Immunosuppression Drugs Flashcards
Cyclosporine
Calcineurin inhibitor that binds cyclophilin
Prevents IL-2 transcription
NEPHROTOXIC
Tacrolimus
Calcineurin inhibitor that binds FK506
Prevents IL-2 transcription
NEPHROTOXIC
Sirolimus
AKA rapamycin
Inhibits mTOR to block IL-2 response
NOT nephrotoxic but causes pancytopenia
Basiliximab
Monoclonal antibody against IL-2 receptor
Azathioprine
AZA –> 6MP which blocks PRPP amidotransferase for purine synthesis
Degraded by xanthinine oxidase so inc toxicity if on allopurinol for gout
Mycophenolate mofetil
Reversible inhibition of IMP DH in purine synthesis
Pancytopenia, inc risk invasive CMV
Corticosteroids
Inhibit NF-kB which dec transcription of many cytokines (dec B and T cell function)