,5-dimethulbenzoate 9715:Pregnenolone 16α-carbonitrile 4843:Cold Spring Harbor Laboratory 4717:10.1158/0008-5472.CAN-05-0917 4156:10.1016/S0009-9236(97)90192-2 3849:10.1016/S1053-2498(02)00564-8 2821:10.1016/S1359-6446(05)03395-7 2565:10.1016/s0378-5173(00)00617-7 2246: 2124: 6112:dihydroorotate dehydrogenase 5675:10.4049/jimmunol.160.11.5355 5513:Current Rheumatology Reports 5143:10.1126/scitranslmed.3009892 4476:10.1016/0378-1119(95)00800-4 3964:Journal of Clinical Oncology 3814:10.1016/j.healun.2006.05.013 3779:10.1016/j.healun.2006.12.004 3076:Food and Drug Administration 2989:Food and Drug Administration 2849:Food and Drug Administration 2175:systemic lupus erythematosus 1868:, encodes for an additional 1715:(PKS) in conjunction with a 1648: 1325:Abnormal healing, increased 921:Food and Drug Administration 7: 9442:Dodecylbenzenesulfonic acid 9201:Tooltip Pregnane X receptor 8929:Xenobiotic-sensing receptor 6091:purine synthesis inhibitors 5939:Journal of Vascular Surgery 4215:Therapeutic Drug Monitoring 4179:Therapeutic Drug Monitoring 4002:Transplantation Proceedings 3622:Transplantation Proceedings 3213:Journal of Vascular Surgery 1957: 1553:Unlike the similarly named 10: 10012: 7992:Tyrosine kinase inhibitors 5990:10.1016/j.jvsv.2021.03.001 5574:10.1007/s00405-022-07378-8 5483:10.1152/physrev.00047.2003 5327:10.1007/s11357-019-00113-y 5266:Nature Reviews. Immunology 3141:Boston Children's Hospital 2680:Journal of Transplantation 2608:10.7164/antibiotics.28.721 2595:The Journal of Antibiotics 2200:(GVHD), a complication of 2145:by rapamycin could reduce 2059:tuberous sclerosis complex 2053:Tuberous sclerosis complex 1617:and is a substrate of the 1546: 1522:and is a substrate of the 1104: 1041:tuberous sclerosis complex 980: 945:organ transplant rejection 901:Streptomyces hygroscopicus 896:Streptomyces hygroscopicus 842:organ transplant rejection 683:Chemical and physical data 9976:Drugs developed by Pfizer 9898: 9194: 8938: 8582: 8359: 8000: 7990: 7858:Mirvetuximab soravtansine 7750: 7631: 7591: 7526: 7513: 7233: 7161: 7134: 7019: 6662: 6364: 6355: 6346: 6339: 6292: 6276:IL-1 receptor antagonists 6274: 6265: 6219: 6150: 6080: 6071: 5952:10.1016/j.jvs.2019.06.217 5525:10.1007/s11926-016-0622-8 5424:Frontiers in Pharmacology 5387:10.1016/j.cbi.2020.109282 4928:10.1186/s13023-019-1012-x 4744:British Journal of Cancer 3937:10.1016/j.rmr.2010.03.026 3884:10.1007/s12094-009-0394-y 3226:10.1016/j.jvs.2019.08.246 3185:10.1016/j.jid.2019.10.001 2912:. John Wiley & Sons. 2487:Pediatric Pharmacotherapy 2457:European Medicines Agency 2421:European Medicines Agency 2198:Graft-versus-host disease 2192:Graft-versus-host disease 2021:-positive lymphomas into 1973: 1312:hemolytic uremic syndrome 1001:hemolytic-uremic syndrome 947:and for the treatment of 807: 782: 762: 752: 730: 717: 687: 682: 663: 631: 603: 583: 563: 543: 523: 503: 483: 458: 438: 346: 341: 331: 318: 306: 296: 286: 278: 241: 236: 181: 159: 133: 69: 61: 51: 46: 37: 28: 9986:Drugs developed by Wyeth 9825:Testosterone isocaproate 9740:Reverse triiodothyronine 8002:Receptor tyrosine kinase 7528:Receptor tyrosine kinase 7149:Anti-lymphocyte globulin 5437:10.3389/fphar.2018.01520 4515:10.4049/jimmunol.1103365 3977:10.1200/JCO.2010.29.2235 2756:Seto B (November 2012). 2168: 2159:oxidized LDL cholesterol 1599:Saccharomyces cerevisiae 1449:interstitial pneumonitis 1083:) have been observed in 1033:lymphangioleiomyomatosis 1027:Lymphangioleiomyomatosis 949:lymphangioleiomyomatosis 883:technologies to inhibit 846:lymphangioleiomyomatosis 57:Rapamune, Fyarro, Hyftor 9217:17α-Hydroxyprogesterone 9212:17α-Hydroxypregnenolone 7592:Others for solid tumors 7498:Targeted cancer therapy 7144:Anti-thymocyte globulin 6056:Immunosuppressive drugs 4738:Chan S (October 2004). 4393:Natural Product Reports 4288:10.1073/pnas.92.17.7839 4108:10.1126/science.1715094 3392:10.1126/science.1215135 3207:Lee BB (January 2020). 3070:Pahon E (28 May 2015). 2384:"Hyftor- sirolimus gel" 2000:glioblastoma multiforme 1491:, and lower than under 1400:, menstrual disorders ( 1378:squamous cell carcinoma 1188:urinary tract infection 917:ability to inhibit mTOR 420:)-1,18-dihydroxy-12-{(2 7853:Loncastuximab tesirine 7582:Trastuzumab deruxtecan 6949:Interleukin-6 receptor 6375:Complement component 5 6012:Clinical trial number 4756:10.1038/sj.bjc.6602162 4560:10.1038/sj.onc.1209886 4335:10.1002/anie.200453764 3441:10.1681/ASN.2007111202 3267:10.1055/s-0036-1593383 2775:10.1186/2001-1326-1-29 2186:Lymphatic malformation 2181:Lymphatic malformation 2116:Topical administration 1970: 1822:(ORF's) designated as 1799: 1499:Impaired wound healing 1489:calcineurin inhibitors 1415:Diabetes-like symptoms 1276:deep venous thrombosis 1268:Venous thromboembolism 1132:Vascular malformations 1124:, under the tradename 1101:Coronary stent coating 993:calcineurin inhibitors 915:properties due to its 890:It is produced by the 9951:Anti-aging substances 8956:6,7-Dimethylesculetin 7928:Sacituzumab govitecan 7868:Moxetumomab pasudotox 7838:Inotuzumab ozogamicin 7741:Gemtuzumab ozogamicin 7577:Trastuzumab emtansine 7518:monoclonal antibodies 7502:antineoplastic agents 5662:Journal of Immunology 5471:Physiological Reviews 5016:10.1093/gerona/glw090 4874:Nature Reviews Cancer 4503:Journal of Immunology 4054:10.1056/NEJMoa1204166 2991:(FDA). 11 June 2009. 2881:Aadi Bioscience, Inc. 2423:. 17 September 2018. 1965: 1919:Claisen condensations 1797: 1586:FK-binding protein 12 1559:calcineurin inhibitor 1557:, sirolimus is not a 1122:Johnson & Johnson 1105:Further information: 1016:mycophenolate mofetil 1008:calcineurin inhibitor 860:transplants. It is a 9543:Hypericum perforatum 9532:Hetacillin potassium 7783:Belantamab mafodotin 5172:Janin A (May 2023). 5106:. 11 November 2020. 4962:"What is rapamycin?" 4868:Novak K (May 2004). 4635:(5): 211. May 2005. 2809:Drug Discovery Today 2073:Effects on longevity 2004:mantle cell lymphoma 1927:acyl carrier protein 1382:basal cell carcinoma 1327:lactic dehydrogenase 1176:hypertriglyceridemia 1172:hypercholesterolemia 9991:Ophthalmology drugs 9372:Cyproterone acetate 9272:Amlodipine besylate 8636:Denileukin diftitox 8298:(ALK, ROS1, NTRK), 7903:Polatuzumab vedotin 7893:Oportuzumab monatox 5778:10.1038/nm0996-1028 5379:2020CBI...33109282H 5229:10.1038/nature11861 5221:2013Natur.493..338J 5178:Wall Street Journal 4809:10.1038/nature02369 4801:2004Natur.428..332W 4642:10.1038/ncponc0156x 4279:1995PNAS...92.7839S 4100:1991Sci...253..905H 3384:2012Sci...335.1638L 3378:(6076): 1638–1643. 3115:10.1056/NEJMp068234 2693:10.1155/2009/701464 2390:. 28 January 2021. 2226:veterinary medicine 2011:combination therapy 1820:open reading frames 1713:polyketide synthase 832:among others, is a 754:Solubility in water 25: 16:Pharmaceutical drug 9956:Immunosuppressants 9845:Thonzonium bromide 9600:Methylprednisolone 9401:prasterone sulfate 8322:(ROS1, TRK, ALK), 7828:Enfortumab vedotin 7306:Diroximel fumarate 6979:IL-2 receptor/CD25 6407:Certolizumab pegol 6060:Immunosuppressants 6020:ClinicalTrials.gov 5068:10.1111/acel.13269 3490:10.1111/acel.12405 3147:on 17 January 2021 2951:. Momentum Press. 