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heme drugs
mechs of heme drugs
109
Computer Networking
Not Applicable
09/14/2012

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Term
Interfere with cell cylce activated by lymphoid cells. In monocytes, they inhibit IL-1 production, which inhibits IL-2 and INF gamma
Definition
Glucocorticoids
Term
Immunosuppressive drug used in Al disorders: ITP, SLE, AIHA, GN, and IBD
Definition
Glucocorticoids
Term
Used in cancer with pulse regimen with high doses. Immunosuppressive at low doses.
Definition
Glucocorticoids
Term
Adverse effects increase with high dosage which include osteoporosis (elderly) and peptic ulcers
Definition
Glucocorticoids
Term
Transformed into hydroxylated intermediates phosphoramid mustard and aerolein. PM alkylates the DNA
Definition
Cyclophosphamide
Term
USe: Al disorders such as SLE, factor 13 Ab, AIHA. Does not prevent graft vs. host.
Definition
Cyclophosphamide (compared to Antilymphocyte/antithymocyte Abs which are used for GvH)
Term
Causes Hemorrhagic cystitis and pancytopenia
Definition
Cyclophosphamide
Term
Decreases phosphatase enzyme for T cell activation. Binds to cyclophilin, complex binds to CALCINEURIN, dephosylates NFATC, decreasing IL-2
Definition
Cyclosporin
Term
Kidney, liver, and cardiac transplants
Definition
Cyclosporin
Term
P-glycoprotein efflux and CYP3A$ metabolism decrease cyclosporine absorption. Grapefruit lowers Cyp34A
Definition
Cyclosporin
Term
Nephrotoxic, hepatotoxic, osteoporosis. Gingivial hyperplasia and hirsutism
Definition
Cyclosporin
Term
Inhibits calcineurin by binding to FKBP-12 instead of Cyclophilin (cyclosporin). Also more potent
Definition
Tacrolimus
Term
Only drug required in hepatic transplant, also used along with glucocorticoids for liver and kidney rejections
Definition
Tacrolimus
Term
Nephrotoxic and neurotoxic, no Hirsutism or ginbival hyperplasia
Definition
Tacrolimus
Term
Inhibits purine synthesis. Inhibits IMP dehydrogenase, blocks GMP (Both B and T depressio)
Definition
Mycophenolate
Term
Used in combo with prednisone for Kindney and liver transplants
Definition
Mycophenolate
Term
GI sides
Definition
Mycophenolate
Term
Inhibits purine synthesis, cytotoxic drug that kills stimulated T cells.
Definition
Azathioprine
Term
Derivative of 6-MP
Definition
Azathioprine
Term
Prolonged half life from ALLOPURINOL
Definition
Azathioprine
Term
USED in RA chrons, MS, renal SLE
Definition
Azathioprine
Term
pyrimidine synthesis inhibitor, M1 metabolite inhibits DHODH, an mytochondrial enzyme that catalyzes key step in pyrimidine synthesis
Definition
Lefluconomide
Term
BIg use in RA, also renal and organ transplants
Definition
Lefluconomide
Term
Blocks IL-2 stimulated cell proliferation, T-cell Immunosuppressor
Definition
Sirolimus
Term
Marolid from streptomyces
Definition
Sirolimus
Term
Used in Kidney and heart allografts, psoriasis, uveitis
Definition
Sirolimus
Term
Blocks IL-2 stimulated cell proliferation. Forms complex with FKBP-12 which blocks mTOR(mammilian target of rapamycin)
Definition
Everolimus
Term
Renal transplants with cyclosporine and corticosteroids
Definition
Everolimus
Term
Destroys t lymphocytes and works on all Tcells
Definition
Antilymphocytes and antithymocyte Abs
Term
Excellent for Graft vs. Host, also useful as a prophylactic in pre-sensitzed patients in treatment of steroid-resistant acute rejections.
