Immunosupression Flashcards
corticosteroid MOA
1) prostaglandin 2)lymphocyte 3)phagocytosis
Cyclophsophamide
cytotoxic, alkylates guanine
mycophenolate mofetil
inhibits im pdh, prevents guanine synthesis (CT drug)
azathioprine
6-mercaptopurine. block de novo purine synthesis. TPMT
methotrexate
dihydrofolate reductase (DHFR) get macrocytic megaloblastic anaemia)
Plasmapheresis
remove Ab or enxchange plasma
- ab mediated disease (MG, GP)
- Ab mediated rejection
Tacrolimus
Calcineurin inhibitor (IL-2) transplant rejection
cyclosporin
Calcineurin inhibitor
sirolimus
calcineurin
tofacitinib
JAK inhibitor (RA)
apremilast
PDE4 inhibitor (psoriasis)
Basilixab
anti-CD25 (IL2) allograft rejection
abatercept
anti-CTLA4 (RA)
rituximab
anti-CD20 (leukocyte migration) lymphoma, RA, SLE
natalizumab
anti-alpha4 intergin (relapse remitting MS, crohns)