2229:teaching hospitals 2143:cell proliferation 1971: 1800: 1272:pulmonary embolism 1151:tuberous sclerosis 1107:Drug-eluting stent 971:tuberous sclerosis 881:drug-eluting stent 65:Rapamycin, ABI-009 21: 9916: 9915: 9550:Indinavir sulfate 9257:Alpha-Lipoic acid 9232:Δ-Androstenedione 9222:Δ-Androstenedione 8895: 8894: 8578: 8577: 7986: 7985: 7968:Tisotumab vedotin 7464: 7463: 7311:Efgartigimod alfa 7301:Dimethyl fumarate 7229: 7228: 7157: 7156: 7130: 7129: 6335: 6334: 6261: 6260: 6102:Mycophenolic acid 5841:. 28 March 2022. 5724:10.1111/ajt.16505 5668:(11): 5355–5365. 5624:10.1111/bcp.13022 5215:(7432): 338–345. 5137:(268): 268ra179. 4845:. 17 March 2004. 4795:(6980): 332–337. 4711:(16): 7052–7058. 4554:(48): 6436–6446. 4440:10.1021/ja0587603 4434:(11): 3838–3847. 4364:(19): 3565–3568. 4329:(19): 2551–2553. 4323:Angewandte Chemie 4273:(17): 7839–7843. 4094:(5022): 905–909. 3970:(13): 1750–1756. 3731:(12): 1659–1661. 3538:10.1159/000087945 3304:10.1111/jdv.12665 3109:(19): 1949–1952. 3020:JAMA Network Open 2958:978-1-60650-250-1 2919:978-1-118-35446-9 2163:endothelial cells 2147:viral replication 2135:immunosuppressive 1911:shikimate pathway 1874:chain termination 1814:The biosynthetic 1686: 1685: 1412: 1411: 1218:, dizziness, and 913:antiproliferative 854:immunosuppressant 852:(PEComa). It has 819: 818: 743:Interactive image 633:CompTox Dashboard 424:)-1--2-propanyl}- 270: 255: 149: 116: 99: 82: 10003: 9996:Chemical biology 9933: 9932: 9931: 9924: 9835:Thiamylal sodium 9570:γ-linolenic acid 9566:α-Linolenic acid 9564:Linolenic acid: 9555:Lasalocid sodium 9545:(St John's wort) 9437:Docusate calcium 9367:Cyclophosphamide 9242:Allopregnanediol 9227:Δ-Androstenediol 9202: 9198: 9156:Ethinylestradiol 9006:Cyclophosphamide 8946: 8942: 8922: 8915: 8908: 8899: 8898: 8609:peptide against 8182:(AXL, ALK, LTK)) 7998: 7997: 7808:Dinutuximab beta 7524: 7523: 7491: 7484: 7477: 7468: 7467: 7107:Telimomab aritox 7010:Zolimomab aritox 6831:CD62L/L-selectin 6569:Immunoglobulin E 6362: 6361: 6353: 6352: 6344: 6343: 6272: 6271: 6078: 6077: 6049: 6042: 6035: 6026: 6025: 6001: 5984:(5): 1321–1333. 5972: 5954: 5929: 5882: 5878: 5876: 5874: 5854: 5852: 5850: 5830: 5828: 5826: 5817:. 29 July 2022. 5804: 5798: 5797: 5772:(9): 1028–1032. 5761: 5755: 5754: 5736: 5726: 5717:(8): 2662–2674. 5702: 5696: 5695: 5677: 5653: 5647: 5646: 5636: 5626: 5617:(5): 1171–1179. 5602: 5596: 5595: 5585: 5568:(8): 3801–3810. 5553: 5547: 5546: 5536: 5504: 5495: 5494: 5477:(4): 1381–1478. 5466: 5460: 5459: 5449: 5439: 5415: 5409: 5408: 5398: 5358: 5349: 5348: 5338: 5306: 5300: 5299: 5289: 5257: 5251: 5250: 5240: 5200: 5194: 5193: 5191: 5189: 5169: 5163: 5162: 5126: 5120: 5119: 5117: 5115: 5096: 5090: 5089: 5079: 5047: 5041: 5040: 5027: 4995: 4982: 4981: 4979: 4977: 4957: 4951: 4950: 4940: 4930: 4906: 4900: 4899: 4889: 4865: 4859: 4858: 4856: 4854: 4835: 4829: 4828: 4784: 4778: 4777: 4767: 4750:(8): 1420–1424. 4735: 4729: 4728: 4700: 4694: 4693: 4691: 4689: 4669: 4663: 4662: 4644: 4621: 4615: 4614: 4586: 4580: 4579: 4543: 4537: 4536: 4526: 4509:(7): 3080–3087. 4494: 4488: 4487: 4458: 4452: 4451: 4423: 4417: 4416: 4405:10.1039/b804602f 4388: 4382: 4381: 4370:10.1039/b608813a 4353: 4347: 4346: 4317: 4311: 4310: 4300: 4290: 4258: 4247: 4246: 4209: 4203: 4202: 4174: 4168: 4167: 4139: 4128: 4127: 4083: 4077: 4076: 4066: 4056: 4032: 4026: 4025: 4008:(8): 3053–3054. 3996: 3990: 3989: 3979: 3955: 3949: 3948: 3920: 3914: 3913: 3895: 3867: 3861: 3860: 3832: 3826: 3825: 3808:(9): 1171–1174. 3797: 3791: 3790: 3762: 3756: 3755: 3753: 3751: 3745: 3725:Respiratory Care 3722: 3713: 3707: 3706: 3688: 3679:(8): 1215–1220. 3664: 3658: 3657: 3655: 3653: 3628:(7): 2792–2797. 3613: 3607: 3606: 3588: 3564: 3558: 3557: 3521: 3512: 3511: 3501: 3469: 3463: 3462: 3452: 3435:(7): 1411–1418. 3420: 3414: 3413: 3403: 3363: 3354: 3353: 3351: 3349: 3340:. 7 April 2022. 3330: 3324: 3323: 3286: 3280: 3279: 3269: 3245: 3239: 3238: 3228: 3204: 3198: 3197: 3187: 3163: 3157: 3156: 3154: 3152: 3143:. Archived from 3133: 3127: 3126: 3098: 3092: 3091: 3089: 3087: 3067: 3056: 3055: 3045: 3035: 3011: 3005: 3004: 3002: 3000: 2981: 2975: 2974: 2972: 2970: 2942: 2936: 2935: 2933: 2931: 2903: 2897: 2896: 2894: 2892: 2873: 2867: 2866: 2864: 2862: 2839: 2833: 2832: 2804: 2798: 2797: 2787: 2777: 2753: 2747: 2746: 2744: 2742: 2722: 2716: 2715: 2705: 2695: 2671: 2654: 2653: 2651: 2649: 2644:on 27 April 2003 2640:. Archived from 2630: 2621: 2620: 2610: 2586: 2577: 2576: 2548: 2542: 2541: 2539: 2537: 2526:PubChem Compound 2518: 2507: 2506: 2504: 2502: 2481:Buck ML (2006). 2478: 2472: 2470: 2468: 2466: 2448: 2437: 2436: 2434: 2432: 2413: 2404: 2403: 2401: 2399: 2380: 2374: 2373: 2371: 2369: 2350: 2337: 2336: 2334: 2332: 2313: 2280: 2279: 2277: 2275: 2265:nctr-crs.fda.gov 2257: 2039:cyclophosphamide 1984:Kaposi's sarcoma 1913:. Note that the 1808:cytochrome P-450 1784: 1765: 1745: 1681: 1678: 1660: 1653: 1606:Pharmacokinetics 1543:Pharmacodynamics 1280:rapid heart rate 1234:Adverse effects 1228: 1227: 1200:thrombocytopenia 1168:peripheral edema 1120:, a division of 1085:renal transplant 1020:thrombocytopenia 969:associated with 824:, also known as 815: 814: 745: 725: 710: 707: 701: 695: 678: 667: 656: 655: 641: 639: 623: 617: 596: 576: 556: 536: 516: 496: 476: 466: 465: 451: 323: 268: 265: 260: 253: 250: 228: 218: 208: 198: 147: 144: 126: 115: 112: 109: 98: 95: 92: 81: 78: 42: 33: 26: 24: 20: 10011: 10010: 10006: 10005: 10004: 10002: 10001: 10000: 9941: 9940: 9939: 9929: 9927: 9919: 9917: 9912: 9894: 9795:Suberoylanilide 9512:Fluorometholone 9407:Dibunate sodium 9287:Aurothioglucose 9200: 9190: 9126:3,17β-Estradiol 8944: 8934: 8926: 8896: 8891: 8745:Pi3K inhibitors 8643:mTOR inhibitors 8574: 8355: 8326:(VEGFR, FGFR), 7982: 7746: 7627: 7587: 7509: 7495: 7465: 7460: 7406:Rozanolixizumab 7291:Deucravacitinib 7225: 7153: 7126: 7015: 6664: 6658: 6366: 6331: 6288: 6267: 6257: 6215: 6155: 6146: 6082:Antimetabolites 6073: 6067: 6053: 6009: 6004: 5910:10.1038/nrd3531 5904:(11): 868–880. 5891: 5889:Further reading 5886: 5885: 5881: 5872: 5870: 5857: 5848: 5846: 5833: 5824: 5822: 5809: 5805: 5801: 5766:Nature Medicine 5762: 5758: 5703: 5699: 5654: 5650: 5603: 5599: 5554: 5550: 5505: 5498: 5467: 5463: 5416: 5412: 5359: 5352: 5307: 5303: 5278:10.1038/nri3901 5272:(10): 599–614. 5258: 5254: 5201: 5197: 5187: 5185: 5170: 5166: 5127: 5123: 5113: 5111: 5098: 5097: 5093: 5048: 5044: 4996: 4985: 4975: 4973: 4958: 4954: 4907: 4903: 4887:10.1038/nrc1349 4866: 4862: 4852: 4850: 4837: 4836: 4832: 4785: 4781: 4736: 4732: 4705:Cancer Research 4701: 4697: 4687: 4685: 4670: 4666: 4623: 4622: 4618: 4587: 4583: 4544: 4540: 4495: 4491: 4459: 4455: 4424: 4420: 4389: 4385: 4354: 4350: 4318: 4314: 4259: 4250: 4210: 4206: 4175: 4171: 4140: 4131: 4084: 4080: 4033: 4029: 3997: 3993: 3956: 3952: 3921: 3917: 3868: 3864: 3833: 3829: 3798: 3794: 3763: 3759: 3749: 3747: 3743: 3720: 3714: 3710: 3673:Transplantation 3665: 3661: 3651: 3649: 3614: 3610: 3573:Transplantation 3565: 3561: 3522: 3515: 3470: 3466: 3421: 3417: 3364: 3357: 3347: 3345: 3332: 3331: 3327: 3287: 3283: 3246: 3242: 3205: 3201: 3164: 3160: 3150: 3148: 3135: 3134: 3130: 3099: 3095: 3085: 3083: 3068: 3059: 3026:(8): e1910297. 