Triene macrolide antibiotic isolated from Streptomyces hygroscopicus. Name derived from the native word for Easter Island, Rapa Nui. Isoln: S. N. Sehgal et al., DE 2347682; eidem, US 3929992 (1974, 1975 both to Ayerst McKenna Harrison); purification and characterization: C. Vézina et al., J. Antibiot. 28, 721 (1975); S. N. Sehgal et al., ibid. 727. Inhibition of immune response: R. R. Martel et al., Can. J. Physiol. Pharmacol. 55, 48 (1977); of graft rejection in mice: C. P. Eng et al., Transplant. Proc. 23, 868 (1991). Total synthesis: K. C. Nicolaou et al., J. Am. Chem. Soc. 115, 4419 (1993); D. Romo et al., ibid. 7906. Series of articles on therapeutic monitoring and pharmacokinetics: Clin. Ther. 22, Suppl. 2, B1-B132 (2000); on pharmacology and clinical experience in transplantation: Transplant. Proc. 35, Suppl. 1, S1-S233 (2003). Clinical trial in prevention of coronary restenosis: D. R. Holmes, Jr. et al., Circulation 109, 634 (2004).
Immunosuppressant; antirestenotic.
Immunosuppressant; Antirestenotic