The same issue of KI shares another view- the positive aspects of sirolimus
As we mentioned earlier that this agent was discovered as a cancer drug and has antiproliferative properties
Recent animal data and human data have shown it to be beneficial in preventing cancer post transplant
So the benefits of this agents are:
1. Prevention of cancer, as mTOR is responsible for transcription and translation for cell growth. Definite evidence against Kaposi, Skin cancers and renal cancers.
2. Increase in T regs
3. Anti viral effects - CMV, BK and EBV viral infections ( still not sure- conflicting data)
4. Tolerance inducing potential
5. Control of fibrotic process - conflicting data when compared to CNI alone
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