Definition
Antilymphocytes and antithymocyte Abs
Term
Sides include abs against proteins causing FVs, chills, leukopenia, thrombocytopenia, and a rash
Definition
Antilymphocytes and antithymocyte Abs
Term
Murine mab against CD3 on all lymphocytes
Definition
Muromonab CD3
Term
Reverses the renal allograft rejection crisis
Definition
Muromonab CD3
Term
ab against CD52
Definition
Alemtuzumab
Term
Useful in combo with Sirolimus in patients who cannot used steroids
Definition
Alemtuzumb
Term
Blocks IL-2Ralpha, (CD25) competitively inhibiting IL-2
Definition
Basiliximab and Daclizumab
Term
More humanized version (Basiliximab or Daclizumab)
Definition
Daclizumab
Term
Is comparable to placebo in myelosuppression and drug interactions
Definition
Basiliximab
Term
Similar to Tacrolimis and more effective. Used to prevent atopic dermatitis
Definition
Pimercrolimus
Term
Decoy for autoantibodies that attack myelin sheaths in MS
Definition
Glatiramer
Term
Used in relapsing MS
Definition
Glatiramer
Term
TNF alpha inhibitors
Definition
Etanercept and Infliximab
Term
Severe Psoriasis, Chrons, and RA. Sides include CNS and seizures.
Definition
Etanercept and Infliximab
Term
Anti-CD11a (LFA-1)
Definition
Alefacept
Term
Treatment of mod-severe chronic plaque psoriasis
Definition
Alefacept
Term
Antibody against D antigen of RBCs, prevents erythroblastosis fetalis, and hymolytic disease of the newborn
Definition
D immuneglobulin
Term
Intercalates between G-C. Blocks RNA/DNA polymerase
Definition
Dactinomycin
Term
P-glycoprotein efflux of the drug out of cells
Definition
Dactinomycin
Doxorubicin
Duanorubicin
Term
ABVD regiment (A). Intercalates in DNA, blocking synthesis, also chelates
Definition
Doxorubicin/Duanorubicin
Term
Cardiotoxic
Definition
Doxorubicin/Duanorubicin
Term
G2 phase, Intercalates DNA, Inhibits Tropiosomerase II, chelates iron
Definition
Bleomycin
Term
Causes pulmonary toxicity leading to hypoxia and death
Definition
Bleomycin
Term
Chelator used as a cardioprotector, administered with anti-cancer Antibiotics
Definition
Dexrazoxane
Term
MOPP, used for solid tumors and leukemia. Side effect of GI distress
Definition
Mechlorethamine
Term
Crosslinks DNA at guanine N-7, activated by hepatic oxidase enzyme turning into phospharamide mustard and acrolein
Definition
Cyclophosphamide and Ifosfamide
Term
Causes Hemorrhagic Cystitis
Definition
Cyclophosphamide and Ifosfamide
Term
Lipophilic and crosses BBB used in brain tumors...Alkalates DNA
Definition
Nitrosoureas (carmustine and Lomustine)
Term
Leukopenia, dizzy/ataxia, and myelosupression
Definition
Nitrosoureas (carmustine and lomustine)
Term
Alkylation at guanine N-7, selective suppression of granulocytopoiesis
Definition
Bisulfin
Term
Causes Pulmonary Fibrosis, decrease BM depression
Definition
Bisulfin
Term
Used in Multiple Myeloma
Definition
Melphalon
Term
Interferes with folate synthesis by binding to DHFR. Decreases thymidine and purine synthesis
Definition
Methotrexate
Term
Leucovorin Recovery, myelosuppression, alopecia, abortion, ectopic pregnancy, psoriasis
Definition
Methotrexate
Term
Purine linked to sulfur base analogue. Activates HGPRT, incorporated into DNA/RNA
Definition
6-MP
Term
Used for ALL, causes myelosuppression and focal central necrosis. ALLOPURINAL increases half life
Definition
6-MP
Term
Pyrimidine base analogue of DNA/RNA. Prematurely disrupts. decreases dTMP
Definition
5-Flourouracil
Term
Slow growing solid tumors, treats colorectal, breast, pancreatic, gastric. Sides include photosensitivity and myelosuppression
Definition
5-Flourouracil
Term
Cytosine analogue inhibiting DNAP/RNAP
Definition
Cytorabine
Term
Used in Leukemia-ALL, AML, CML. SIDES include ataxia, cerebellar disorders
Definition
Cytorabine
Term
M phase arresting, Blocks tubulin polymerization of spindles. Part of ABVD
Definition
Vincristine/Vinblastine/Vinorelbine
Term
Causes peripheral neurotoxicity
Definition
Vincristin
Term
Polimerization and Stabalization of microtubules but inhibits disassembly
Definition
Taxanes (paclitoxel and Docetoxel)
Term
Used in metastic breast cancer, advanced enometrial cancer, small cell lung, squamous cell of head and neck.
