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Sirolimus and liver transplantation: clinical implications for hepatocellular carcinoma. Expert Opin Pharmacother 2007 Jun;8(9):1275-82

Date

06/15/2007

Pubmed ID

17563262

DOI

10.1517/14656566.8.9.1275

Scopus ID

2-s2.0-34250835612   10 Citations

Abstract

Sirolimus (SRL) is a macrolide antibiotic that has potent antifungal and immunosuppressive properties; preclinical studies suggest that SRL may possess a significant antiproliferative influence in vitro. Recently, several studies have documented a negative effect by SRL on both primary tumor growth and the proliferation of metastatic foci in various rodent models of hepatocellular carcinoma (HCC). Orthotopic liver transplantation (OLT) is increasingly becoming a viable treatment option for patients with end stage liver disease and concomitant HCC. As such, an immunosuppressive agent with antineoplastic activity is inherently attractive in the setting of OLT for malignancy. Regrettably, the cumulative experience with SRL-based immunosuppression in this patient population is limited. Herein, the authors review the experience to date with SRL as a primary immunosuppressive agent following OLT, and discuss the clinical implications of SRL-based therapy in OLT recipients with cirrhosis and cancer.

Author List

Campsen J, Zimmerman MA, Trotter JF, Wachs M, Bak T, Mandell S, Kam I

Author

Michael A. Zimmerman MD, FACS Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Carcinoma, Hepatocellular
Humans
Immunosuppressive Agents
Liver Neoplasms
Liver Transplantation
Sirolimus
jenkins-FCD Prod-486 e3098984f26de787f5ecab75090d0a28e7f4f7c0