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Muscle disorders associated with cyclosporine treatment
Author(s) -
Breil Myriam,
Chariot Patrick
Publication year - 1999
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/(sici)1097-4598(199912)22:12<1631::aid-mus3>3.0.co;2-v
Subject(s) - mitochondrial myopathy , creatine kinase , medicine , myopathy , skeletal muscle , myalgia , muscle weakness , mitochondrial permeability transition pore , muscle disorder , mitochondrion , weakness , pharmacology , endocrinology , surgery , mitochondrial dna , biology , apoptosis , biochemistry , programmed cell death , gene
Alone or as part of a multidrug immunosuppressive regimen, cyclosporine A (CsA) has been reported in isolated case studies as a cause of muscle disorders. We reviewed the current knowledge on muscle toxicity of CsA and discussed the possible role of mitochondrial dysfunction in the genesis of CsA‐associated myopathy. A systematic review using Medline® and Current Contents® databases combined with a manual literature search allowed us to select 56 references. We identified 34 patients with muscle disorders possibly related to CsA, usually manifesting by myalgia or muscle weakness and plasma creatine kinase elevation. Only 2 of 34 patients were treated with CsA alone. Experimental studies have shown that administration of CsA to rats reduces capillary density in extensor digitorum longus, skeletal muscle mitochondrial respiration, and endurance exercise capacity. Cyclosporine has been shown to inhibit the mitochondrial permeability transition pore. Whether identified interactions between CsA and mitochondria can explain CsA‐associated myopathy is still unclear. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 1631–1636, 1999