3012: 3008: 2998: 2996: 2983: 2982: 2978: 2968: 2966: 2959: 2943: 2939: 2929: 2927: 2920: 2904: 2900: 2890: 2888: 2875: 2874: 2870: 2860: 2858: 2841: 2840: 2836: 2815:(10): 688–691. 2805: 2801: 2754: 2750: 2740: 2738: 2723: 2719: 2672: 2657: 2647: 2645: 2632: 2631: 2624: 2601:(10): 721–726. 2587: 2580: 2549: 2545: 2535: 2533: 2520: 2519: 2510: 2500: 2498: 2479: 2475: 2464: 2462: 2450: 2449: 2440: 2430: 2428: 2417:"Rapamune EPAR" 2415: 2414: 2407: 2397: 2395: 2382: 2381: 2377: 2367: 2365: 2352: 2351: 2340: 2330: 2328: 2315: 2314: 2283: 2273: 2271: 2259: 2258: 2254: 2249: 2222: 2220:Veterinary uses 2210: 2194: 2183: 2171: 2155: 2153:Atherosclerosis 2133:insofar as its 2127: 2118: 2075: 2063:angiomyolipomas 2055: 2033:drugs, such as 1988:mTOR inhibitors 1976: 1960: 1792: 1791: 1790: 1789: 1788: 1785: 1777: 1776: 1766: 1755: 1754: 1753: 1751: 1746: 1705: 1690:natural product 1688:Sirolimus is a 1682: 1676: 1673: 1666:needs expansion 1651: 1643:pharmacokinetic 1608: 1551: 1549:mTOR inhibitors 1545: 1540: 1513: 1505:body mass index 1501: 1473: 1465: 1445: 1417: 1342:Musculoskeletal 1239:Body as a whole 1212:nasopharyngitis 1163: 1161:Adverse effects 1143: 1134: 1113:coronary stents 1109: 1103: 1060:clinical trials 1029: 989: 983:Organ rejection 979: 933: 838:coronary stents 810: 808: 803: 800: 795: 790: 789: 778: 775: 770: 769: 748: 723: 713: 704: 698: 659: 635: 627: 599: 579: 559: 539: 519: 499: 479: 462: 454: 434: 431: 429: 427: 425: 407: 354: 353: 321: 298:Protein binding 288:Bioavailability 280:Pharmacokinetic 274: 258: 232: 162: 155: 136: 129: 17: 12: 11: 5: 10009: 9999: 9998: 9993: 9988: 9983: 9978: 9973: 9968: 9963: 9958: 9953: 9938: 9937: 9914: 9913: 9911: 9910: 9903: 9899: 9896: 9895: 9893: 9892: 9887: 9878: 9877: 9872: 9867: 9862: 9860:Troleandomycin 9857: 9852: 9847: 9842: 9837: 9832: 9827: 9822: 9817: 9812: 9807: 9802: 9797: 9792: 9787: 9782: 9780:Spironolactone 9777: 9772: 9767: 9762: 9757: 9752: 9747: 9742: 9737: 9732: 9727: 9722: 9717: 9712: 9707: 9702: 9697: 9692: 9687: 9682: 9677: 9672: 9667: 9662: 9657: 9652: 9650:Norelgestromin 9647: 9642: 9637: 9632: 9627: 9622: 9617: 9612: 9607: 9602: 9597: 9592: 9587: 9582: 9577: 9572: 9562: 9557: 9552: 9547: 9539: 9534: 9529: 9524: 9519: 9514: 9509: 9507:Flucloxacillin 9504: 9499: 9494: 9489: 9484: 9479: 9474: 9469: 9464: 9459: 9454: 9449: 9444: 9439: 9434: 9429: 9424: 9419: 9414: 9409: 9404: 9394: 9384: 9379: 9374: 9369: 9364: 9362:Corticosterone 9359: 9354: 9349: 9344: 9339: 9334: 9329: 9327:Chlorpromazine 9324: 9319: 9314: 9309: 9304: 9299: 9294: 9289: 9284: 9279: 9274: 9269: 9264: 9259: 9254: 9249: 9244: 9239: 9234: 9229: 9224: 9219: 9214: 9205: 9203: 9192: 9191: 9189: 9188: 9183: 9178: 9173: 9168: 9163: 9158: 9153: 9148: 9146:17-Androstanol 9143: 9141:3β-Androstanol 9138: 9136:3α-Androstenol 9133: 9131:3α-Androstanol 9128: 9119: 9118: 9113: 9108: 9103: 9098: 9093: 9088: 9083: 9078: 9073: 9068: 9063: 9058: 9053: 9048: 9043: 9038: 9033: 9028: 9023: 9013: 9008: 9003: 8998: 8993: 8988: 8986:Chlorpromazine 8983: 8978: 8973: 8968: 8963: 8958: 8949: 8947: 8936: 8935: 8925: 8924: 8917: 8910: 8902: 8893: 8892: 8890: 8889: 8884: 8879: 8874: 8869: 8864: 8859: 8854: 8849: 8844: 8839: 8834: 8829: 8824: 8819: 8814: 8809: 8804: 8799: 8794: 8789: 8784: 8779: 8774: 8773: 8772: 8767: 8762: 8757: 8752: 8742: 8741: 8740: 8735: 8722: 8721: 8720: 8715: 8710: 8705: 8700: 8692:CDK inhibitors 8688: 8687: 8686: 8681: 8676: 8663: 8662: 8661: 8656: 8651: 8639: 8623: 8603: 8591:fusion protein 8586: 8584: 8580: 8579: 8576: 8575: 8573: 8572: 8571: 8570: 8565: 8560: 8555: 8550: 8537: 8536: 8535: 8534: 8529: 8524: 8507: 8506: 8505: 8504: 8499: 8494: 8489: 8476: 8475: 8474: 8473: 8468: 8463: 8458: 8453: 8448: 8443: 8430: 8429: 8423: 8411: 8410: 8409: 8408: 8403: 8398: 8393: 8388: 8383: 8378: 8365: 8363: 8357: 8356: 8354: 8353: 8332: 8331: 8330:(VEGFR, EGFR). 8286: 8285: 8284: 8283: 8278: 8273: 8260: 8259: 8258: 8257: 8252: 8247: 8242: 8237: 8232: 8227: 8222: 8217: 8212: 8207: 8202: 8197: 8184: 8183: 8167: 8161: 8156: 8151: 8146: 8141: 8136: 8131: 8111: 8110: 8109: 8108: 8103: 8098: 8088:HER1/EGFR and 8084: 8083: 8077: 8072: 8067: 8062: 8057: 8052: 8047: 8042: 8037: 8032: 8027: 8022: 8006: 8004: 7995: 7988: 7987: 7984: 7983: 7981: 7980: 7975: 7970: 7965: 7960: 7955: 7950: 7945: 7940: 7935: 7930: 7925: 7920: 7915: 7910: 7905: 7900: 7895: 7890: 7885: 7880: 7875: 7870: 7865: 7860: 7855: 7850: 7845: 7840: 7835: 7830: 7825: 7820: 7815: 7810: 7805: 7800: 7795: 7790: 7785: 7780: 7775: 7770: 7767:+hyaluronidase 7760: 7754: 7752: 7748: 7747: 7745: 7744: 7727: 7726: 7700: 7695: 7690: 7685: 7680: 7675: 7641: 7639: 7629: 7628: 7626: 7625: 7613: 7607: 7595: 7593: 7589: 7588: 7586: 7585: 7579: 7574: 7571:+hyaluronidase 7554: 7548: 7532: 7530: 7521: 7511: 7510: 7494: 7493: 7486: 7479: 7471: 7462: 7461: 7459: 7458: 7453: 7448: 7443: 7438: 7433: 7428: 7423: 7418: 7413: 7408: 7403: 7398: 7393: 7388: 7383: 7378: 7373: 7368: 7363: 7358: 7353: 7348: 7343: 7338: 7333: 7328: 7323: 7318: 7315:+hyaluronidase 7308: 7303: 7298: 7296:Deuruxolitinib 7293: 7288: 7283: 7278: 7273: 7268: 7263: 7258: 7253: 7248: 7243: 7237: 7235: 7231: 7230: 7227: 7226: 7224: 7223: 7218: 7213: 7208: 7207: 7206: 7201: 7189: 7188: 7187: 7182: 7169: 7167: 7159: 7158: 7155: 7154: 7152: 7151: 7146: 7140: 7138: 7132: 7131: 7128: 7127: 7125: 7124: 7119: 7114: 7109: 7104: 7099: 7094: 7089: 7084: 7079: 7074: 7069: 7064: 7059: 7054: 7049: 7044: 7039: 7034: 7029: 7023: 7021: 7017: 7016: 7014: 7013: 7000: 6999: 6998: 6997: 6992: 6987: 6974: 6973: 6972: 6971: 6959: 6958: 6957: 6945: 6944: 6943: 6938: 6926: 6925: 6924: 6919: 6914: 6902: 6901: 6900: 6889: 6888: 6887: 6886: 6881: 6869: 6868: 6867: 6855: 6854: 6853: 6841: 6840: 6839: 6827: 6826: 6825: 6820: 6808: 6807: 6806: 6801: 6789: 6788: 6787: 6782: 6777: 6772: 6769:+hyaluronidase 6762: 6750: 6749: 6748: 6736: 6735: 6734: 6722: 6721: 6720: 6715: 6710: 6698: 6697: 6696: 6691: 6686: 6681: 6668: 6666: 6660: 6659: 6657: 6656: 6655: 6654: 6641: 6640: 6639: 6638: 6633: 6612: 6611: 6610: 6609: 6596: 6595: 6594: 6593: 6580: 6579: 6578: 6577: 6564: 6563: 6562: 6561: 6548: 6547: 6546: 6545: 6540: 6535: 6530: 6525: 6520: 6515: 6510: 6505: 6500: 6495: 6490: 6485: 6480: 6475: 6470: 6465: 6460: 6455: 6450: 6445: 6440: 6427: 6426: 6425: 6424: 6419: 6414: 6409: 6404: 6399: 6386: 6385: 6384: 6383: 6370: 6368: 6359: 6350: 6341: 6337: 6336: 6333: 6332: 6330: 6329: 6324: 6319: 6314: 6309: 6304: 6298: 6296: 6290: 6289: 6287: 6286: 6280: 6278: 6269: 6263: 6262: 6259: 6258: 6256: 6255: 6254: 6253: 6245:PDE4 inhibitor 6241: 6236: 6231: 6225: 6223: 6217: 6216: 6214: 6213: 6208: 6202: 6201: 6200: 6199: 6194: 6189: 6184: 6163: 6161: 6148: 6147: 6145: 6144: 6143: 6142: 6129: 6128: 6127: 6126: 6121: 6107: 6106: 6105: 6104: 6099: 6086: 6084: 6075: 6069: 6068: 6052: 6051: 6044: 6037: 6029: 6023: 6022: 6008: 6007:External links 6005: 6003: 6002: 5973: 5945:(1): 318–327. 