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Use of Cyclosporine in Neurological Autoimmune Disease?
Kenneth P. Johnson, MD;
George Belendiuk, MD, PhD
Arch Neurol. 1985;42(11):1043-1044.
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Cyclosporine is a biologically active metabolite that is isolated from cultures of the fungal species Tolypocladium inflatam.1 The drug is a potent immunosuppressive agent, which in clinical studies has yielded good results in renal, hepatic, and cardiac transplantation.2-3 Cyclosporine appears to be able to inhibit predominantly T-lymphocyte-dependent immune responses and is capable of inducing transplantation tolerances across major histocompatibility barriers.4-5 Although the exact mode of action of cyclosporine remains unclear, studies indicate that this agent has a differential effect among T-lymphocyte subpopulations. A possible mechanism of action of cyclosporine seems to involve an inhibition of amplification of T-cell immune mechanisms. Recent evidence indicates that this may involve blocking the production or the effect of IL-2 (T-cell growth factor). Both T-cell amplification of cellular immune mechanisms and the generation of T-cell effector cells are, in most cases, dependent on IL-2. Therefore, the inhibition of IL-2 amplification causes
. . . [Full Text PDF of this Article]
Author Affiliations
Baltimore; East Hanover, NJ
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