Immunosuppressants · Pharmacology

Which of the following describes the primary mechanism of action of Cyclosporine?

  1. Inhibition of the mTOR protein kinase
  2. Binding to cyclophilin to inhibit calcineurin
  3. Antagonism of the IL-2 receptor
  4. Inhibition of inosine monophosphate dehydrogenase
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Correct answer: Binding to cyclophilin to inhibit calcineurin

Cyclosporine forms a complex with the intracellular protein cyclophilin. This complex inhibits calcineurin, a phosphatase required for the translocation of NFAT to the nucleus, thereby preventing the transcription of IL-2.

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