Q:

Which of the following are true of cyclosporine?

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Which of the following are true of cyclosporine?


  1. It was the first immunosuppressive agent to be used clinically.
  2. It acts selectively on T cells to suppress rejection.
  3. Toxic effects include hirsutism, hypertension, nephrotoxicity, and increased risk of opportunistic infections.

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B. It acts selectively on T cells to suppress rejection.

C. Toxic effects include hirsutism, hypertension, nephrotoxicity, and increased risk of opportunistic infections. 

DISCUSSION: Cyclosporine is a product of a fungus and was discovered in 1972. It has contributed very significantly to the development of the field of transplantation. The mechanism of action is relatively specific for T lymphocytes. Other inflammatory cells are much less sensitive to its immunosuppressive effects. It inhibits activated T lymphocytes and prevents the cells from manufacturing and releasing interleukin 2 (IL-2). Toxicities include hirsutism, hypertension, nephrotoxicity, and increased risk of opportunistic infections (because it still functions as a nonspecific immunosuppressive agent).

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