Cyclosporin A |
![]() Last updated: 12/09/2025 |
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(Also known as: cyclosporin; CsA; cyclosporine; antibiotic S 7481F1 ; ciclosporin; ciclosporin A) |
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A steroid-sparing immunosuppressant veterinary medication | |
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Used mainly to treat autoimmune and inflammatory conditions including skin issues such as psoriasis, dermatitis, ulcerative colitis and rheumatoid arthritis. It is also used to used to treat dry eye conditions and pannus in dogs. | |
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Dogs; Cats; Horses |
Approval status |
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Approved - usually available as a prescription only medicine to be authorised by a veterinarian (POM-V) | |
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Approved |
Chemical structure |
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Cyclosporin, particularly cyclosporin A, exhibits stereoisomerism and conformational isomerism due to its structure as a cyclic undecapeptide composed of several chiral amino acids. Each amino acid contributes to the molecule’s overall chirality, and the cyclic nature allows for multiple conformers, distinct spatial arrangements that arise from rotation around single bonds without breaking the peptide ring. Additionally, enantiomers and structural isomers of cyclosporin analogues exist, such as cyclosporin H and isocyclosporin A, which differ in stereochemistry or connectivity but retain similar molecular formulas. | |
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C₆₂H₁₁₁N₁₁O₁₂ | |
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CCC1C(=O)N(CC(=O)N(C(C(=O)NC(C(=O)N(C(C(=O)NC(C(=O)NC(C(=O)N(C(C(=O)N(C(C(=O)N(C(C(=O)N(C(C(=O)N1)C(C(C)CC=CC)O)C)C(C)C)C)CC(C)C)C)CC(C)C)C)C)C)CC(C)C)C)C(C)C)CC(C)C)C)C | |
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CC[C@H]1C(=O)N(CC(=O)N([C@H](C(=O)N[C@H](C(=O)N([C@H](C(=O)N[C@H](C(=O)N[C@@H](C(=O)N([C@H](C(=O)N([C@H](C(=O)N([C@H](C(=O)N([C@H](C(=O)N1)[C@@H]([C@H](C)C/C=C/C)O)C)C(C)C)C)CC(C)C)C)CC(C)C)C)C)C)CC(C)C)C)C(C)C)CC(C)C)C)C | |
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PMATZTZNYRCHOR-CGLBZJNRSA-N | |
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InChI=1S/C62H111N11O12/c1-25-27-28-40(15)52(75)51-56(79)65-43(26-2)58(81)67(18)33-48(74)68(19)44(29-34(3)4)55(78)66-49(38(11)12)61(84)69(20)45(30-35(5)6)54(77)63-41(16)53(76)64-42(17)57(80)70(21)46(31-36(7)8)59(82)71(22)47(32-37(9)10)60(83)72(23)50(39(13)14)62(85)73(51)24/h25,27,34-47,49-52,75H,26,28-33H2,1-24H3,(H,63,77)(H,64,76)(H,65,79)(H,66,78)/b27-25+/t40-,41+,42-,43+,44+,45+,46+,47+,49+,50+,51+,52-/m1/s1 | |
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Yes |
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Common Name | Relationship | Link |
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cyclosporin A | - | ![]() |
General status |
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Medicinal drug; Fungicide | |
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Diderophore | |
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98% | |
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- | |
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Synthetic | |
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Prevents the dephosphorlyation of NF-AT by binding to cyclophilin. Calcineurin inhibitor | |
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[Calcium signal-modulating cyclophilin ligand, Binder], [Calcineurin subunit B type 2, Inhibitor], [Peptidyl-prolyl cis-trans isomerase A, inhibitor], [Peptidyl-prolyl cis-trans isomerase F, mitochondrial, Binder] | |
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59865-13-3 | |
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611-907-1 | |
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5284373 | |
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Antineoplastic & immunomodulating agents: Immunosuppressants; Sensory Organs: Ophthalmologicals | |
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QL04AD01; QS01XA18 | |
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No | |
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1202.61 | |
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30-ethyl-33-[(E)-1-hydroxy-2-methylhex-4-enyl]-1,4,7,10,12,15,19,25,28-nonamethyl-6,9,18,24-tetrakis(2-methylpropyl)-3,21-di(propan-2-yl)-1,4,7,10,13,16,19,22,25,28,31-undecazacyclotritriacontane-2,5,8,11,14,17,20,23,26,29,32-undecone | |
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30-ethyl-33-[(E)-1-hydroxy-2-methylhex-4-enyl]-1,4,7,10,12,15,19,25,28-nonamethyl-6,9,18,24-tetrakis(2-methylpropyl)-3,21-di(propan-2-yl)-1,4,7,10,13,16,19,22,25,28,31-undecazacyclotritriacontane-2,5,8,11,14,17,20,23,26,29,32-undecone | |
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(E)-14,17,26,32-tetrabutyl-5-ethyl-8-(1-hydroxy-2-methylhex-4-enyl) -1,3,9,12,15,18,20,23,27-nonamethyl-11,29-dipropyl-1,3,6,9,12,15,18,21,24,27,30- undecaazacyclodotriacontan-2,4,7,10,13,16,19,22,25,28,31-undecaone | |
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White powdery solid |
Commercial |
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Current | |||
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1971, discovered | |||
