Imunomoduladores Flashcards

1
Q

2 -> Inhibidores de la calcineurina

A
  • Ciclosporina
  • Tacrolimus
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2
Q

.

Ciclosporina

Mecanismo de accion

A

Inhibe la activacion de linfocitos T. La calcineurina es necesaria para la activacion del factor de transcripcion celular especifico.

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3
Q

3 -> Inhibidores de la mTOR (mammalian target of rapamycin)

A
  • Sirolimus o rapamicina
  • Rapalogs: everolimus y temsirolimus.
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4
Q

Sirolimus o rapamicina

Mecanismo de accion

A

Se une a una imunifilina llamada “FK-506-binding-protein” e inhibe la actividad cinasa de mTOR -> inhibe la proliferacion de linfocitos T.

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5
Q

4->Micofenolato de mofetilo

Mecanismo

A

Inhibe la sintesis de purina y las respuestas de linfocitos T y B.

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6
Q

5-> agentes toxicos inmunosupresores

A
  • Azatioprina
  • Ciclofosfamida
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7
Q

Ciclofosfamida

Uso clinico y RAM

A
  • Lupus eritematoso
  • RAM: pancitopenia.
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8
Q

6->Anticuerpos inmunosupresores

A
  • Anticuerpos antilinfocitos y antitimocitos.
  • Muromonab-CD3
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9
Q

7->Anticuerpos monoclonales

Son imunosupresores y antiinflamatorios

A
  • MABs anti-TNFalfa: Infliximab, etanercept.
  • Abatacept (DMARD)
  • Natalizumab
  • Omalizumab
  • Ustekinumab
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10
Q

Natalizumab

Mecanismo y uso

A
  • Se une a las integrinas y evita la adhesion leucocitaria.
  • Esclerosis multiple y enfermedad de Crohn.
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