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7 Cards in this Set

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Cyclosporine (CSA)
binds to cyclophilins--> inhibits calcineurin-->prevents IL-2 and receptor production
tox: viral infections, lymphoma; nephrotoxic (prevent with mannitol)
Tacrolimus (FK506)
binds to FK-binding protein --> inhibits calcineurin --> prevents IL-2/receptor production
tox: nephrotoxicty, periph. neuropathy, HTN, pleural effusion, hyperglc
Azathioprine
6-MP antimetabolite precursor. toxic to prolif lymphocytes. interferes with synthesis of nucleic acids.
use: kidney tx, autoimmune.
tox: BM suppression, allopurinol can increase mercaptopurine
Muromonab-CD3 (OKT3)
Monoclonal Ab binds to CD3 on T cells
use: kidney tx
tox: cytokine release. hypersensitivity rxn.
Sirolimus (rapamycin)
binds to FK-binding protein --> binds to mTOR --> inhibits T-cell proliferation in response to IL-2
use: +CSA, steroids for kidney tx.
tox: HL, thromboxytopenia, leukopenia
Mycophenolate mofetil
inhibits de novo guanine synthesis.
blocks lymphocyte production.
Daclizumab
monoclonal Ab with high affinity for IL-2 receptor on activated T cells