PMID- 28512771 OWN - NLM STAT- MEDLINE DCOM- 20170726 LR - 20170726 IS - 1532-6535 (Electronic) IS - 0009-9236 (Linking) VI - 102 IP - 2 DP - 2017 Aug TI - Negative Cardiovascular Consequences of Small Molecule Immunosuppressants. PG - 269-276 LID - 10.1002/cpt.738 [doi] AB - Immunosuppressants are critical after transplantation and prescribed as immune-modulators for autoimmune disorders and glomerulonephritides. Immunosuppressants include large (e.g., thymoglobulin, alemtuzumab, and rituximab) and small molecules (e.g., corticosteroids, calcineurin inhibitors, antimetabolites, and mammalian target of rapamycin (mTOR) inhibitors). The majority of the small molecules worsen traditional cardiovascular risks. This review describes cardiovascular risks of small molecule immunosuppressants: corticosteroids, calcineurin inhibitors (tacrolimus and cyclosporine), and mTOR inhibitors (rapamycin), by categorizing these risks into two categories: ischemic heart disease and nonischemic cardiac effects. CI - (c) 2017 American Society for Clinical Pharmacology and Therapeutics. FAU - Chakkera, H A AU - Chakkera HA AD - Division of Transplantation, Mayo Clinic, Phoenix, Arizona, USA. FAU - Sharif, A AU - Sharif A AD - Division of Nephrology and Transplantation, Queen Elizabeth Hospital, Birmingham, United Kingdom. FAU - Kaplan, B AU - Kaplan B AD - Division of Transplantation, Mayo Clinic, Phoenix, Arizona, USA. LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Immunosuppressive Agents) SB - IM MH - Animals MH - Autoimmune Diseases/drug therapy/immunology/physiopathology MH - Cardiovascular Diseases/*chemically induced/immunology/physiopathology MH - Cardiovascular Physiological Phenomena/*drug effects/immunology MH - Clinical Trials as Topic/methods MH - Diabetes Mellitus/chemically induced/immunology/physiopathology MH - Humans MH - Hyperlipidemias/chemically induced/immunology/physiopathology MH - Immunosuppressive Agents/*adverse effects/therapeutic use EDAT- 2017/05/18 06:00 MHDA- 2017/07/27 06:00 CRDT- 2017/05/18 06:00 PHST- 2017/03/15 00:00 [received] PHST- 2017/05/05 00:00 [revised] PHST- 2017/05/10 00:00 [accepted] PHST- 2017/05/18 06:00 [pubmed] PHST- 2017/07/27 06:00 [medline] PHST- 2017/05/18 06:00 [entrez] AID - 10.1002/cpt.738 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2017 Aug;102(2):269-276. doi: 10.1002/cpt.738.