JACK is system for handling real-time, low latency audio (and MIDI). It runs on GNU/Linux, Solaris, FreeBSD, OS X and Windows (and can be ported to other POSIX-conformant platforms).
Its clients can run in their own processes (ie. as normal applications), or can they can run within the JACK server (ie. as a "plugin"). JACK also has support for distributing audio processing across a network, both fast & reliable LANs as well as slower, less reliable WANs.