Pharmacology of the immune system drugs

Description

Flashcards on Pharmacology of the immune system drugs, created by Livvi Harris on 25/04/2014.
Livvi Harris
Flashcards by Livvi Harris, updated more than 1 year ago
Livvi Harris
Created by Livvi Harris almost 10 years ago
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Resource summary

Question Answer
Fostamatinib R343 Syk inhibitors
Rilonacept IL-1 trap (FOAS)
Anakinra Recombinant IL-1ra
Pralnacasan ICE inhibitor (oral)
Verciniron CCR9 blocker - Tc in gut for chromes
Marimastat TACE/MMP inhibitor (MS SE)
NFkB inhibitors for TNFa glucocorticoids thalidomide curcumin
Ertanercept TNFR Ab fusion protein
Rituximab MEDI-155 CD20 on Bc
Zieluton inhibits leukotrienes
Infliximab anti-TNF mAb (hu Fc & mu Fv)
Adalimumab Fully hu anti-TNF
certolizumab pegol PEGylated Fab fragment of TNFa
PEGylation ↑ stability ↓ renal clearnace
Drawbacks of immunotherapy for TNFa - immunogenic (∴ humanise) - short plasma T1/2 (∴ PEG) - need to IV admin - Infection risks (latent TB) - expensive
Onercept PEG TNF binding protein (discontinued)
Ruxolitinib JAK 1/2 inhibitor
Tofacitinib Orally active JAK inhibitor (RA w/ MTX)
nedocromil sodium cromoglycate topical for nose & eyes Mast cell stablaliser: inhibit mediator release only effective in 50% of population but treats early and late phase asthma
prednisolone budsonide inhibits NFkB ∴ leuk migration via chemotaxis glucocorticoids
Altrakincept soluable recombinant IL-4 dissapointing PIII
Pitrakinra IL-4 variant ↓ late phase responses
Librikizumab anti-IL-13 mAb effects secretion of epithelium only really helps FEV1 improvements
Ustekinumab hu mAb
ketotifen H1 antagonist & mast cell stabliser opthalmic and oral also leukotriene and PDE antagonist Maybe H4 activity: chemotaxis
Omalizumab anti-IgE for allergic athmatics: NICE in sterioid resistants binds Fc needs to be taken for a while and expensive
anti-IL-4 Altrakincept: soluable recombinant IL-4 receptor Pitrakinra: IL-4 variant
Lebrikizumab IL-13 mAb effects secretion of epithelium
Mepolizumab anti-IL5 for eosinophilic dermatis
Braikinumab IL-12/23 mAb
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