In a patient diagnosed with chronic biliary cirrhosis receiving cyclosporine, what process is being specifically targeted?

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In a patient with chronic biliary cirrhosis receiving cyclosporine, the medication specifically targets T-lymphocyte proliferation. Cyclosporine is an immunosuppressant that works primarily by inhibiting the activation of T-lymphocytes, which are crucial components of the immune response. It does this by binding to cyclophilin, forming a complex that inhibits calcineurin, a phosphatase that activates transcription factors necessary for T-cell activation.

By preventing T-lymphocytes from proliferating and responding to antigens, cyclosporine is effective in managing autoimmune conditions, including those involving liver damage such as chronic biliary cirrhosis, where the immune system often plays a role in the pathogenesis. This targeted immunosuppression helps to reduce inflammation and further liver damage, making it a valuable therapeutic strategy in such conditions.

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