“…A major and serious side-effect of cyclosporin A therapy is kidney fibrosis, which can result in kidney failure (Myers et al, 1984). Cyclosporin A stimulates levels of circulating TGF- in vivo (Khanna et al, 1997), and enhances TGF- production by renal cells and lymphocytes (Ahuja et al, 1995;Prashar et al, 1995;Young et al, 1995;Wolf et al, 1996). This results in increased collagenous extracellular matrix synthesis and deposition in the glomeruli of the kidney, as demonstrated by studies with anti-TGF-1 antibodies that block renal fibrosis and renal dysfunction (Shihab et al, 1996;Islam et al, 2001).…”