title: Efficacy of rapamycin in patient with juvenile rheumatoid arthritis.
abstract: Juvenile rheumatoid arthritis (JRA) is an immune-mediated disease characterized by articular inflammation and subsequent tissue damage that may result in severe disability. Several combinations of drugs, including immunosuppressive agents have been used to control disease progression. Although there is no information available on rapamycin efficacy in JRA, it has demonstrated a potential to inhibit inflammatory processes observed in adult rheumatoid arthritis (RA). We present a 21 years old renal transplant recipient with JRA, primarily treated with tacrolimus and steroids, who achieved a long-term disease remission after introduction of rapamycin. As long as pathogenesis of JRA and RA is similar, we conclude that rapamycin could be promising immunosuppressant for patients after renal transplantation suffering from both JRA and RA.
authors.affiliation: Department of Immunology, Transplantology and Internal Medicine, Transplantation Institute, Medical University of Warsaw, Nowogrodzka 59, 02-006 Warsaw, Poland. b_foronc@yahoo.com
authors.forename: Bartosz
authors.initials: B
authors.lastname: Foroncewicz
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Mucha
authors.forename: Leszek
authors.initials: L
authors.lastname: Paczek
authors.forename: Andrzej
authors.initials: A
authors.lastname: Chmura
authors.forename: Wojciech
authors.initials: W
authors.lastname: Rowiński
mesh_terms: D000328:Adult; D001171:Arthritis, Juvenile / Q000188:drug therapy*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D016030:Kidney Transplantation; D008297:Male; D020123:Sirolimus / Q000627:therapeutic use*
chemical_list: D007166:Immunosuppressive Agents; D020123:Sirolimus