Cyclosporin A and rapamycin are each used as T cell immunosuppressants. They share the property of binding to immunophilin molecules in T cells as the initial step in their mechanisms of action. However, in the case of cyclosporin A, the drug:immunophilin complex binds to and inhibits the protein phosphatase calcineurin, whereas the rapamycin:immunophilin complex binds to and inhibitors mTOR. As a consequence, Cyclosporin A, but not rapamycin, blocks cytokine production by T cells. Both cyclosporin A and rapamycin block cytokine production by T cells. Rapamycin, but not cyclosporin A, blocks T cell proliferation.

Human Heredity: Principles and Issues (MindTap Course List)
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ISBN:9781305251052
Author:Michael Cummings
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Chapter17: Genes And The Immune System
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Cyclosporin A and rapamycin are each used as T cell immunosuppressants. They share the property of binding to immunophilin molecules in T cells as the initial step in their mechanisms of action. However, in the case of cyclosporin A, the drug:immunophilin complex binds to and inhibits the protein phosphatase calcineurin, whereas the rapamycin:immunophilin complex binds to and inhibitors mTOR. As a consequence,

  1. Cyclosporin A, but not rapamycin, blocks cytokine production by T cells.
  2. Both cyclosporin A and rapamycin block cytokine production by T cells.
  3. Rapamycin, but not cyclosporin A, blocks T cell proliferation.
  4. Neither rapamycin nor cyclosporin A block T cell proliferation.
  5. Both cyclosporin A and rapamycin inhibit co-stimulatory signaling through CD28 on T cells.
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