5930: 5892: 5890: 5887: 5884: 5883: 5880: 5879: 5855: 5831: 5806: 5799: 5756: 5697: 5648: 5597: 5548: 5496: 5461: 5410: 5350: 5321:(6): 861–869. 5301: 5252: 5195: 5164: 5121: 5091: 5062:(11): e13269. 5042: 5010:(7): 841–849. 4983: 4952: 4901: 4860: 4830: 4779: 4730: 4695: 4678:Med Page Today 4664: 4616: 4581: 4538: 4489: 4453: 4418: 4399:(5): 602–609. 4383: 4348: 4312: 4248: 4221:(3): 346–350. 4204: 4169: 4150:(4): 416–428. 4129: 4078: 4047:(4): 329–339. 4027: 3991: 3950: 3915: 3878:(8): 499–510. 3862: 3843:(2): 210–213. 3827: 3792: 3773:(3): 296–298. 3757: 3708: 3659: 3608: 3579:(5): 787–790. 3559: 3532:(3): 367–374. 3513: 3464: 3415: 3355: 3325: 3281: 3240: 3199: 3178:(4): 756–763. 3158: 3128: 3093: 3057: 3006: 2976: 2957: 2937: 2918: 2898: 2868: 2834: 2799: 2748: 2717: 2655: 2622: 2578: 2559:(1–2): 25–29. 2543: 2508: 2473: 2438: 2405: 2375: 2338: 2281: 2251: 2250: 2248: 2245: 2233:clinical study 2221: 2218: 2209: 2206: 2193: 2190: 2182: 2179: 2170: 2167: 2154: 2151: 2139:cytokine storm 2126: 2123: 2117: 2114: 2074: 2071: 2054: 2051: 1975: 1972: 1959: 1956: 1950:by MTases and 1855:pipecolic acid 1786: 1779: 1778: 1767: 1760: 1759: 1758: 1757: 1756: 1748: 1747: 1740: 1739: 1738: 1723:of the linear 1704: 1701: 1684: 1683: 1663: 1661: 1650: 1647: 1619:P-glycoprotein 1607: 1604: 1544: 1541: 1539: 1536: 1524:P-glycoprotein 1512: 1509: 1500: 1497: 1472: 1469: 1464: 1461: 1444: 1441: 1416: 1413: 1410: 1409: 1394:Pyelonephritis 1391: 1385: 1384: 1371: 1367: 1366: 1357: 1351: 1350: 1344: 1338: 1337: 1323: 1319: 1318: 1305: 1295: 1294: 1289: 1283: 1282: 1265: 1263:Cardiovascular 1259: 1258: 1255:herpes simplex 1240: 1236: 1235: 1232: 1162: 1159: 1142: 1139: 1133: 1130: 1102: 1099: 1053:growth factors 1028: 1025: 997:kidney failure 978: 975: 932: 929: 817: 816: 805: 804: 802: 801: 798: 796: 793: 785: 784: 783: 780: 779: 777: 776: 773: 765: 764: 763: 760: 759: 756: 750: 749: 747: 746: 738: 736: 728: 727: 721: 715: 714: 711: 702: 696: 691: 685: 684: 680: 679: 669: 661: 660: 658: 657: 644: 642: 629: 628: 626: 625: 609: 607: 601: 600: 598: 597: 589: 587: 581: 580: 578: 577: 569: 567: 561: 560: 558: 557: 549: 547: 541: 540: 538: 537: 529: 527: 521: 520: 518: 517: 509: 507: 501: 500: 498: 497: 489: 487: 481: 480: 478: 477: 469: 467: 456: 455: 453: 452: 444: 442: 436: 435: 433: 432: 357: 349: 348: 347: 344: 343: 339: 338: 335: 329: 328: 325: 316: 315: 310: 304: 303: 300: 294: 293: 290: 284: 283: 276: 275: 273: 272: 263: 247: 245: 239: 238: 234: 233: 231: 230: 187: 185: 179: 178: 165: 163:administration 157: 156: 154: 153: 151: 141: 139: 131: 130: 128: 127: 110: 93: 75: 73: 67: 66: 63: 59: 58: 55: 49: 48: 44: 43: 35: 34: 15: 9: 6: 4: 3: 2: 10008: 9997: 9994: 9992: 9989: 9987: 9984: 9982: 9979: 9977: 9974: 9972: 9969: 9967: 9964: 9962: 9959: 9957: 9954: 9952: 9949: 9948: 9946: 9936: 9926: 9925: 9922: 9909: 9908: 9904: 9901: 9900: 9897: 9891: 9888: 9886: 9883: 9880: 9879: 9876: 9873: 9871: 9868: 9866: 9863: 9861: 9858: 9856: 9853: 9851: 9848: 9846: 9843: 9841: 9838: 9836: 9833: 9831: 9828: 9826: 9823: 9821: 9818: 9816: 9813: 9811: 9808: 9806: 9803: 9801: 9800:Sulfisoxazole 9798: 9796: 9793: 9791: 9788: 9786: 9783: 9781: 9778: 9776: 9773: 9771: 9768: 9766: 9763: 9761: 9758: 9756: 9753: 9751: 9748: 9746: 9743: 9741: 9738: 9736: 9733: 9731: 9728: 9726: 9723: 9721: 9718: 9716: 9713: 9711: 9708: 9706: 9703: 9701: 9698: 9696: 9693: 9691: 9688: 9686: 9683: 9681: 9678: 9676: 9675:Phenobarbital 9673: 9671: 9668: 9666: 9663: 9661: 9658: 9656: 9653: 9651: 9648: 9646: 9643: 9641: 9638: 9636: 9633: 9631: 9628: 9626: 9623: 9621: 9618: 9616: 9613: 9611: 9608: 9606: 9603: 9601: 9598: 9596: 9593: 9591: 9588: 9586: 9583: 9581: 9578: 9576: 9573: 9571: 9567: 9563: 9561: 9560:Levothyroxine 9558: 9556: 9553: 9551: 9548: 9546: 9544: 9540: 9538: 9535: 9533: 9530: 9528: 9525: 9523: 9522:Guggulsterone 9520: 9518: 9515: 9513: 9510: 9508: 9505: 9503: 9500: 9498: 9495: 9493: 9490: 9488: 9485: 9483: 9480: 9478: 9475: 9473: 9470: 9468: 9465: 9463: 9460: 9458: 9455: 9453: 9450: 9448: 9445: 9443: 9440: 9438: 9435: 9433: 9430: 9428: 9425: 9423: 9420: 9418: 9417:Dicloxacillin 9415: 9413: 9410: 9408: 9405: 9402: 9398: 9395: 9392: 9388: 9385: 9383: 9382:Dexamethasone 9380: 9378: 9375: 9373: 9370: 9368: 9365: 9363: 9360: 9358: 9355: 9353: 9350: 9348: 9345: 9343: 9340: 9338: 9335: 9333: 9330: 9328: 9325: 9323: 9320: 9318: 9317:Cephaloridine 9315: 9313: 9310: 9308: 9305: 9303: 9300: 9298: 9295: 9293: 9290: 9288: 9285: 9283: 9280: 9278: 9275: 9273: 9270: 9268: 9265: 9263: 9260: 9258: 9255: 9253: 9250: 9248: 9245: 9243: 9240: 9238: 9235: 9233: 9230: 9228: 9225: 9223: 9220: 9218: 9215: 9213: 9210: 9207: 9206: 9204: 9199: 9193: 9187: 9184: 9182: 9179: 9177: 9174: 9172: 9169: 9167: 9164: 9162: 9159: 9157: 9154: 9152: 9149: 9147: 9144: 9142: 9139: 9137: 9134: 9132: 9129: 9127: 9124: 9121: 9120: 9117: 9116:Valproic acid 9114: 9112: 9109: 9107: 9104: 9102: 9099: 9097: 9094: 9092: 9089: 9087: 9084: 9082: 9079: 9077: 9076:Phenobarbital 9074: 9072: 9069: 9067: 9064: 9062: 9059: 9057: 9054: 9052: 9049: 9047: 9044: 9042: 9039: 9037: 9034: 9032: 9029: 9027: 9024: 9021: 9017: 9014: 9012: 9009: 9007: 9004: 9002: 8999: 8997: 8994: 8992: 8989: 8987: 8984: 8982: 8979: 8977: 8976:Carbamazepine 8974: 8972: 8969: 8967: 8964: 8962: 8959: 8957: 8954: 8951: 8950: 8948: 8943: 8937: 8933: 8930: 8923: 8918: 8916: 8911: 8909: 8904: 8903: 8900: 8888: 8885: 8883: 8880: 8878: 8875: 8873: 8870: 8868: 8865: 8863: 8860: 8858: 8855: 8853: 8850: 8848: 8845: 8843: 8840: 8838: 8835: 8833: 8830: 8828: 8825: 8823: 8820: 8818: 8815: 8813: 8810: 8808: 8805: 8803: 8802:Larotrectinib 8800: 8798: 8795: 8793: 8790: 8788: 8785: 8783: 8780: 8778: 8775: 8771: 8768: 8766: 8763: 8761: 8758: 8756: 8753: 8751: 8748: 8747: 8746: 8743: 8739: 8736: 8734: 8731: 8730: 8729: 8727: 8723: 8719: 8716: 8714: 8711: 8709: 8706: 8704: 8701: 8699: 8696: 8695: 8694: 8693: 8689: 8685: 8682: 8680: 8677: 8675: 8672: 8671: 8670: 8668: 8664: 8660: 8657: 8655: 8654:Ridaforolimus 8652: 8650: 8647: 8646: 8645: 8644: 8640: 8637: 8633: 8632: 8628: 8624: 8621: 8617: 8616: 8612: 8608: 8604: 8601: 8597: 8596: 8592: 8588: 8587: 8585: 8581: 8569: 8566: 8564: 8563:Pirtobrutinib 8561: 8559: 8558:Orelabrutinib 8556: 8554: 8551: 8549: 8548:Acalabrutinib 8546: 8545: 8544: 8543: 8539: 8538: 8533: 8530: 8528: 8525: 8523: 8520: 8519: 8518: 8517: 8513: 8509: 8508: 8503: 8500: 8498: 8495: 8493: 8490: 8488: 8485: 8484: 8483: 8482: 8478: 8477: 8472: 8469: 8467: 8464: 8462: 8459: 8457: 8454: 8452: 8449: 8447: 8444: 8442: 8439: 8438: 8437: 8436: 8432: 8431: 8427: 8424: 8422: 8418: 8417: 8413: 8412: 8407: 8404: 8402: 8399: 8397: 8394: 8392: 8389: 8387: 8384: 8382: 8379: 8377: 8374: 8373: 8372: 8371: 8367: 8366: 8364: 8362: 8358: 8351: 8347: 8343: 