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Available in a variety of formulations including liquids, ointments and tablets for oral administration | |||
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Cyclosporin A is produced through microbial fermentation, primarily using the fungus Tolypocladium inflatum under submerged culture conditions. The process begins with cultivating the fungus in a nutrient-rich medium containing carbon sources like sorbose or myo-inositol, which significantly influence yield. Fermentation typically lasts around 10 days, during which the fungus synthesises cyclosporin as a secondary metabolite. To enhance production, strategies such as mutant strain development, optimised feeding schedules, and controlled environmental conditions are employed. After fermentation, the broth undergoes downstream processing, including filtration, solvent extraction, and purification via chromatography to isolate cyclosporin A in its active form. | |||
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As microbial-based products tend to use fermentation-based production processes rather than chemical synthesis, they typically have a lower fossil fuel input in formulation and active ingredient creation, and also have reduced downstream emissions due to biodegradability and minimal soil disruption, their life-cycle GHG emissions are expected to be low. Whilst hard and precise data is not available, broad estimates suggest that typically emissions are likely to be below 5 kg CO₂e/kg. |
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28.6 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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200000 | Q3 Q = Miscellaneous data from online sources Ethanol3 = Unverified data of known source |
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100000 | Q3 Q = Miscellaneous data from online sources DMSO3 = Unverified data of known source |
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150 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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8.32 X 1002 | Calculated | - | |||||||
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2.92 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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Degradation |
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60 | R4 R = Peer reviewed scientific publications Composed soil4 = Verified data |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Soil adsorption and mobility |
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Fate indices |
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Known soil and groundwater metabolites |
None
Other known metabolites |
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- | Metabolite AM1; cyclosprorin M17 | Human (Liver) | - | ||||
- | Metabolite AM4N | Human (Liver) | - | ||||
- | Metabolite AM9 | Human (Liver) | - |
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Terrestrial ecotoxicology |
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> 1480 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Rat3 = Unverified data of known source |
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Aquatic ecotoxicology |
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General |
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High (class III) | - | - | ||||||||
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> 1480 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Rat3 = Unverified data of known source |
Moderate | ||||||||
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Intraperitoneal LD₅₀ = 147 mg kg⁻¹ | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Rat3 = Unverified data of known source |
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Subcutaneous LD₅₀ = 286 mg kg⁻¹ | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Rat3 = Unverified data of known source |
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Extensively metabolised in the liver and excreted in human bile, faeces, blood, & urine. Excreted into human breast milk | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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Health issues |
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Possible liver and kidney toxicant May cause gingival hyperplasia, convulsions, peptic ulcers, pancreatitis, fever Ingestion can cause vomiting, diarrhoea, confusion & hypercholesterolemia CLP data - known carcinogen May elevate blood pressure |
Handling issues |
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Incompatible with strong oxidising agents | |||
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Health: H302, H350, H360fd | |||
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Not listed (Not listed) | |||
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Not registered | |||
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Store \at around 25 DegC. Do not refridgerate. Generally chemically stable |
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cyclosporin A | ||
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ciclosporine | ||
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ciclosporina | ||
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Record last updated: | 12/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |