Immuno p.218-220 Flashcards
Blocks T-cell activation by preventing IL-2 transcription?
Cyclosporine
Tx for rheumatoid arthritis, Crohn disease and glomerulonephritis?
Azathioprine
Drug that is a mTOR inhibitor?
Sirolimus (Rapamycin
SE of which Immunosuppressants cause edema, hypertension, tremor?
Daclizumab, basiliximab
SE of which Immunosuppressants cause hypertension,
cataracts, avascular necrosis?
Glucocorticoids
Monoclonal antibodies that block IL-2R?
Daclizumab, basiliximab
Calcineurin inhibitor that binds FK506 binding
protein (FKBP)?
Tacrolimus (FK506)
SE of Tacrolimus?
risk of diabetes and neurotoxicity
Nephrotoxic
Drug that is also used in drugeluting stents?
Sirolimus (Rapamycin)
Which Immunosuppressants causes gingival hyperplasia and hirsutism, nephrotoxicity?
Cyclosporine
SE of both calcineurin inhibitors?
highly nephrotoxic.
Epoetin alfa is used for?
Anemias (especially in renal failure)
Oprelvekin is which IL?
IL-11
Tx for Multiple sclerosis?
IFN-β
Difference between Filgrastim and
Sargramostim used for recovery of bone marrow?
Filgrastim (G-CSF)
Sargramostim (GM-CSF)
Recombinant cytokine used for renal cell carcinoma and metastatic melanoma?
Aldesleukin (IL-2)
Tx for Chronic hepatitis B and C, Kaposi sarcoma,
malignant melanoma?
IFN-α
Rituximab targets:
CD20
Trastuzumab targets:
HER2/neu
Cetuximab targets:
EGFR
Alemtuzumab targets:
CD52
Bevacizumab targets:
VEGF
Natalizumab targets:
α4-integrin
Eculizumab targets:
Complement protein C5
VEGF is targeted by 2 drugs:
Bevacizumab, Ranibizumab
Denosumab targets:
RANKL
Abciximab targets:
Platelet glycoproteins IIb/IIIa
Palivizumab targets:
RSV F protein
Adalimumab, Certolizumab, Infliximab target:
Soluble TNF-α
Abciximab targets:
Platelet glycoproteins IIb/IIIa
All TNF-α inhibitors predispose to infection, including reactivation of —-, since TNF is important in —– formation and stabilization.
latent TB
granuloma
—- is a Fusion protein (receptor for TNF-α + IgG1 Fc),
produced by recombinant DNA.
Etanercept
2 Therapeutic antibodies against CLL?
Alemtuzumab, Rituximab
Therapeutic antibodies against dz that has lost the APC gene function?
Bevacizumab, Cetuximab
Therapeutic antibodies against cancer that has lost VHL gene func?
Bevacizumab
Therapeutic antibodies against head and neck ca?
Cetuximab
Therapeutic antibodies against B-cell non-Hodgkin
lymphoma,?
Rituximab
3 Therapeutic antibodies against rheumatoid
arthritis?
Rituximab
Adalimumab
Certolizumab
Infliximab
Therapeutic antibodies against psoriasis, ankylosing spondylitis?
Adalimumab
Certolizumab
Infliximab
Therapeutic antibodies against Neovascular age-related
macular degeneration?
Ranibizumab
Bevacizumab
Therapeutic antibodies against Allergic asthma; prevents IgE binding to FcεRI?
Omalizumab
Therapeutic antibodies against Multiple sclerosis?
Natalizumab
Therapeutic antibodies against Paroxysmal nocturnal
hemoglobinuria?
Eculizumab
Therapeutic antibodies against Antiplatelet agent for
prevention of ischemic complications in patients
undergoing percutaneous coronary stenting?
Abciximab
Therapeutic antibodies against Breast cancer?
Trastuzumab
Therapeutic antibodiesthat inhibits osteoclast
maturation (mimics osteoprotegerin)?
Denosumab
T or F? Etanercept is a decoy TNF-α receptor and a monoclonal antibody.
F. It is NOT a monoclonal antibody.
2 Therapeutic antibodies against Crohn disease/IBD?
Natalizumab
Adalimumab, infliximab
Therapeutic antibodies for RSV prophylaxis for high-risk infants?
Palivizumab
Which Therapeutic antibodies causes WBC adhesion and Risk of PML in patients with JC virus?
Natalizumab
Which 2 drugs inhibit the formation of NFAT–P into NFAT?
Calcineurin inhibitors:
Cyclophilin + Cyclosporine
FKBP + Tacrolimus
Immunosuppressant that inhibit PRPP amidotransferase indirectly?
Azathioprine
Which immunosuppressant causes apoptosis of T cells?
Glucocorticoids
Mycophenolate, Mofetil MOA?
reversibly inhibits IMP dehydrogenase => prevent purine synth of B and T cells.
Which 3 immunosuppressants cause hyperglycemia?
Mycophenolate, Mofetil
Glucocorticoids
MOA of Glucocorticoids?
Inhibits NF-kB => decr cytokines transcription => decr T and B cell function.
Which immunosup. causes pancytopenia?
Mycophenolate, Mofetil
Which 3 immunosup. causes IL-2 response and which causes IL-2 transcription?
Preventing IL-2 response –> Sirolimus
Preventing IL-2 transcription –> Cyclosporin, Tacrolimus
Which 2 immunosup. cause hyperlipidemia?
Sirolimus
Cyclosporin
Which 3 immunosup. causes pancytopenia?
Azathioprine
Mycophenolate, Mofetil
Name the drug that is a thrombopoetin receptor agonist?
Eltrombopag
3 drugs that treat thrombocytopenia?
Romiplostim
Eltrombopag
Oprelvekin
“REOcytopenia”