Donor T cells stimulated by alloantigens secrete IFN-γ, which stimulates host lung parenchyma to produce IL-6. Calcineurin inhibitors (such as cyclosporin [CsA]) suppress donor T-cell production of IFN-γ. IL-6 promotes Th17 differentiation of alloreactive T cells, which induces apoptosis by secreting IL-17 and promotes migration of macrophages into the lung, inducing IPS. Professional illustration by Patrick Lane, ScEYEnce Studios.