Immunobiology: PDF OnlyPATHOLOGICAL CHANGES DEVELOPING IN THE RAT DURING A 3-WEEK COURSE OF HIGH DOSAGE CYCLOSPORIN A AND THEIR REVERSAL FOLLOWING DRUG WITHDRAWALThomson, A. W.; Whiting, P. H.; BLAIR, JANE T.; Davidson, R. J. L.; Simpson, J. G. Author Information Departments of Pathology and Chemical Pathology, University of Aberdeen, Aberdeen, United Kingdom Transplantation: October 1981 - Volume 32 - Issue 4 - p 271-277 Free Abstract Adult Sprague-Dawley rats given cyclosporin A (Cy A) orally in a dose of 100 mg/kg/48 hr for 21 days displayed pronounced suppression of humoral immunity to sheep red blood cells. They showed hair loss and failure to gain weight and exhibited a progressive increase in serum urea, serum creatinine, and urinary N-acetyl-β-D-glucosaminidase (NAG) activity, with a fall in urea clearance rate. Hypoalbuminemia and hyperbilirubinemia were observed in combination with a significant decrease in serum aspartate aminotransferase (AAT) and alkaline phosphatase levels. At 2 weeks, there was significant lymphopenia with the appearance of atypical lymphocytes in the peripheral blood. Autopsies performed on animals killed at 3 weeks revealed no light microscopic or ultrastructural differences between test and control animals, apart from some reduction in overall bone marrow cellularity in the former. During the 3-week period following withdrawal of Cy A, renal and hepatic function reverted to normal and a rebound lymphocytosis occurred. Only one of six rats autopsied 3 weeks after cessation of Cy A administration showed reduced bone marrow cellularity. This study indicates that the rat may prove to be a useful experimental model for further investigation of the functional and structural changes which may be encountered in the clinical use of Cy A. © Williams & Wilkins 1981. All Rights Reserved.