Immunomodulatory Therapies Flashcards
MOA: Corticosteroids
Inhibit phospholipase A2
Inhibit phospholipase A2
MOA: Corticosteroids
MOA: Tacrolimus
Calcinurin Inhibitor, block cytokine transcription
MOA: Cyclosporin
Calcinurin Inhibitor, block cytokine transcription
Calcinurin Inhibitor, block cytokine transcription (x2)
Tacrolimus, cyclosporin
MOA: Tofacitinib
JAK inhibitor, inhibits cell signalling
JAK inhibitor, inhibits cell signalling
Tofacitinib
MOA: Sirolimus
blocks clonal T cell proliferation
MOA: Apremilast
PDE4 inhibitor, inhibits cell signalling
PDE4 inhibitor, inhibits cell signalling
Apremilast
MOA: Basiliximab
ab vs. CD25, anti-IL2
ab against CD25 on IL-2 receptor (x2)
Basiliximab, Daclizumab
Indication: Basiliximab, Daclizumab
Rejection prophylaxis in transplant
Indication: Tacrolimus
Rejection prophylaxis in transplant
Indication: Cyclosporin
Rejection prophylaxis in transplant
Indication: Sirolimus
Rejection prophylaxis in transplant
Indication: Tofacitinib
Rheumatoid arthritis
Indication: Apremilast
Psoriasis
Indication: Abatacept
Rheumatoid arthritis
MOA: Abatacept
CTLA4-Ig fusion protein, (directed against cell surface antigens to ↓T cell activation)
CTLA4-Ig fusion protein, (directed against cell surface antigens to ↓T cell activation)
Abatacept
MOA: Rituximab
ab vs. CD20, depletes mature B cells
ab vs. CD20, depletes mature B cells
Rituximab
Indications: Rituximab
RhA, SLE, lymphoma
MOA: Toclizumab
ab vs. IL-6 receptor, ↓activation of neuts, B/T cells, macrophages
ab vs. IL-6 receptor, ↓activation of neuts, B/T cells, macrophages
Toclizumab
Indications: Toclizumab
Castleman’s disease, Rheumatoid arthritis
MOA: Natalizumab
ab vs. a4 integrin, ↓T cell migration
ab vs. a4 integrin, ↓T cell migration
Natalizumab
Indications: Natalizumab
active MS
MOA: Daclizumab
ab against CD25 on IL-2 receptor
MOA: Alemtuzumab
ab vs. CD52, ↓lymphocytes
ab vs. CD52, ↓lymphocytes
Alemtuzumab
Indications: Alemtuzumab
MS, CLL
MOA: Muromonab-CD3
Blocks CD3 on T cell
Blocks CD3 on T cell
Muromonab-CD3
Indications: Muromonab-CD3
Active transplant rejection
MOA: Efalizumab
anti CD-IIa, ↓T cell migration
anti CD-IIa, ↓T cell migration
Efalizumab
Indications: Efalizumab
AI disease
MOA: Anti-thymocyte globulin
(rabbit), modulates T cell activation and migration, ↓lymphocytes
(rabbit), modulates T cell activation and migration, ↓lymphocytes
Anti-thymocyte globulin
Indications: Anti-thymocyte globulin
Acute transplant rejection
MOA: Methotrexate
Inhibits DHFR, anti-proliferative agent
Inhibits DHFR, anti-proliferative agent
Methotrexate
Indications: Methotrexate
RhA, psoriasis, Crohn’s, chemo, abortifacient
MOA: Cyclophosphamide
alkylates guanine bases of DNA
B>T cells
Anti-proliferative agent
alkylates guanine bases of DNA
B>T cells
Anti-proliferative agent
Cyclophosphamide
Indications: Cyclophosphamide
Connetive tissue disease, vasculitis with end organ damage
MOA: Azathioprine
Blocks purine synthesis
T cells
Anti-metabolic, (converted to 6-mercaptopurine)
Anti-proliferative agent
Blocks purine synthesis
T cells
Anti-metabolic, (converted to 6-mercaptopurine)
Anti-proliferative agent
Azathioprine
Indications: Azathioprine
Transplant, AI disease, auto-inflammatory diseases (eg. Crohn’s disease, UC)
MOA: Mycophenolate Mofetil
Inhibits IM PDH, blocks nucleotide synthesis
T>B cells
Anti-proliferative agent
Inhibits IM PDH, blocks nucleotide synthesis
T>B cells
Anti-proliferative agent
Mycophenolate Mofetil
Indications: Mycophenolate Mofetil
2nd line for transplant, AI disease, vasculitis
MOA: Infliximab
anti-TNFa
MOA: Adalimumab
anti-TNFa
MOA: Certolizumab
anti-TNFa
MOA: Golimumab
anti-TNFa
anti-TNFa (x4)
Infliximab, Adalimumab, Certolizumab, Golimumab
Indications: Infliximab, Adalimumab, Certolizumab, Golimumab (anti-TNFa)
Psoriasis, psoriatic arthritis, IBD, RhA, ank spond
MOA: Etanercept
Inhibits TNFa and TNFB
Inhibits TNFa and TNFB
Etanercept
Indications: Etanercept
Psoriasis, psoriatic arthritis, IBD, RhA, ank spond
MOA: Ustekinumab
ab inhibits IL-12 and IL-23
ab inhibits IL-12 and IL-23
Ustekinumab
Indications: Ustekinumab
Psoriasis, psoriatic arthritis, Crohn’s
MOA: Secukinumab
ab vs. IL17A
ab vs. IL17A
Secukinumab
Indications: Secukinumab
Ank spond, psoriasis, psoriatic arthritis,
MOA: Denosumab
ab vs. RANK ligand, ↓osteoclasts
ab vs. RANK ligand, ↓osteoclasts
Denosumab
Indications: Denusumab
Osteoporosis
MOA: Ipilimumab
mab vs CTLA4
Boosts immune system by blocking checkpoints, ↑T cell activation
mab vs CTLA4
Boosts immune system by blocking checkpoints
Ipilimumab
Indications: Ipilimumab
Advanced melanoma
MOA: Pemibrolizumab/Nivolumab
ab vs. PD-1
Boosts immune system by blocking checkpoints, ↑T cell activation
ab vs. PD-1
Boosts immune system by blocking checkpoints, ↑T cell activation
Pemibrolizumab/Nivolumab
Indications: Pemibrolizumab/Nivolumab
Advanced melanoma