Definition
Taxanes (paclitoxel and Docetoxel)
Term
Inhibits Tropoisomerase II and Mitochondrial ETC
Definition
Etoposide and Teniposide
Term
Used in combo treatment for small cell carcinoma, prostate, and testicular cancer. Sides include alopecia and myelosuppression
Definition
Etoposide and Teniposide
Term
inhibits ribonucleotide reductase preventing DNA synthesis
Definition
Hydroxyurea
Term
Used for sickle cell, melanoma, refractory CML
Definition
Hydroxyurea
Term
Inhibits Tropoisomerase I, disrupting topographic structure of DNA
Definition
Irinotecan and Topotecan
Term
Used in Lung and Ovarian, colorectal, solid tumor cancers
Definition
Irinotecan and Topotecan
Term
Dual action in suppressing cell proliferation and is anti-emetic. MOPP
Definition
Adrenocorticosteroids (Prednisone/Dexamthasone)
Term
Sides include cushing like disease, hypertension, immunosuppression, hyperglycemia, psychosis, osteoporosis, cataracts, acne, peptic ulcer
Definition
Adrenocorticosteroids (prednison/Dexamthasone)
Term
Estrogen antagonist as well as partial agonist, structurally related to synthetic estrogen. Breast cancer, and homone dependent endometrial carcinoma
Definition
Tamoxifen
Term
Estrogen like effect on bone and lipid metabolism. Antagonizing estrogen on mammary tissue. Used in Osteoporosis
Definition
Raloxifene
Term
Estradiol analogue of a PURE estrogen receptor antagonist that works by degrading the receptor
Definition
Fulvestrant
Term
Aramatase inhibitor used in metastic breast cancer
Definition
Aminoglutethimide Letrozole
Term
A non steroidal aromatase suppressing estradiol. A competative inhibitor
Definition
Anastrazole
Term
Oral steroidal aromatase inhibitor used in adjuvant treatment of estrogen receptor. For breast cancer in post menopausal women
Definition
Exemastane
Term
Inhibits Bcr-Abl tyrosine portein kinase. Used in CML for philadelphia chromosome
Definition
Imatinib
Term
Selective epidermal growth factor receptor-Tyrosine kinase inhibitor
Definition
Gefitinib (also Sumitinib, somfenib)
Term
Inorganic metal complex that acts as a powerful alkylating agent. Solid tumors, including bladder,ovarian, testicular
Definition
Ciplatin/carboplatin
Term
Causes Ototoxicity, renal toxicity, and severe vomiting
Definition
Ciplatin/Carboplatin
Term
MOPP regimine and is an Alkalating agent
Definition
Procarbazine
Term
Hydrolyzes blood asparagine, thus depriving the tumor cells of asparagine required for protein synthesis
Definition
L-Asparaginae/Pegaspargase
Term
Used for acute childhood leukemia, spares the BM while hitting proliferating cells
Definition
L-Asparaginase/Pegasparagase
Term
IL-2 recombinant formulation
Definition
Aldesleukin
Term
ab against HER2 protein in combo with 1st line chemo. For breast cancer. Causes cardiomyopathy
Definition
Trastuzumab
Term
ab against CD20 on B's, used in B cell leukemia
Definition
Rituximab
Term
A retinoid, increases cell differentiation, decreasing proliferation. Increases like expectancy
Definition
Bexarotene
Term
ab against VEGF or VPF, 1st line metastic colorectal, HER2 breast, small cell lung, glioblastoma, renal cell, and used in combo with iNF-alpha
Definition
Bevacizumab
Term
Alkylating agents used in Indolent NHL lymphoma
Definition
chlorambucil, cyclophosphamide, bendamustine
Term
Anthracyclines used in indolent NHL chemo
Definition
Doxorubicin
Term
Purine analogue used in indolent NHL chemo
Definition
Fludarabine
Term
Chimeric antibody with anti-cd20 activity. new agent with mild toxicity. response is only 10.2 months.
Definition
Rituxan (rituximab)
Term
Radio conjugated ab administered alone to prolong remission for NHL
Definition
Bexxar and Zevulin
Term
MOPP drugs
Definition
Mustargen
Oncovin
procarazine
prednisone
Term
ABVD-non alkylating regimen
Definition
Adriamycin
Bleomycin
Vinblastine
Dacarbazine
Term
HIgh DOse tx in HL: CBV
Definition
Cyclophosphamide, carmustine, etoposide
Term
High Dose tx in HL: BEAM
Definition
Carmustine, etoposide, cytarabine, melphalan
Term
A new antibody drug conjugate showing great promise in HL and anaplastic large cell lymphoma. Combines a CD-30 antibody with a potent toxin (Auristatin)
Definition
Brentuximab (SGN-35)
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