PMID- 37589458 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230818 IS - 2312-0541 (Print) IS - 2312-0541 (Electronic) IS - 2312-0541 (Linking) VI - 9 IP - 4 DP - 2023 Jul TI - Unexpected sirolimus-stimulated airway hyperreactivity in lymphangioleiomyomatosis. LID - 00305-2023 [pii] LID - 10.1183/23120541.00305-2023 [doi] AB - Lymphangioleiomyomatosis (LAM) is a multisystem disease affecting primarily women, characterised in the lung by proliferation of LAM cells, abnormal smooth muscle-like cells with dysfunctional tuberous sclerosis complex genes. This dysfunction results in activation of mechanistic target of rapamycin (mTOR), leading to LAM cell proliferation. Sirolimus (rapamycin) is the only United States Food and Drug Administration-approved treatment for pulmonary LAM, resulting in decreased LAM cell growth/size and stabilised lung function [1]. CI - Copyright (c)The authors 2023. FAU - Steagall, Wendy K AU - Steagall WK AD - Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA. FAU - Stylianou, Mario AU - Stylianou M AD - Office of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA. FAU - Pacheco-Rodriguez, Gustavo AU - Pacheco-Rodriguez G AD - Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA. FAU - Yu, Zu Xi AU - Yu ZX AD - Pathology Facility, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA. FAU - Moss, Joel AU - Moss J AD - Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA. LA - eng PT - Journal Article DEP - 20230814 PL - England TA - ERJ Open Res JT - ERJ open research JID - 101671641 PMC - PMC10423980 COIS- Conflict of interest: All authors declare no conflicts of interest and no competing interests. EDAT- 2023/08/17 12:41 MHDA- 2023/08/17 12:42 PMCR- 2023/08/14 CRDT- 2023/08/17 09:03 PHST- 2023/05/11 00:00 [received] PHST- 2023/05/20 00:00 [accepted] PHST- 2023/08/17 12:42 [medline] PHST- 2023/08/17 12:41 [pubmed] PHST- 2023/08/17 09:03 [entrez] PHST- 2023/08/14 00:00 [pmc-release] AID - 00305-2023 [pii] AID - 10.1183/23120541.00305-2023 [doi] PST - epublish SO - ERJ Open Res. 2023 Aug 14;9(4):00305-2023. doi: 10.1183/23120541.00305-2023. eCollection 2023 Jul.