RT Book, Section A1 Rothlin, Carla V. A1 Gutkind, J. Silvio A2 Brunton, Laurence L. A2 Knollmann, Björn C. SR Print(0) ID 1193234400 T1 Immunosuppressants, Immunomodulation, and Tolerance T2 Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 14th Edition YR 2023 FD 2023 PB McGraw-Hill Education PP New York, NY SN 9781264258079 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1193234400 RD 2024/04/18 AB This chapter reviews the components of the immune response and drugs that modulate immunity via immunosuppression, tolerance, or neutralization of cytokine signaling. Four major classes of immunosuppressive drugs are discussed: glucocorticoids, calcineurin inhibitors, antiproliferative and antimetabolic agents, and antibodies or small molecules that target cytokine signaling. While there are similarities, the approach to the use of immunosuppressant drugs in transplant rejection has evolved separately from the approaches used to treat autoimmune disease and thus is presented separately.