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Updated: Aug 13, 2026

Murine Full-thickness Skin Transplantation
Published on: January 2, 2017
[Rapamycin: a new immunosuppressive agent capable of inhibiting chronic rejection?]
1Klinika nefrologie, Transplantcentrum, Institut klinické a experimentální medicíny, Praha. ondrej.viklicky@medicon.cz
Abstract:
Chronic rejection represents the most common cause of transplanted graft loss in the long term. Rapamycin (sirolimus), and it's derivate RAD, are new and potent, immunosuppressive drugs. They inhibit cell proliferation driven by various growth factors. These drugs were successfully tested in some experimental models of the chronic rejection. Results of the first clinical trials have defined rapamycin pharmacokinetics and proved immunosuppressive efficacy. Rapamycin acts synergistically with cyclosporin A. The side effects are a dose-dependent thrombocytopenia and leukopenia but the most frequent is hyperlipidemia. The question, if rapamycin and RAD inhibit development of chronic rejection in man, will be solved by the prospective clinical trials over years.
Insights
Rapamycin and its derivative RAD are potent immunosuppressants that inhibit cell proliferation. Clinical trials are ongoing to determine if these drugs can prevent chronic rejection in transplant patients.
Area of Science:
- Immunology and Pharmacology
- Transplantation Medicine
Context:
- Chronic rejection is the primary cause of long-term graft loss after transplantation.
- Novel immunosuppressive drugs are needed to improve transplant outcomes.
Purpose:
- To evaluate the efficacy of rapamycin (sirolimus) and its derivative RAD in preventing chronic rejection.
- To assess the pharmacokinetic profile and immunosuppressive properties of rapamycin in clinical trials.
Summary:
- Rapamycin and RAD are potent inhibitors of cell proliferation, showing promise in experimental models of chronic rejection.
- Initial clinical trials confirmed rapamycin's pharmacokinetics and immunosuppressive effects, noting synergistic action with cyclosporin A.
- Common side effects include dose-dependent thrombocytopenia, leukopenia, and hyperlipidemia.
Impact:
- Prospective, long-term clinical trials are essential to definitively answer whether rapamycin and RAD can prevent chronic rejection in humans.
- Findings may lead to improved immunosuppressive strategies, reducing graft loss and enhancing patient survival.
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