This review summarizes the present knowledge of conformations of cyclospori
ns mainly in the solid state. A very small chemical change of the cyclospor
in backbone causes a significant change in biological properties. The mecha
nism of immunosuppressive activity of cyclosporin A is explained on the bas
is of conformational flexibility of the cyclosporin skeleton. Cyclosporin A
adopts three main conformations: the tightly folded one of free cyclospori
n in crystals and solution, the open one in the receptor-bound state in cyc
losporin complexes with cyclophilin A and the very open one in the cyclospo
rinFAB (fragment of antibody) complex. A conformational comparison of vario
usly solvated cyclosporin A with its nonimmunosuppressive derivatives (cycl
osporins E and H) shows some small differences in the system of intramolecu
lar H-bonds of cyclosporin skeletons. The inclusion effect of packed cyclos
porin molecules in crystalline cyclosporin clathrates enables preferential
crystallization of cyclosporins with various chiral molecules of organic so
lvents.