Aani Immuno: Transplant & Immune therapies COPY Flashcards
Mnemonic for remembering the anti-proliferative immune therapies?
ie the ones that inhibit dna synthesis
Aaniya Can't Make More Azathioprine Cyclophosphamide Methotrexate Mycophenolate Sodium/Mofetil
What is methotrexate used for?
RA
Psoriasis
Crohn’s
Side effect of methotrexate?
Reduces folate –> Megaloblastic anaemia
What is Mycophenolate Sodium/Mofetil used for?
Transplantation and vasculitis
Side effect of mycophenolate mofetil?
Herpes virus reactivation
What is azathioprine used for?
Transplantation, autoimmune/inflamm diseases
Contraindications to azathioprine?
Allopurinol use
TPMT Polymorphism
Cyclophosphamide indication?
Anti cancer agent
Vasculitis
Connective Tissue disease
S/E of cyclophosphamide
Infertility & hair loss
Mnemonic for T-Cell Signalling Inhibitors
ST CAT Sirolimus Tacrolimus Cyclosporin Apremilast Tofacitinib
Sirolimus indications? And mechanism?
Rejection prophylaxis
Blocks T Cell proliferation
Tacrolimus indications? And mechanism?
Rejection prophylaxis
Inhibits calcineurin which reduces IL2 so it reduces T cell function
Cyclosporin indications? And mechanism?
Rejection prophylaxis
Inhibits calcineurin which reduces IL2 so it reduces T cell function
Which is the least nephrotixic of the T cell signalling inhibitor drugs?
Sirolimus
S/E of Tacrolimus?
Nephrotoxicity
S/E of Cyclosporin?
Nephrotoxicity
Gym Hypertrophy
Apremilast indication and mechanism?
Psoriasis & psoriatic arthritis
Inhibits PDE4
Tofacitinib mechanism? Indication?
JAK inhibitor
Rheumatoid arthritis
Cell surface antigen drugs used in transplant rejection prophylaxis?
Basiliximab
Daclizumab
MuromonabCD3
Anti-Thymocyte Globulin (ATG)
What does Basiliximab do?
Inhibits CD25 via IL2 receptor