8340: 8338: 8334: 8333: 8329: 8325: 8324:Selpercatinib 8321: 8320:Repotrectinib 8317: 8313: 8309: 8308:Larotrectinib 8305: 8301: 8297: 8294: 8292: 8288: 8287: 8282: 8279: 8277: 8274: 8272: 8269: 8268: 8267: 8266: 8262: 8261: 8256: 8253: 8251: 8248: 8246: 8243: 8241: 8238: 8236: 8233: 8231: 8228: 8226: 8223: 8221: 8218: 8216: 8213: 8211: 8208: 8206: 8203: 8201: 8198: 8196: 8193: 8192: 8191: 8190: 8186: 8185: 8181: 8177: 8173: 8172: 8168: 8165: 8162: 8160: 8157: 8155: 8152: 8150: 8147: 8145: 8142: 8140: 8137: 8135: 8132: 8130: 8126: 8125: 8121: 8116: 8115:RTK class III 8113: 8112: 8107: 8104: 8102: 8099: 8097: 8094: 8093: 8092: 8091: 8086: 8085: 8081: 8078: 8076: 8073: 8071: 8068: 8066: 8063: 8061: 8058: 8056: 8053: 8051: 8048: 8046: 8043: 8041: 8038: 8036: 8033: 8031: 8028: 8026: 8023: 8021: 8017: 8016: 8011: 8008: 8007: 8005: 8003: 7999: 7996: 7993: 7989: 7979: 7976: 7974: 7971: 7969: 7966: 7964: 7961: 7959: 7956: 7954: 7951: 7949: 7946: 7944: 7941: 7939: 7936: 7934: 7931: 7929: 7926: 7924: 7921: 7919: 7916: 7914: 7911: 7909: 7906: 7904: 7901: 7899: 7898:Pembrolizumab 7896: 7894: 7891: 7889: 7886: 7884: 7881: 7879: 7876: 7874: 7871: 7869: 7866: 7864: 7863:Mogamulizumab 7861: 7859: 7856: 7854: 7851: 7849: 7846: 7844: 7841: 7839: 7836: 7834: 7831: 7829: 7826: 7824: 7821: 7819: 7816: 7814: 7811: 7809: 7806: 7804: 7801: 7799: 7796: 7794: 7791: 7789: 7786: 7784: 7781: 7779: 7776: 7774: 7771: 7768: 7764: 7761: 7759: 7756: 7755: 7753: 7749: 7742: 7738: 7737: 7732: 7729: 7728: 7724: 7720: 7719: 7714: 7710: 7709: 7704: 7701: 7699: 7696: 7694: 7691: 7689: 7686: 7684: 7683:Mosunetuzumab 7681: 7679: 7676: 7674: 7670: 7669: 7664: 7663:Mosunetuzumab 7660: 7656: 7652: 7651: 7646: 7643: 7642: 7640: 7638: 7634: 7630: 7623: 7619: 7618: 7614: 7611: 7608: 7606: 7602: 7601: 7597: 7596: 7594: 7590: 7583: 7580: 7578: 7575: 7572: 7568: 7564: 7560: 7559: 7555: 7552: 7549: 7547: 7543: 7542: 7537: 7534: 7533: 7531: 7529: 7525: 7522: 7519: 7516: 7512: 7507: 7503: 7499: 7492: 7487: 7485: 7480: 7478: 7473: 7472: 7469: 7457: 7454: 7452: 7449: 7447: 7446:Tildrakizumab 7444: 7442: 7439: 7437: 7434: 7432: 7429: 7427: 7424: 7422: 7419: 7417: 7414: 7412: 7409: 7407: 7404: 7402: 7399: 7397: 7394: 7392: 7389: 7387: 7384: 7382: 7379: 7377: 7376:Pegcetacoplan 7374: 7372: 7369: 7367: 7364: 7362: 7359: 7357: 7354: 7352: 7349: 7347: 7344: 7342: 7339: 7337: 7334: 7332: 7329: 7327: 7324: 7322: 7319: 7316: 7312: 7309: 7307: 7304: 7302: 7299: 7297: 7294: 7292: 7289: 7287: 7286:Darvadstrocel 7284: 7282: 7279: 7277: 7274: 7272: 7269: 7267: 7264: 7262: 7259: 7257: 7254: 7252: 7249: 7247: 7244: 7242: 7239: 7238: 7236: 7232: 7222: 7219: 7217: 7214: 7212: 7209: 7205: 7202: 7200: 7197: 7196: 7195: 7194: 7193:TNF inhibitor 7190: 7186: 7183: 7181: 7178: 7177: 7176: 7175: 7171: 7170: 7168: 7165: 7160: 7150: 7147: 7145: 7142: 7141: 7139: 7137: 7133: 7123: 7120: 7118: 7115: 7113: 7110: 7108: 7105: 7103: 7100: 7098: 7095: 7093: 7090: 7088: 7085: 7083: 7080: 7078: 7075: 7073: 7070: 7068: 7065: 7063: 7060: 7058: 7055: 7053: 7050: 7048: 7045: 7043: 7040: 7038: 7035: 7033: 7030: 7028: 7025: 7024: 7022: 7018: 7011: 7007: 7006: 7002: 7001: 6996: 6993: 6991: 6988: 6986: 6983: 6982: 6981: 6980: 6976: 6975: 6970: 6967: 6966: 6965: 6964: 6960: 6956: 6953: 6952: 6951: 6950: 6946: 6942: 6939: 6937: 6934: 6933: 6932: 6931: 6927: 6923: 6920: 6918: 6915: 6913: 6910: 6909: 6908: 6907: 6903: 6899: 6896: 6895: 6894: 6891: 6890: 6885: 6882: 6880: 6877: 6876: 6875: 6874: 6870: 6866: 6863: 6862: 6861: 6860: 6859:CD147/Basigin 6856: 6852: 6849: 6848: 6847: 6846: 6842: 6838: 6835: 6834: 6833: 6832: 6828: 6824: 6821: 6819: 6816: 6815: 6814: 6813: 6809: 6805: 6802: 6800: 6797: 6796: 6795: 6794: 6790: 6786: 6783: 6781: 6778: 6776: 6773: 6770: 6766: 6763: 6761: 6758: 6757: 6756: 6755: 6751: 6747: 6744: 6743: 6742: 6741: 6737: 6733: 6730: 6729: 6728: 6727: 6723: 6719: 6716: 6714: 6711: 6709: 6706: 6705: 6704: 6703: 6699: 6695: 6692: 6690: 6687: 6685: 6682: 6680: 6679:Muromonab-CD3 6677: 6676: 6675: 6674: 6670: 6669: 6667: 6661: 6653: 6650: 6649: 6648: 6647: 6643: 6642: 6637: 6634: 6632: 6629: 6628: 6627: 6626: 6622: 6618: 6614: 6613: 6608: 6605: 6604: 6603: 6602: 6598: 6597: 6592: 6589: 6588: 6587: 6586: 6582: 6581: 6576: 6573: 6572: 6571: 6570: 6566: 6565: 6560: 6557: 6556: 6555: 6554: 6553:Interleukin 5 6550: 6549: 6544: 6541: 6539: 6536: 6534: 6533:Tildrakizumab 6531: 6529: 6526: 6524: 6521: 6519: 6516: 6514: 6511: 6509: 6506: 6504: 6501: 6499: 6496: 6494: 6491: 6489: 6486: 6484: 6481: 6479: 6476: 6474: 6471: 6469: 6466: 6464: 6461: 6459: 6456: 6454: 6451: 6449: 6446: 6444: 6441: 6439: 6436: 6435: 6434: 6433: 6429: 6428: 6423: 6420: 6418: 6415: 6413: 6410: 6408: 6405: 6403: 6400: 6398: 6395: 6394: 6393: 6392: 6388: 6387: 6382: 6379: 6378: 6377: 6376: 6372: 6371: 6369: 6367:(noncellular) 6363: 6360: 6358: 6354: 6351: 6349: 6345: 6342: 6340:Extracellular 6338: 6328: 6325: 6323: 6320: 6318: 6315: 6313: 6310: 6308: 6307:Ridaforolimus 6305: 6303: 6300: 6299: 6297: 6295: 6291: 6285: 6282: 6281: 6279: 6277: 6273: 6270: 6266:Intracellular 6264: 6252: 6249: 6248: 6247: 6246: 6242: 6240: 6237: 6235: 6232: 6230: 6227: 6226: 6224: 6222: 6218: 6212: 6209: 6207: 6204: 6203: 6198: 6195: 6193: 6190: 6188: 6185: 6183: 6180: 6179: 6178: 6177: 6173: 6169: 6165: 6164: 6162: 6159: 6153: 6149: 6141: 6138: 6137: 6136: 6135: 6131: 6130: 6125: 6124:Teriflunomide 6122: 6120: 6117: 6116: 6114: 6113: 6109: 6108: 6103: 6100: 6098: 6095: 6094: 6093: 6092: 6088: 6087: 6085: 6083: 6079: 6076: 6072:Intracellular 6070: 6065: 6061: 6057: 6050: 6045: 6043: 6038: 6036: 6031: 6030: 6027: 6021: 6017: 6016: 6011: 6010: 5999: 5995: 5991: 5987: 5983: 5979: 5974: 5970: 5966: 5962: 5958: 5953: 5948: 5944: 5940: 5936: 5931: 5927: 5923: 5919: 5915: 5911: 5907: 5903: 5899: 5894: 5893: 5868: 5864: 5860: 5856: 5844: 5840: 5836: 5832: 5820: 5816: 5812: 5808: 5807: 5803: 5795: 5791: 5787: 5783: 5779: 5775: 5771: 5767: 5760: 5752: 5748: 5744: 5740: 5735: 5730: 5725: 5720: 5716: 5712: 5708: 5701: 5693: 5689: 5685: 5681: 5676: 5671: 5667: 5663: 5659: 5652: 5644: 5640: 5635: 5630: 5625: 5620: 5616: 5612: 5608: 5601: 5593: 5589: 5584: 5579: 5575: 5571: 5567: 5563: 5559: 5552: 5544: 5540: 5535: 5530: 5526: 5522: 5518: 5514: 5510: 5503: 5501: 5492: 5488: 5484: 5480: 5476: 5472: 5465: 5457: 5453: 5448: 5443: 5438: 5433: 5429: 5425: 5421: 5414: 5406: 5402: 5397: 5392: 5388: 5384: 5380: 5376: 5372: 5368: 5364: 5357: 5355: 5346: 5342: 5337: 5332: 5328: 5324: 5320: 5316: 5312: 5305: 5297: 5293: 5288: 5283: 5279: 5275: 5271: 5267: 5263: 5256: 5248: 5244: 5239: 5234: 5230: 5226: 5222: 5218: 5214: 5210: 5206: 5199: 5183: 5179: 5175: 5168: 5160: 5156: 5152: 5148: 5144: 5140: 5136: 5132: 5125: 5109: 5105: 5101: 5095: 5087: 5083: 5078: 5073: 5069: 5065: 5061: 5057: 5053: 5046: 5039: 5035: 5031: 5026: 5021: 5017: 5013: 5009: 5005: 5001: 4994: 4992: 4990: 4988: 4971: 4967: 4966:New Scientist 4963: 4956: 4948: 4944: 4939: 4934: 4929: 4924: 4920: 4916: 4912: 4905: 4897: 4893: 4888: 4883: 4879: 4875: 4871: 