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binds cyclophilins --> inhibits calcineurin --> inhibit prod of IL-2 and IL-2R predispose to viruses/lymphoma, nephrotoxic (mannitol!!), gout |
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bind FK-binding protein --> inhibits calcineurin --> inhibit prod of IL-2 nephrotoxicity, peripheral neuropathy, HTN, pleural effusion, hyperglycemia |
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= rapamycin inhibits mTOR --> inhibits RESPONSE to IL-2 hyperlipidemia, thrombocytopenia |
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= sirlimus inhibits mTOR --> inhibits RESPONSE to IL-2 hyperlipidemia, thrombocytopenia |
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binds CD3 cytokine release syndrome, hypersensitivity reaction |
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inhibits IMP dehydrogenase in B/T cells --> decrease dGMP (purine synthesis) --> decreased B/T cell prolife |
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? inhibit macrophages for RA!! |
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? decrease TNF-alpha prod for erythema nodosum leprae, MM |
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