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Details

Rheumatoid Arthritis Drugs
Mechanism of Actions
23
Other
Not Applicable
12/07/2012

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Cards

Term
Pro-drug; 6-MP --> inhibits purine synthesis
Definition
azathioprine
Term
Nitrogen mustard; alkylates nucleic acids--> cross-links strands of DNA/RNA
Definition
cyclophosphamide
Term
Inhibits calcineurin --> blocks production and release of IL-2 and inhibits T-cell activation
Definition
cyclosporine, modified
Term
Uncertain. May inhibit WBC migration and impair complement-dependent antibody responses
Definition
hydroxychloroquine
Term
prodrug; M1 (Active metabolite) inhibits DHODH --> blocks pyrimidine synthesis
Definition
Ieflunomide
Term
inhibits DHFR --> block purine synthesis
Definition
methotrexate
Term
uncertain. may inhibit collagenase activity in synovial tissue or inhibit MMPs (prevents WBC migration)
Definition
minocycline
Term
Uncertain. Reduces IgM rheumatoid factor and immune complexes. May depress T-cell activity
Definition
Penicillamine
Term
Uncertain. Metabolized to sulfapyridine and mesalamine by gut flora. Mesalamine (5-ASA) inhibits local prostaglandin syntehsis
Definition
sulfasalazine, enteric coated
Term
uncertain. may inhibit phagocytosis and lysosomal stabilization when taken up by macrophages
Definition
auranofin
Term
uncertain. may modulate IL-2 and IL-2 receptors --> blocks T-cell activation
Definition
gold sodium thiomalate
Term
Binds glucocorticoid receptors --> blocks leukocyte infiltration, inhibits synthesis of inflammatory mediators, and reduces humoral responses
Definition
prednisone, prednisolone, dexamethasone
Term
reversibly inhibits COX-1 and 2 --> reduces prostaglandin synthesis, blocks chemotaxis, and alters WBC activity
Definition
diclofenac, ibuprofen, indomethacin, naproxen
Term
human IgG specific for TNF-alpha; blocks TNF-alpha --> inhibits proinflammatory pathways
Definition
adalimumab
Term
Fab fragment of humanized IgG specific for TNF-alpha; blocks TNF_alpha --> inhibits pro-inflammatory pathways
Definition
certolizumab, pegylated
Term
TNF receptor- IgG fusion protein; blocks TNF-alpha --> inhibits pro-inflammatory pathways
Definition
etanercept
Term
human IgG specific for TNF-alpha; blocks TNF-alpha --> inhibits pro-inflammatory pathways
Definition
golimumab
Term
chimeric IgG specifc for TNF-alpha; blocks TNF-alpha --> inhibits pro-inflammatory pathways
Definition
infliximab
Term
blocks IL-1 receptors--> inhibits various inflammatory pathways
Definition
anakinra
Term
humanized IgG specific for IL-6 receptor; blocks Il-6 receptors --> inhibits pro-inflammatory pathways
Definition
toclizumab
Term
CTLA4-IgG fushion protein; blocks CD80 and CD86 costimulation on APCs --> blocks optimal T-cell activation
Definition
abatacept
Term
chimeric IgG specific for CD20; blocks CD20 on B-cells --> induces complement-dependent B-cell cytotoxicity
Definition
rituximab
Term
A reduced form of folic acid; supplies cells with the necessary cofactor for purine synthesis without utilizing DHODH for reduction
Definition
leucovorin, levoleucovorin
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