transplant immunosuppression 1 Flashcards

1
Q

what immunosuppressive drugs kill all T Cells; wiping out entire adaptive immune response

A

Depleters:
Thymoglobulin (ATG)
Antithimocyte globulin (ATGAM)
Alemtuzumab

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2
Q

What is the MOA of methylprednisolone

A

decreases IL-2 production
inhibits IL-2 receptor expression
inhibits macrophage MHC expression

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3
Q

What is the MOA of Basiliximab

A

IL-2 antagonist, blocks IL2 receptor

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4
Q

why is basiliximab preferred over polyclonal antibodies

A

less side effects (basiliximab is a monoclonal antibody)

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5
Q

What is the MOA of antithymocyte globulins such as ATG

A

deplete circulating lymphocytes through direct cytotoxicity towards T cells

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6
Q

What are the adverse effects of ATG?

A

fever, chills, and malaise due to cytokine release syndrome

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