Abstract

Calcineurin inhibitors are considered the backbone of lung transplant immunosuppression regimens. When used de novo, tacrolimus has been shown to be associated with fewer acute rejection episodes compared to cyclosporine. However, conflicting evidence exists regarding the superiority of tacrolimus or cyclosporine in preventing bronchiolitis obliterans syndrome (BOS). Furthermore, the effect of these drugs on fibroproliferation ultimately leading to BOS remains to be investigated.

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