PMID- 12742500 OWN - NLM STAT- MEDLINE DCOM- 20031217 LR - 20211203 IS - 0041-1345 (Print) IS - 0041-1345 (Linking) VI - 35 IP - 3 Suppl DP - 2003 May TI - Molecular actions of sirolimus: sirolimus and mTor. PG - 227S-230S AB - Recent therapeutic strategies to combat organ allograft rejection have focused on T-cell signaling pathways and the molecules that comprise them. The macrolide antibiotic produced by the bacterium Streptomyces hygroscopicus, known as sirolimus or rapamycin, has shown great therapeutic potential in the transplant setting. Sirolimus alone or in combination with other immunosuppressive agents can block acute rejection, chronic graft destruction, and promote permanent allograft acceptance. Sirolimus targets a unique serine-threonine kinase, mammalian target of rapamycin (mTor), which plays a key role in mitogenic and nutritional cells signals. Within T cells, mTor regulates a number of proteins likely dependent on T cell growth factors such as interleukin 2. This review is focused on the molecular mechanisms by which mTor may regulate T-cell signaling cascades and affect T-cell responsiveness, and how sirolimus likely uncouples this activity. FAU - Kirken, R A AU - Kirken RA AD - Department of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, Texas 77030, USA. robert.a.kirken@uth.tmc.edu FAU - Wang, Y L AU - Wang YL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (Immunosuppressive Agents) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Enzyme Activation MH - Graft Rejection/*prevention & control MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - Phosphorylation MH - Protein Kinases/*metabolism MH - Signal Transduction/immunology MH - Sirolimus/*therapeutic use MH - T-Lymphocytes/immunology MH - TOR Serine-Threonine Kinases RF - 32 EDAT- 2003/05/14 05:00 MHDA- 2003/12/18 05:00 CRDT- 2003/05/14 05:00 PHST- 2003/05/14 05:00 [pubmed] PHST- 2003/12/18 05:00 [medline] PHST- 2003/05/14 05:00 [entrez] AID - S0041134503002306 [pii] AID - 10.1016/s0041-1345(03)00230-6 [doi] PST - ppublish SO - Transplant Proc. 2003 May;35(3 Suppl):227S-230S. doi: 10.1016/s0041-1345(03)00230-6.