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Immunosuppressants
ddddd
47
Medical
11th Grade
09/14/2012

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Term
glucocorticoid
Definition
in monocytes, they inhibit IL-1 production. thus inhibiting il-2 and IFN-gamma
Term
Glucocorticoid
Definition
used for Autoimmune disorders: ITP, SLE, GN, AIHA, IBD
Term
Glucocorticoid
Definition
SE: increased infections in elderly. osteoporosis, peptic ulcer
Term
Cyclophosphamide
Definition
Prodrug that is broken down into phosphoramide mustard and acrolein
Term
phosphoramid mustard
Definition
a metabolite of cyclophosphamide that alkylates DNA.
Term
Cyclophosphamide
Definition
SE: ***Hemorrhagic cystitis - caused by acrolein
Term
Cyclophosphamide
Definition
Uses: Autoimmmune disorders: SLE, Factor XIII Ab, AIHA

DOES NOT prevent GvH reaction in transplants.
Term
cyclosporine
Definition
calcineurin inhibitor. binds cyclophilin in Tcell. the complex binds calcineruin and dephosphorylates NFATC. causes decreased IL-2 syn.
Term
cyclosporine and tacrolimus
Definition
used with glucocorticoids
Term
cyclosporine
Definition
Use: kidney, liver and cardiac allgenic transplants
Term
cyclosporine
Definition
P-GP efflux and CYP3A4 METABOLISM decreases absorption of this immunosuppressant significantly
Term
cyclosporine
Definition
SE: nephrotoxic and hepatotoxic, very little marrow suppression
Term
Tacrolimus
Definition
inhibits IL-2 syn. same as cyclosporine, except it binds to FKBP-12.

Also 10-100x more potent than cyclosporine
Term
Tacrolimus
Definition
USE: liver and kidney rejections (along with glucocorticoids)
Term
Tacrolimus
Definition
Doesnt cause hirsutism or gingival hyperplasia, unlike cyclosporine.
Term
Mycophenolate
Definition
uncompetitive inhibitor of IMP dehydrogenase. BLocks de novo synthesis formation of GMP

inhibits purine synthesis
Term
Mycophenolate
Definition
used for rescue therapy in kidney and liver transplants. Used in combo with prednisone
Term
Mycophenolate
Definition
Mainly GI SEs
Term
Azathoprine/6-MP
Definition
purine analog activated by HGPRTase, so ALLOPURINOL, a xanthine oxidase inhibitor, prolongs half life of this drug significantly
Term
Azathoprine/6-MP
Definition
Cytotoxic that only kills stimulated Tcells
Term
Azathoprine/6-MP
Definition
used for: crohns, MS, renal component of SLE, also kidney transplant
Term
Azathoprine/6-MP
Definition
SEs: marrow depression and blood problems
Term
Leflunomide
Definition
cytotoxic pyrimidine inhibitor.
Term
Leflunomide
Definition
M1 is the active metabolite that inhibits DHODH, which is a key enzyme in mitochondria that catalyzes key steps in de novo pyrimidine synthesis
Term
Leflunomide
Definition
Uses: RHEUMATOID ARTHRITIS!!!!!, also renal and other organ transplants
Term
Leflunomide
Definition
SE: GI and SKIN
Term
Sirolimus/everolimus
Definition
Blocks IL-2 stimulated cell proliferation. MEch: complex with FKBP-12, which blocks mTOR. mTOR regulates cell growth
Term
Sirolimus
Definition
USed in kidney and heart aloografts, as well as psoriasis and uveitis
Term
Sirolimus
Definition
No nephrotoxicity, unlike Tacrolimus
Term
everolimus
Definition
used in renal transplants with cyclosporine and corticosteroids.
Term
Antilymphocyte and antithymocyte Abs.
Definition
Very useful in GvH reactions and works in HvG.
Term
Muronomab-CD3
Definition
murine mab against CD3, just as the name says.
Term
Muronomab-CD3
Definition
reverses renal allograft rejection crisis
Term
Alemtuzumab
Definition
Anti-CD52 Ab. CD52 is present on most lymphocytes, so this drug depletes tcells
Term
Alemtuzumab
Definition
useful in combo with sirolimus in pts who cannot use steroids
Term
Basiliximab and Daclizumab
Definition
binds and blocks CD25 (IL-2aplha Receptor), competitively inhibits IL-2 mediated activation of T lymphocytes.
Term
Basiliximab and Daclizumab
Definition
allograft rejection - kidney
Term
Pimecrolimus
Definition
Used for ezcema
Term
Glatiramer
Definition
decoy for autoAb that attack myelin in MS
Term
Glatiramer
Definition
used for relapsing MS
Term
Etanercept/infliximab
Definition
TNF-alpha inhibitors
Term
Etanercept
Definition
SEVERE psoriasis, and RA, but also crohns
Term
Infliximab
Definition
Crohns, but also severe psoriasis and RA.
Term
Efalizumab
Definition
Anti-CD11a (LFA-1)
Term
Efalizumab and Alefacept
Definition
used for PSORIASIS**!!! TQ!!
Term
Alefacept
Definition
LFA-3/IgG1 fusion protein
Term
D immune globulin
Definition
D antigen of RBCs AB, prevents erythroblastis fetalis and hemolytic disease of the newborn
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