Which immunosuppressive drug directly blocks IL-2 production?

Study for the Certified Histocompatibility Specialist Test. Prepare with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The immunosuppressive drug that directly blocks IL-2 production is Cyclosporin. This drug works by inhibiting the activation of T cells, which is critical for initiating the immune response. Specifically, Cyclosporin binds to cytoplasmic proteins known as cyclophilins, and this complex then inhibits calcineurin, a phosphatase enzyme necessary for the dephosphorylation of nuclear factor of activated T-cells (NFAT). Once NFAT is dephosphorylated, it translocates to the nucleus to promote the transcription of IL-2 and other cytokines essential for T cell proliferation and activation. By blocking these mechanisms, Cyclosporin effectively reduces IL-2 production, thereby suppressing the immune response.

Other drugs mentioned, while also immunosuppressive, work through different mechanisms. For instance, OKT3 is a monoclonal antibody that targets CD3 on T cells, leading to their depletion or inactivation, rather than directly inhibiting the production of IL-2. Azathioprine is a pro-drug that interferes with DNA synthesis, affecting rapidly dividing cells like lymphocytes but does not specifically block IL-2 production. Sirolimus, on the other hand

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