“…However, the 23–25% increases seem to be small in comparison with the report that the administration of cyclosporin A to rats enlarged the cross‐sectional area of the gingival tissue by more than 150% (25). In addition, an abnormal synthesis of collagen and other extracellular matrix components (3, 4, 26), and a decline of collagen turnover via changes in the matrix metalloproteinases and tissue inhibitors of metalloproteinase (9, 27, 28) reportedly occur in association with cyclosporin A‐induced gingival outgrowth. Thus, the mechanism by which cyclosporin A induces the gingival outgrowth is probably comprised of several factors, and includes the enhancement of gingival cell proliferation.…”