Immunopharmacology Flashcards

1
Q

What is MoA of Glucocorticoids?

A

Bind to cytosolic receptors
Cytotoxic T lymphocytes and macrophages inhibited
Antigen-presenting cells inhibited

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2
Q

What is MoA of Cyclosporine?

A

Calcineurin inhibitor
Cyclosporine forms a complex with cyclophilin
The complex inhibits calcineurin phosphatase activity
Prevents NFAT dephosphorylation
T lymphocyte fails to respond to antigenic stimulation

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3
Q

What is the use of Cyclosporine?

A

Organ transplantation
Rheumatoid arthritis
Psoriasis

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4
Q

What are the ADR of Cyclosporine?

A
Renal dysfunction
Hypertension
Hyperlipidemia
Hyperglycemia
Gum hyperplasia
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5
Q

What drugs increase cyclosporine levels? What drugs decrease?

A

Increase- Ca2+ channel blockers (verapamil) because they reverse efflux pump and P450 inhibitors.
Decrease- P450 inducers. Never give along with tacrolimus because enhances renal toxicity

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6
Q

What is MoA of Tacrolimus?

A

Calcineurin inhibitor

Tacrolimus forms a complex with immunophilin then follows same mechanism as cyclosporine.

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7
Q

What is the use of Tacrolimus?

A

Prophylaxis of solid-organ allograft rejection

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8
Q

What are the ADR of Tacrolimus?

A

Hyperglycemia more than cyclosporine
Nephrotoxicity
Hypertension
Neurotoxicity

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9
Q

What is MoA of Sirolimus?

A

mTOR inhibitor

Binds to FKBP-12- inhibits T-lymphocyte activation and proliferation downstream of the IL-2

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10
Q

What is the use of Sirolimus?

A

Prophylaxis of organ transplant rejection

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11
Q

What are the ADR of Sirolimus?

A

BM depression
Increase in serum cholesterol and triglycerides
Hyperglycemia
Because no renal toxicity, is the first line drug to prevent renal transplant rejection

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12
Q

What is MoA of Mycophenolate Mofetil?

A

IMP dehydrogenase inhibitor

Prevents B and T cell proliferation

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13
Q

What is the use and ADR of Mycophenolate Mofetil?

A

Use- for prophylaxis of transplant rejection

ADR- Reversible BM depression

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14
Q

What is MoA and use of Levamisole?

A

Restores depressed immune function of B & T cells

Adjuvant therapy with 5-fluorouracil after surgical resection in patients with colon cancer

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15
Q

What is the use of Thalidomide?

A

Erythema nodosum leprosum and in multiple myeloma

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16
Q

What is the use of Bacillus Calmette-Guerin?

A

Prophylaxis of carcinoma in situ of the urinary bladder

17
Q

What are some anti-TNF Reagents?

A

Infliximab- monoclonal antibody
Etanercept- fusion protein, mimics TNF receptor to bind to free TNF or membrane-bound TNF
Used for Rheumatoid arthritis and Crohn’s disease