4864: 4848: 4844: 4840: 4834: 4826: 4822: 4818: 4814: 4810: 4806: 4802: 4798: 4794: 4790: 4783: 4775: 4771: 4766: 4761: 4757: 4753: 4749: 4745: 4741: 4734: 4726: 4722: 4718: 4714: 4710: 4706: 4699: 4683: 4679: 4675: 4668: 4660: 4656: 4652: 4648: 4643: 4638: 4634: 4630: 4626: 4620: 4612: 4608: 4604: 4600: 4596: 4592: 4585: 4577: 4573: 4569: 4565: 4561: 4557: 4553: 4549: 4542: 4534: 4530: 4525: 4520: 4516: 4512: 4508: 4504: 4500: 4493: 4485: 4481: 4477: 4473: 4469: 4465: 4457: 4449: 4445: 4441: 4437: 4433: 4429: 4422: 4414: 4410: 4406: 4402: 4398: 4394: 4387: 4379: 4375: 4371: 4367: 4363: 4359: 4352: 4344: 4340: 4336: 4332: 4328: 4324: 4316: 4308: 4304: 4299: 4294: 4289: 4284: 4280: 4276: 4272: 4268: 4264: 4257: 4255: 4253: 4244: 4240: 4236: 4232: 4228: 4224: 4220: 4216: 4208: 4200: 4196: 4192: 4188: 4184: 4180: 4173: 4165: 4161: 4157: 4153: 4149: 4145: 4138: 4136: 4134: 4125: 4121: 4117: 4113: 4109: 4105: 4101: 4097: 4093: 4089: 4082: 4074: 4070: 4065: 4060: 4055: 4050: 4046: 4042: 4038: 4031: 4023: 4019: 4015: 4011: 4007: 4003: 3995: 3987: 3983: 3978: 3973: 3969: 3965: 3961: 3954: 3946: 3942: 3938: 3934: 3930: 3927:(in French). 3926: 3919: 3911: 3907: 3903: 3899: 3894: 3889: 3885: 3881: 3877: 3873: 3866: 3858: 3854: 3850: 3846: 3842: 3838: 3831: 3823: 3819: 3815: 3811: 3807: 3803: 3796: 3788: 3784: 3780: 3776: 3772: 3768: 3761: 3742: 3738: 3734: 3730: 3726: 3719: 3712: 3704: 3700: 3696: 3692: 3687: 3682: 3678: 3674: 3670: 3663: 3647: 3643: 3639: 3635: 3631: 3627: 3623: 3619: 3612: 3604: 3600: 3596: 3592: 3587: 3582: 3578: 3574: 3570: 3563: 3555: 3551: 3547: 3543: 3539: 3535: 3531: 3527: 3520: 3518: 3509: 3505: 3500: 3495: 3491: 3487: 3483: 3479: 3475: 3468: 3460: 3456: 3451: 3446: 3442: 3438: 3434: 3430: 3426: 3419: 3411: 3407: 3402: 3397: 3393: 3389: 3385: 3381: 3377: 3373: 3369: 3362: 3360: 3343: 3339: 3335: 3329: 3321: 3317: 3313: 3309: 3305: 3301: 3297: 3293: 3285: 3277: 3273: 3268: 3263: 3259: 3255: 3251: 3244: 3236: 3232: 3227: 3222: 3218: 3214: 3210: 3203: 3195: 3191: 3186: 3181: 3177: 3173: 3169: 3162: 3146: 3142: 3138: 3132: 3124: 3120: 3116: 3112: 3108: 3104: 3097: 3081: 3077: 3073: 3066: 3064: 3062: 3053: 3049: 3044: 3039: 3034: 3029: 3025: 3021: 3017: 3010: 2994: 2990: 2986: 2980: 2964: 2960: 2954: 2950: 2949: 2941: 2925: 2921: 2915: 2911: 2910: 2902: 2886: 2882: 2878: 2872: 2856: 2852: 2850: 2844: 2838: 2830: 2826: 2822: 2818: 2814: 2810: 2803: 2795: 2791: 2786: 2781: 2776: 2771: 2767: 2763: 2759: 2752: 2736: 2732: 2728: 2721: 2713: 2709: 2704: 2699: 2694: 2689: 2685: 2681: 2677: 2670: 2668: 2666: 2664: 2662: 2660: 2643: 2639: 2635: 2629: 2627: 2618: 2614: 2609: 2604: 2600: 2596: 2592: 2585: 2583: 2574: 2570: 2566: 2562: 2558: 2554: 2547: 2531: 2527: 2523: 2517: 2515: 2513: 2496: 2492: 2488: 2484: 2477: 2461:. 9 June 2023 2460: 2458: 2453: 2452:"Hyftor EPAR" 2447: 2445: 2443: 2426: 2422: 2418: 2412: 2410: 2393: 2389: 2385: 2379: 2363: 2359: 2355: 2349: 2347: 2345: 2343: 2326: 2322: 2318: 2312: 2310: 2308: 2306: 2304: 2302: 2300: 2298: 2296: 2294: 2292: 2290: 2288: 2286: 2270: 2266: 2262: 2256: 2252: 2244: 2242: 2238: 2234: 2230: 2227: 2217: 2215: 2205: 2203: 2199: 2189: 2187: 2178: 2176: 2166: 2164: 2160: 2150: 2148: 2144: 2140: 2136: 2132: 2122: 2113: 2111: 2107: 2103: 2099: 2094: 2092: 2086: 2083: 2079: 2070: 2068: 2064: 2060: 2050: 2048: 2044: 2040: 2036: 2032: 2028: 2024: 2020: 2016: 2012: 2007: 2005: 2001: 1997: 1994:(CCI-779) or 1993: 1989: 1985: 1980: 1969: 1964: 1955: 1953: 1949: 1945: 1940: 1936: 1932: 1928: 1924: 1920: 1916: 1912: 1907: 1903: 1899: 1895: 1891: 1887: 1883: 1879: 1875: 1871: 1867: 1863: 1860: 1856: 1852: 1848: 1844: 1840: 1837: 1833: 1829: 1825: 1821: 1817: 1812: 1809: 1805: 1796: 1783: 1775: 1771: 1764: 1750: 1744: 1737: 1735: 1731: 1726: 1722: 1718: 1714: 1710: 1700: 1698: 1695: 1691: 1680: 1671: 1667: 1664:This section 1662: 1659: 1655: 1654: 1646: 1644: 1638: 1636: 1632: 1628: 1624: 1620: 1616: 1613: 1603: 1601: 1600: 1593: 1591: 1587: 1583: 1578: 1576: 1572: 1568: 1564: 1560: 1556: 1550: 1535: 1533: 1529: 1525: 1521: 1518: 1508: 1506: 1496: 1494: 1490: 1486: 1482: 1478: 1468: 1460: 1458: 1454: 1450: 1443:Lung toxicity 1440: 1438: 1434: 1430: 1426: 1422: 1407: 1403: 1399: 1398:ovarian cysts 1395: 1392: 1390: 1387: 1386: 1383: 1379: 1375: 1372: 1369: 1368: 1365: 1361: 1358: 1356: 1353: 1352: 1349: 1345: 1343: 1340: 1339: 1336: 1332: 1328: 1324: 1321: 1320: 1317: 1313: 1309: 1306: 1304: 1300: 1297: 1296: 1293: 1290: 1288: 1285: 1284: 1281: 1277: 1273: 1269: 1266: 1264: 1261: 1260: 1256: 1252: 1251:herpes zoster 1248: 1244: 1241: 1238: 1237: 1233: 1230: 1229: 1226: 1223: 1221: 1217: 1213: 1209: 1203: 1201: 1197: 1193: 1189: 1185: 1181: 1177: 1173: 1169: 1158: 1155: 1152: 1148: 1147:angiofibromas 1141:Angiofibromas 1138: 1129: 1127: 1123: 1119: 1114: 1108: 1098: 1095: 1093: 1088: 1086: 1082: 1078: 1074: 1070: 1065: 1061: 1056: 1054: 1050: 1046: 1042: 1038: 1037:smooth muscle 1034: 1024: 1021: 1017: 1013: 1009: 1004: 1002: 998: 994: 988: 984: 974: 972: 968: 962: 960: 957: 952: 950: 946: 942: 938: 935:Sirolimus is 928: 926: 922: 918: 914: 910: 906: 905:Easter Island 902: 898: 897: 893: 888: 886: 882: 877: 875: 874:interleukin-2 871: 867: 863: 859: 855: 851: 847: 843: 839: 835: 831: 827: 823: 813: 806: 797: 792: 791: 788: 781: 772: 771: 768: 761: 757: 755: 751: 744: 740: 739: 737: 734: 729: 722: 720: 716: 692: 690: 686: 681: 677: 673: 670: 668: 666:ECHA InfoCard 662: 654: 650: 649:DTXSID5023582 646: 645: 643: 634: 630: 622: 621:RCSB PDB 616: 611: 610: 608: 606: 602: 595: 591: 590: 588: 586: 582: 575: 571: 570: 568: 566: 562: 555: 551: 550: 548: 546: 542: 535: 531: 530: 528: 526: 522: 515: 511: 510: 508: 506: 502: 495: 491: 490: 488: 486: 482: 475: 471: 470: 468: 461: 457: 450: 446: 445: 443: 441: 437: 423: 419: 415: 411: 405: 401: 397: 393: 389: 385: 381: 377: 373: 369: 365: 361: 356: 355: 352: 345: 340: 336: 334: 330: 326: 324: 317: 314: 311: 309: 305: 301: 299: 295: 291: 289: 285: 281: 277: 271: Rx-only 264: 261: 249: 248: 246: 244: 240: 235: 227: 222: 217: 212: 207: 202: 197: 192: 189: 188: 186: 184: 180: 177: 173: 169: 166: 164: 158: 152: 143: 142: 140: 138: 132: 125: 121: 111: 108: 103: 94: 91: 86: 77: 76: 74: 72: 68: 64: 60: 56: 54: 50: 47:Clinical data 45: 41: 36: 32: 27: 19: 9971:Orphan drugs 9905: 9885:Ketoconazole 9882:Antagonists: 9881: 9855:Troglitazone 9830:Tetracycline 9785:Spiroxatrine 9774: 9730:Quingestrone 9725:Progesterone 9710:Pregnenolone 9705:Pregnanolone 9695:Pregnanediol 9690:Prednisolone 9615:Mifepristone 9542: 9517:Griseofulvin 9497:Fenbendazole 9482:Famprofazone 9477:Erythromycin 9472:Epothilone B 9457:Eburnamonine 9352:Clotrimazole 9342:Clofenvinfos 9277:Antimycotics 9208: 9171:Okadaic acid 9123:Antagonists: 9122: 9111:Troglitazone 9046:Mifepristone 9041:Methoxychlor 9036:Griseofulvin 9031:Ellagic acid 9011:Cypermethrin 9001:Clotrimazole 8952: 8842:Pexidartinib 8827:Odronextamab 8797:Gilteritinib 8777:Cabozantinib 8724: 8690: 8665: 8659:Temsirolimus 8641: 8625: 8607:proapoptotic 8605: 