This study examined the effects of the widely used immunosuppressor
cyclosporine A and of one of its derivatives,
cyclosporine G, on
glucose tolerance, cellular immunity, and renal and hepatic function, in relation to their pharmacokinetic profile in Wistar rats. After 3 weeks of daily
cyclosporine A doses of 10 mg/kg
body weight plasma
cyclosporine levels were higher in male than in female rats. This was associated in male rats with marked decrease in lymphocyte subsets, affecting particularly the OX19+ T cells, with
glucose intolerance, and an increase in plasma
creatinine. The female rats had none of these effects. After 3 weeks of daily
cyclosporine G doses of 10 mg/kg
body weight, plasma
cyclosporine levels were higher in male than female animals, and higher than with
cyclosporine A in both sexes. Similar cellular immune effects and
glucose intolerance were seen in male rats, but of a lesser magnitude than with
cyclosporine A. No increase in
creatinine was seen, but rats of both sexes treated with
cyclosporine G had elevated plasma
bilirubin. We conclude that (1) both
cyclosporine A and G can cause
glucose intolerance, (2) the
cyclosporine plasma levels are higher in male than in female rats and with
cyclosporine G than with
cyclosporine A, for the same oral dose, (3) the absence of
glucose intolerance, nephrotoxicity, and cellular immune changes in female rats treated with
cyclosporine A is related to their lower
cyclosporine levels, and (4)
cyclosporine G is less nephrotoxic than
cyclosporine A, but more hepatotoxic.