immunopharacology Flashcards
cyclosporine, tacrolimus(FK506)
calcineurin inhibitors
sirolimus, everolimus
proliferation-signal inhibitors(PSIs)
azathioprine, mycophenolate mofetil
immunosuppressive antimetabolites
methylprednisolone, prednisolone, prednisone
glucocorticoids
ATG, basiliximab, daclizumab, OKT3(CD3에대한 항체)
immunosuppressive agents, antibody
IL-2의 전사인자는?
NFAT
NFAT를 활성화시키는 것은 ?
calcineurin을 통한 탈인산화
tcell에 IL-2가 결합하면 ______을 통해 growth signal을 만든다.
mTOR
_____는 FKBP와 결합하여 gof해서 calcineruin에 결합해 억제하여 ______를 불활성화시킨다.
tacrolimus, cyclosporin, NFAT
cyclosporine that inhibitst he cytoplasmic phosphatase,________.
calcineurin
cyclosoporine의 toxicity는(2가지)?
nephrotoxicity, hypertension
cyclosporine is primarily metabolized by the________ enzyme.
CYP3A4
what is CYP3A inhibition?
grapefruit, verapamil,fluconazole, ketoconazole, erythromycin(항생제), allopurinol, metoclopramide, methylprednisolone
what is CYP3A inducor?
nafcillin, rifampin, pheobarbital, phenytoin등
______binds to an intracellular protein, FK506-binding protein-12(FKEP-12).
tacrolimus
sirolimus(rapamycin), everolimus
proliferation-signal inhibitos(PSIs)
________ is a selective, noncompetitive, and reversible inhibitor of inosine monophosphate dehydrogenase(IMPDH)., an important enzyme in the denovo pathway of guanine nucleotide synthesis.
mycophenolate mofetil
_______lyse and induce the redistribution of lymphocytes, casuing a rapid, transient decrease in peripheralblood lymphocyte counts. that complexes increase ____expression, thereby curtailing activation of Nf-kB, which increases apoptosis of activated cells. and key proinflammatory cytokines such as IL-1 and IL-6 are downregulated.
glucocorticoids, IkB
humarnized antibody (90%이상) ‘s generic suffix is ___________.
-zumab
_______ is a purified gamma globulin from the serum of rabbits immunized with human thymocytes.
ATG(anti thymocyte globulin)
ATG의 toxicity 3가지는?
serum sickness and glomerulonephritis(사구체 신염), and anaphylaxis
_________ is a monoclonal antibodies directed at the chain of CD3.
muromonab-CD3(OKT3)
anti IL-2 R antibody 2가지는?
- daclizumab 2. basiliximab(키메라 항체임)
daclizumab과 basiliximab의 toxicity는?
okt3와 비교하면 cytokine releaase syndrome은 없지만 anaphylactic 은 여전히 발생한다.