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Antilymphocyte immunoglobulin (horse), also known as equine anti-thymocyte globulin or Atgam, is a polyclonal IgG antibody preparation derived from the serum of horses immunized with human thymus lymphocytes. It is used primarily as an immunosuppressive agent to manage and treat allograft rejection in renal transplant patients and for certain hematologic conditions such as aplastic anemia and myelodysplastic syndrome. The mechanism of action involves binding to a wide variety of proteins on the surface of human lymphocytes—especially T cells—leading to their depletion through complement-dependent lysis and/or activation-induced apoptosis. This results in profound suppression of cell-mediated immunity[1][2][5][8].
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