8589: 8568:Zanubrutinib 8540: 8510: 8479: 8456:Lestaurtinib 8435:Janus kinase 8433: 8414: 8368: 8361:Non-receptor 8342:Cabozantinib 8335: 8304:Infigratinib 8289: 8263: 8205:Fruquintinib 8187: 8180:Gilteritinib 8176:Lestaurtinib 8169: 8118: 8087: 8060:Mobocertinib 8025:Aumolertinib 8013: 7978:Tremelimumab 7963:Tislelizumab 7918:Retifanlimab 7793:Blinatumomab 7763:Atezolizumab 7734: 7716: 7706: 7688:Obinutuzumab 7666: 7648: 7615: 7598: 7556: 7539: 7456:Upadacitinib 7416:Satralizumab 7401:Ritlecitinib 7396:Risankizumab 7191: 7172: 7112:Teprotumumab 7062:Inebilizumab 7057:Fontolizumab 7037:Atorolimumab 7005:T-lymphocyte 7003: 6977: 6961: 6947: 6928: 6917:Lerdelimumab 6912:Bertilimumab 6904: 6892: 6871: 6857: 6843: 6829: 6810: 6791: 6775:Pascolizumab 6760:Obinutuzumab 6752: 6738: 6724: 6708:Clenoliximab 6700: 6684:Otelixizumab 6671: 6644: 6631:Lebrikizumab 6615: 6599: 6583: 6567: 6551: 6508:Satralizumab 6498:Risankizumab 6430: 6389: 6373: 6365:Serum target 6317:Temsirolimus 6311: 6243: 6234:Pomalidomide 6229:Lenalidomide 6187:Pimecrolimus 6166: 6140:Methotrexate 6132: 6110: 6097:Azathioprine 6089: 6074:(initiation) 6013: 5981: 5977: 5942: 5938: 5901: 5897: 5871:. Retrieved 5862: 5847:. Retrieved 5838: 5823:. Retrieved 5814: 5802: 5769: 5765: 5759: 5714: 5710: 5700: 5665: 5661: 5651: 5614: 5610: 5600: 5565: 5561: 5551: 5516: 5512: 5474: 5470: 5464: 5427: 5423: 5413: 5370: 5366: 5318: 5314: 5304: 5269: 5265: 5255: 5212: 5208: 5198: 5186:. Retrieved 5177: 5167: 5134: 5130: 5124: 5112:. Retrieved 5103: 5094: 5059: 5055: 5045: 5037: 5007: 5003: 4974:. Retrieved 4965: 4955: 4918: 4914: 4904: 4877: 4873: 4863: 4851:. Retrieved 4842: 4833: 4792: 4788: 4782: 4747: 4743: 4733: 4708: 4704: 4698: 4686:. Retrieved 4677: 4667: 4632: 4628: 4619: 4597:(1): 47–60. 4594: 4590: 4584: 4551: 4547: 4541: 4506: 4502: 4492: 4467: 4463: 4456: 4431: 4427: 4421: 4396: 4392: 4386: 4361: 4357: 4351: 4326: 4322: 4315: 4270: 4266: 4218: 4214: 4207: 4185:(1): 51–61. 4182: 4178: 4172: 4147: 4143: 4091: 4087: 4081: 4044: 4040: 4030: 4005: 4001: 3994: 3967: 3963: 3953: 3931:(1): 64–69. 3928: 3924: 3918: 3875: 3871: 3865: 3840: 3836: 3830: 3805: 3801: 3795: 3770: 3766: 3760: 3748:. Retrieved 3728: 3724: 3711: 3676: 3672: 3662: 3652:24 September 3650:. Retrieved 3625: 3621: 3611: 3576: 3572: 3562: 3529: 3525: 3484:(1): 28–38. 3481: 3477: 3467: 3432: 3428: 3418: 3375: 3371: 3346:. Retrieved 3337: 3328: 3298:(1): 14–20. 3295: 3291: 3284: 3260:(1): 86–90. 3257: 3253: 3243: 3216: 3212: 3202: 3175: 3171: 3161: 3149:. Retrieved 3145:the original 3140: 3131: 3106: 3102: 3096: 3084:. Retrieved 3023: 3019: 3009: 2997:. Retrieved 2979: 2967:. Retrieved 2947: 2940: 2928:. Retrieved 2908: 2901: 2889:. Retrieved 2880: 2871: 2859:. Retrieved 2846: 2837: 2812: 2808: 2802: 2765: 2761: 2751: 2739:. Retrieved 2730: 2720: 2683: 2679: 2646:. Retrieved 2642:the original 2638:Cypher Stent 2598: 2594: 2556: 2552: 2546: 2534:. Retrieved 2525: 2499:. Retrieved 2490: 2486: 2476: 2463:. Retrieved 2455: 2429:. Retrieved 2420: 2396:. Retrieved 2387: 2378: 2366:. Retrieved 2357: 2329:. Retrieved 2320: 2272:. Retrieved 2264: 2255: 2224:A number of 2223: 2211: 2195: 2184: 2172: 2156: 2128: 2119: 2100:goes up and 2095: 2087: 2082:mouse models 2076: 2056: 2031:chemotherapy 2008: 1992:temsirolimus 1981: 1977: 1948:methylations 1931:condensation 1905: 1901: 1897: 1893: 1889: 1885: 1881: 1877: 1865: 1861: 1838: 1831: 1827: 1823: 1813: 1801: 1730:biosynthesis 1721:biosynthesis 1709:biosynthesis 1706: 1703:Biosynthesis 1687: 1674: 1670:adding to it 1665: 1639: 1609: 1597: 1594: 1579: 1552: 1538:Pharmacology 1532:blood plasma 1514: 1511:Interactions 1502: 1485:azathioprine 1477:skin cancers 1474: 1466: 1446: 1437:temsirolimus 1418: 1224: 1204: 1182:, increased 1180:hypertension 1164: 1156: 1144: 1135: 1110: 1096: 1089: 1057: 1030: 1005: 990: 967:angiofibroma 963: 953: 934: 931:Medical uses 925:angiofibroma 900: 894: 889: 878: 848:, and treat 829: 825: 821: 820: 809:   421: 417: 413: 409: 403: 399: 395: 391: 387: 383: 379: 375: 371: 367: 363: 359: 337:Mostly fecal 320:Elimination 243:Legal status 237:Legal status 71:License data 18: 9870:Zafirlukast 9840:Thiothixene 9820:Terconazole 9770:Simvastatin 9645:Nisoldipine 9640:Nilvadipine 9625:Nicardipine 9595:Metacycline 9422:Dimercaprol 9377:Demecolcine 9337:Clindamycin 9332:Ciglitazone 9282:Artemisinin 9262:Ambrisentan 9166:Nigramide J 9101:Telmisartan 9061:Nicardipine 8971:Benfuracarb 8966:Artemisinin 8872:Tebentafusp 8852:Regorafenib 8847:Quizartinib 8837:Pemigatinib 8817:Midostaurin 8792:Erdafitinib 8787:Entrectinib 8770:Parsaclisib 8718:Trilaciclib 8708:Palbociclib 8703:Dalpiciclib 8698:Abemaciclib 8600:Aflibercept 8527:Entrectinib 8497:Selumetinib 8492:Cobimetinib 8487:Binimetinib 8471:Ruxolitinib 8461:Momelotinib 8441:Baricitinib 8339:inhibitors: 8316:Pralsetinib 8312:Pemigatinib 8300:Futibatinib 8296:Entrectinib 8293:inhibitors: 8225:Regorafenib 8129:Avapritinib 8075:Rociletinib 8070:Osimertinib 8035:Dacomitinib 7973:Toripalimab 7958:Teclistamab 7948:Talquetamab 7943:Tafasitamab 7938:Sugemalimab 7933:Serplulimab 7923:Sabatolimab 7913:Ramucirumab 7908:Prolgolimab 7878:Necitumumab 7833:Epcoritamab 7813:Dostarlimab 7803:Daratumumab 7758:Amivantamab 7723:Alemtuzumab 7713:Brentuximab 7703:Tositumomab 7678:Ibritumomab 7659:Elranatamab 7622:Bevacizumab 7610:Edrecolomab 7605:Catumaxomab 7567:Trastuzumab 7551:Panitumumab 7451:Tofacitinib 7391:Ravulizumab 7381:Pirfenidone 7371:Peficitinib 7271:Canakinumab 7261:Briakinumab 7251:Bimekizumab 7246:Baricitinib 7211:Aflibercept 7122:Vepalimomab 7117:Vapaliximab 7092:Rovelizumab 7082:Pexelizumab 7072:Morolimumab 7047:Cedelizumab 7032:Anifrolumab 7027:Alemtuzumab 6985:Basiliximab 6955:Tocilizumab 6941:Vedolizumab 6936:Natalizumab 6922:Metelimumab 6865:Gavilimomab 6823:Toralizumab 6818:Teneliximab 6804:Lumiliximab 6799:Gomiliximab 6785:Ublituximab 6765:Ocrelizumab 6718:Zanolimumab 6694:Visilizumab 6652:Secukinumab 6636:Ustekinumab 6607:Elsilimomab 6591:Faralimomab 6559:Mepolizumab 6543:Ustekinumab 6538:Tocilizumab 6513:Secukinumab 6463:Canakinumab 6453:Briakinumab 6448:Bimekizumab 6443:Basiliximab 6432:Interleukin 6422:Nerelimomab 6327:Zotarolimus 6268:(reception) 6239:Thalidomide 6197:Voclosporin 6182:Ciclosporin 6176:Calcineurin 6172:Cyclophilin 6119:Leflunomide 6115:inhibitors 6015:NCT02494570 5873:23 February 5849:23 February 5825:23 February 5734:2268/256132 5315:GeroScience 4688:19 February 4470:(1): 9–16. 