In 1978 the first report was published indicating that fusidic acid had an
immunomodulatory effect. This study describing an in vitro effect on white
cells was followed by an in vivo study showing improved survival in heart t
ransplanted mice. In 1990 these immunomodulatory effects were shown to be r
elated to suppression of cytokine production in animal models of septic sho
ck and insulin dependent diabetes. Disease modulation has been investigated
in a number of immunologically mediated diseases, HIV infection, Behcet's
disease, Crohn's disease, uveitis and scleroderma. However whether fusidic
acid has any useful function as an immunomodulating agent has yet to be ful
ly explored. (C) 1999 Published by Elsevier Science B.V, and International
Society of Chemotherapy. All rights reserved.