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Title: Relapse of aplastic anemia responsive to sirolimus combined with cyclosporine. Author: He G, Zhang X, Wu D, Sun A, Wang X. Journal: Pediatr Blood Cancer; 2011 Jul 01; 56(7):1133-5. PubMed ID: 21488160. Abstract: Aplastic anemia (AA) is an immune-mediated disease. Although most patients are responsive to immunosuppressive therapy (IST) with a combination of anti-thymocyte globulin (ATG) and cyclosporine (CsA), some patients relapse or are refractory to IST. Sirolimus (rapamysin) inhibits the serine-threonine kinase mammalian target of rapamysin (mTOR), and blocks CsA-resistant and calcium-independent pathways late in the progression of the T-cell cycle. We report two cases of AA which relapsed after CsA and ATG plus CsA, respectively. They achieved transfusion independence after retreatment with sirolimus in combination with a CsA.[Abstract] [Full Text] [Related] [New Search]