4064:2445/178597 2891:26 November 2522:"Rapamycin" 2431:26 November 2368:19 December 2331:26 November 2035:doxorubicin 2029:effects of 2015:doxorubicin 1915:cyclohexane 1845:-dependent 1694:macrocyclic 1677:August 2016 1631:ciclosporin 1623:efflux pump 1575:calcineurin 1528:efflux pump 1471:Cancer risk 1406:menorrhagia 1355:Respiratory 1331:hypokalemia 1314:(TTP/HUS), 1299:Hematologic 1253:infection, 1092:orphan drug 1077:cholesterol 726: g·mol 672:100.107.147 342:Identifiers 327:57–63 hours 172:intravenous 62:Other names 53:Trade names 9966:Macrolides 9945:Categories 9850:Tianeptine 9815:Tenylidone 9810:Tacrolimus 9755:Rimexolone 9745:Rifampicin 9685:Plicamycin 9670:Paclitaxel 9655:Omeprazole 9635:Nifedipine 9610:Mevastatin 9605:Metyrapone 9585:Lovastatin 9580:Loratadine 9537:Hyperforin 9527:Haloprogin 9492:Felodipine 9467:Enzacamene 9447:Dronabinol 9412:Diclazuril 9391:prasterone 9347:Chloroxine 9322:Cephradine 9292:Bile acids 9106:Tolnaftate 9071:Permethrin 9056:Nevirapine 9051:Nefazodone 9020:prasterone 8981:Carvedilol 8961:Amiodarone 8932:modulators 8887:Venetoclax 8882:Vandetanib 8857:Ripretinib 8822:Nintedanib 8807:Lenvatinib 8782:Capmatinib 8765:Idelalisib 8755:Copanlisib 8728:inhibitors 8713:Ribociclib 8684:Vismodegib 8669:inhibitors 8649:Everolimus 8615:prohibitin 8532:Lorlatinib 8522:Crizotinib 8502:Trametinib 8466:Pacritinib 8451:Filgotinib 8446:Fedratinib 8350:Crizotinib 8346:Capmatinib 8328:Vandetanib 8276:Brigatinib 8255:Vandetanib 8215:Nintedanib 8210:Lenvatinib 8149:Ripretinib 8080:Vandetanib 8055:Lazertinib 8030:Brigatinib 7953:Tarlatamab 7888:Olaratumab 7848:Isatuximab 7843:Ipilimumab 7823:Elotuzumab 7818:Durvalumab 7798:Cemiplimab 7788:Bermekimab 7778:Axatilimab 7693:Ofatumumab 7673:Glofitamab 7655:Glofitamab 7563:Pertuzumab 7441:Sutimlimab 7436:Spesolimab 7421:Siltuximab 7361:Olokizumab 7351:Ixekizumab 7346:Itacitinib 7336:Guselkumab 7331:Fingolimod 7326:Filgotinib 7276:Crovalimab 7266:Brodalumab 7256:Blisibimod 7221:Rilonacept 7204:Opinercept 7199:Etanercept 7185:Belatacept 7136:Polyclonal 7097:Siplizumab 7087:Reslizumab 7077:Ofatumumab 7067:Maslimomab 7052:Emapalumab 6995:Inolimomab 6990:Daclizumab 6969:Odulimomab 6884:Ruplizumab 6879:Frexalimab 6837:Aselizumab 6732:Efalizumab 6689:Teplizumab 6585:Interferon 6575:Omalizumab 6528:Spesolimab 6518:Siltuximab 6493:Rilonacept 6488:Olokizumab 6478:Ixekizumab 6473:Guselkumab 6468:Daclizumab 6458:Brodalumab 6417:Infliximab 6402:Afelimomab 6397:Adalimumab 6381:Eculizumab 6357:Monoclonal 6348:Antibodies 6322:Umirolimus 6302:Everolimus 6251:Apremilast 6211:Gusperimus 6192:Tacrolimus 6160:inhibitors 6152:Macrolides 6134:antifolate 5519:(12): 73. 5373:: 109282. 5056:Aging Cell 4960:Lawton G. 4880:(5): 332. 3893:2183/19864 3478:Aging Cell 3219:(1): 328. 2861:1 February 2686:: 701464. 2274:22 October 2247:References 2125:SARS-CoV-2 2091:everolimus 2067:everolimus 1996:everolimus 1990:, such as 1952:oxidations 1804:macrocycle 1734:polyketide 1725:polyketide 1555:tacrolimus 1547:See also: 1433:everolimus 1402:amenorrhea 1389:Urogenital 1316:leukopenia 1292:Stomatitis 1257:infection 1247:lymphocele 1208:stomatitis 1196:arthralgia 1184:creatinine 1087:patients. 1014:), and/or 1012:tacrolimus 981:See also: 961:(PEComa). 941:prevention 909:antifungal 885:restenosis 840:, prevent 731:3D model ( 719:Molar mass 605:PDB ligand 574:CHEBI:9168 534:W36ZG6FT64 505:ChemSpider 449:53123-88-9 440:CAS Number 351:IUPAC name 308:Metabolism 9775:Sirolimus 9765:Ritonavir 9760:Riodipine 9750:Rifaximin 9735:Reserpine 9720:Proadifen 9665:Oxatomide 9620:Nafcillin 9590:Meclizine 9452:Droxidopa 9432:Docetaxel 9357:Colforsin 9307:Bumecaine 9297:Bithionol 9209:Agonists: 9186:T-0901317 9161:Meclizine 9091:Reserpine 9081:Phenytoin 9066:Octicizer 9026:Efavirenz 8953:Agonists: 8877:Tepotinib 8867:Sunitinib 8862:Sorafenib 8832:Pazopanib 8812:Masitinib 8760:Duvelisib 8750:Alpelisib 8738:Sotorasib 8733:Adagrasib 8679:Sonidegib 8674:Glasdegib 8620:Adipotide 8553:Ibrutinib 8426:Dasatinib 8421:Bosutinib 8406:Radotinib 8401:Ponatinib 8396:Nilotinib 8386:Dasatinib 8381:Bosutinib 8376:Asciminib 8344:(VEGFR), 8302:(FGFR2), 8281:Ceritinib 8271:Alectinib 8250:Toceranib 8245:Tivozanib 8240:Sunitinib 8235:Sorafenib 8230:Semaxanib 8220:Pazopanib 8200:Cediranib 8164:Toceranib 8159:Sunitinib 8154:Sorafenib 8144:Pazopanib 8139:Masitinib 8106:Tucatinib 8101:Neratinib 8096:Lapatinib 8065:Olmutinib 8045:Gefitinib 8040:Erlotinib 8015:HER1/EGFR 7883:Nivolumab 7873:Naxitamab 7698:Rituximab 7546:Cetuximab 7541:HER1/EGFR 7431:Sirukumab 7426:Siponimod 7411:Sarilumab 7386:Ponesimod 7356:Netakimab 7341:Iptacopan 7321:Etrasimod 7281:Danicopan 7216:Alefacept 7180:Abatacept 7102:Talizumab 7042:Begelomab 6898:Belimumab 6851:Galiximab 6780:Rituximab 6746:Erlizumab 6713:Keliximab 6523:Sirukumab 6503:Sarilumab 6483:Netakimab 6412:Golimumab 6312:Sirolimus 5969:207831199 5751:231766741 5159:206685475 4921:(1): 39. 4659:198175394 4651:1743-4289 2768:(1): 29. 2237:longevity 2027:cytotoxic 2023:remission 1939:dehydrate 1802:The core 1649:Chemistry 1627:half life 1582:cytosolic 1364:epistaxis 1360:Pneumonia 1322:Metabolic 1303:lymphatic 1287:Digestive 1186:, fever, 1010:(such as 973:complex. 956:malignant 937:indicated 903:found on 892:bacterium 834:macrolide 826:rapamycin 822:Sirolimus 594:ChEMBL413 333:Excretion 322:half-life 161:Routes of 135:Pregnancy 124:Sirolimus 107:Sirolimus 23:Sirolimus 9981:Polyenes 9935:Medicine 9902:See also 9790:SR-12813 9680:Piperine 9660:Orlistat 9630:Nicotine 9502:Fentanyl 9487:Febantel 9462:Ecopipam 9427:Dinaline 9312:Cafestol 9302:Bosentan 9176:PK-11195 8667:hedgehog 8629:against 8627:exotoxin 8593:against 8542:Bruton's 8391:Imatinib 8314:(FGFR), 8310:(NTRK), 8195:Axitinib 8134:Axitinib 8090:HER2/neu 8050:Icotinib 8020:Afatinib 7994:("-nib") 7773:Avelumab 7645:lymphoid 7637:lymphoma 7633:Leukemia 7558:HER2/neu 7520:("-mab") 7366:Ozanimod 7241:Avacopan 7234:Unsorted 7020:Unsorted 6930:Integrin 6663:Cellular 6438:Anakinra 6284:Anakinra 6206:Abetimus 6058: / 5998:33737259 5961:31676179 5918:22037041 5867:Archived 5843:Archived 5819:Archived 5794:30469863 5743:33512760 5692:31313976 5643:27245261 5592:35526176 5543:27812954 5491:15383655 5456:30666207 5430:: 1520. 5405:33031791 5345:31761958 5296:26403194 5247:23325216 5182:Archived 5151:25540326 5114:23 March 5108:Archived 5086:33145977 5034:27208895 4970:Archived 4947:30760308 4896:45906785 4853:23 March 4847:Archived 4817:15029198 4774:15365568 4725:16103051 4682:Archived 4611:16039868 4576:19250234 4568:17041628 4548:Oncogene 4533:22379028 4448:16536560 4413:19387497 4378:16990929 4343:15127450 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1069:diarrhea 939:for the 830:Rapamune 812:(verify) 514:10482078 485:DrugBank 221:QC01EB90 183:ATC code 168:By mouth 137:category 102:DailyMed 9961:Lactams 9890:Sesamin 9875:Zeranol 9805:Suramin 9575:LOE-908 9267:AMI-193 9181:S-07662 9096:TCPOBOP 8991:Chrysin 8370:bcr-abl 7731:myeloid 7162:-cept ( 5926:1227277 5786:8782462 5684:9605135 5634:5061796 5583:9249683 5534:5314949 5447:6330346 5396:7536130 5375:Bibcode 5336:6925069 5287:6095456 5238:3687363 5217:Bibcode 5077:7681050 5025:4906330 4976:25 July 4938:6373010 4825:4426215 4797:Bibcode 4765:2409926 4524:3311730 4484:8635756 4307:7644502 4275:Bibcode 4164:9129559 4124:9937225 4116:1715094 4096:Bibcode 4088:Science 3750:4 April 3499:4717280 3450:2440303 3401:3324089 3380:Bibcode 3372:Science 3338:FDAnews 3320:9967001 3078:(FDA). 3074:. U.S. 3043:6716294 2987:. 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