Abstract

Previous studies have shown that infection-related cytokine increase of interleukin 6 (IL-6) and tumor necrosis factor-α (TNF- α) can cause suppression of cytochrome P450 3A4 (CYP3A4) enzymes.1 SARS-CoV-2 infection has been associated with increased cytokine levels which may suggest suppression of CYP3A4 enzymes and downstream interaction with CYP-mediated drug metabolism including calcineurin inhibitors.

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