immunosuppression Flashcards

1
Q

three main immunosuppression indications

A
  • autoimmune diseases
  • hypersensitivity diseases
  • transplantation
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2
Q

immunosuppression drug groups

A
  • antimetabolites
  • alkylating agents
  • glucocorticoids
  • cytokine gene expression inhibitors
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3
Q

antimetabolites types

A
  • purine analogues
  • pyrimidine analogues
  • folic acid antagonists
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4
Q

alkylating agents

A

cyclophosphamide

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5
Q

cytokine gene expression inhibitors

A

calcineurin-inhibitors

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6
Q

list of antimetabolites

A
  • azathioprine
  • mycophenolate mofetil
  • methotrexate
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7
Q

release azathioprine

A

slow release -> longer effect

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8
Q

azathioprine admin route

A

Iv or oral

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9
Q

mycophenolate mofetil is it a prodrug

A

yes

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10
Q

mycophenolate specificity

A

expecially specific to T and B lymphocytes

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11
Q

mycophenolate safety

A

much safer than azathioprine

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12
Q

whats methotrexate

A

a folic acid antagonist

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13
Q

which cells are affected most by cyclophosphamide

A

B and T cells equally effected

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14
Q

whats cyclophosphamide

A

its an alkylating agent

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15
Q

name two calcineurin inhibitors

A

cyclosporin and tacrolimus

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16
Q

calcineurin inhibitors mechanism of action

A
  • inhibition of calcineurin
  • mastocyte inhibition, inhibition of degranulation
  • decr IL and TNF-alpha expression
17
Q

cyclosporin application

A

per os and locally

18
Q

cyclosporin indications

A
  • autoimmune diseases
  • atopic dermatitis
  • IBD
19
Q

cyclosporin side effects

A
  • GI vomiting, diarrhoea
  • alopecia
  • gingival hyperplasia