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Cancer risk of immunosuppressants in manufacturing
Authors:Ester Lovsin Barle  Gian Christian Winkler  Peter Ulrich  Christopher Perino  Martin Kuster  Alessandro Probst  Silke Thielen  Rudolf Bechter
Affiliation:1. Novartis Pharma AG, Postfach, CH-4002 Basel, Switzerland;2. Novartis Pharma AG NIBR, Postfach, CH-4002 Basel, Switzerland;3. Novartis Pharmaceuticals Corporation, One Health Plaza, East Hanover, NJ 07936, United States;4. Novartis International AG, Postfach, CH-4002 Basel, Switzerland;5. Novartis Tiergesundheit AG, CH-4002 Basel, Switzerland
Abstract:During the chemical and pharmaceutical production of active pharmaceutical substances which are intended for immunosuppressive therapy, the employees may be exposed to these substances via inhalation. Immunosuppressants are linked to development of certain types of cancers e.g., lymphoma or skin cancer in transplant patients. The development of these cancers in patients is linked to the level of immunosuppression needed for transplantation in order to avoid organ rejection. Below these levels, with the immune system functioning uninhibited, cancer is unlikely to develop.
Keywords:Immunosuppression   Occupational exposure   Cancer risk   Pharmaceutical production   Cyclosporine
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