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Updated: Jun 3, 2026

Quantification of the Immunosuppressant Tacrolimus on Dried Blood Spots Using LC-MS/MS
Published on: November 8, 2015
Tacrolimus in the treatment of ocular diseases
Jiajie Zhai1, Jianjun Gu, Jin Yuan
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Abstract:
Tacrolimus (FK506) has been used successfully as a systemic immunomodulator for more than 2 decades, and numerous studies have investigated its mechanisms of action. Systemic and topical tacrolimus have been investigated as treatments for ocular surface disorders that may have an immune-based inflammatory component. In these studies, tacrolimus has shown efficacy in corneal graft rejection, inflammatory conjunctival and corneal diseases, uveitis, and graft-versus-host disease. As these disorders are often refractory to other available treatments, ophthalmic or systemic tacrolimus is a welcome nontoxic adjunct or replacement to potentially toxic topical or systemic immunosuppressive therapies.
Insights
Tacrolimus (FK506) is an effective immunomodulator for treating various eye conditions, including graft rejection and uveitis. It offers a safe alternative to toxic immunosuppressive therapies for ocular surface disorders.
Area of Science:
- Ophthalmology
- Immunology
Background:
- Tacrolimus (FK506) has been a systemic immunomodulator for over 20 years.
- Its mechanisms of action have been extensively studied.
- Ocular surface disorders often involve immune-based inflammation.
Purpose of the Study:
- To investigate the efficacy of systemic and topical tacrolimus for ocular surface disorders.
- To evaluate tacrolimus as a treatment for immune-mediated eye conditions.
- To explore tacrolimus as an alternative to toxic immunosuppressive therapies.
Main Methods:
- Review of studies investigating systemic and topical tacrolimus.
- Analysis of tacrolimus efficacy in various ocular conditions.
- Assessment of safety and tolerability compared to existing treatments.
Main Results:
- Tacrolimus demonstrated efficacy in treating corneal graft rejection.
- It was effective for inflammatory conjunctival and corneal diseases.
- Tacrolimus showed promise in managing uveitis and graft-versus-host disease.
Conclusions:
- Ophthalmic or systemic tacrolimus is a valuable treatment for refractory ocular surface disorders.
- Tacrolimus serves as a safe adjunct or replacement for toxic immunosuppressive therapies.
- Further research supports tacrolimus in managing immune-mediated ocular conditions.
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