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Dexamethasone: Mechanism of Action

A synthetic corticosteroid that binds to corticosteroid receptors (CRs), leading to decreased inflammation by inhibiting pro-inflammatory cytokine production and promoting anti-inflammatory cytokine generation.

Dexamethasone: Clinical Applications

This medication is used to manage a wide range of inflammatory conditions, including autoimmune disorders, and to prevent organ transplant rejection.

Dexamethasone: Adverse Effects

A common adverse effect of dexamethasone is a weakening of the immune system, leading to increased susceptibility to infections, particularly opportunistic infections.

Muromonab-CD3: Mechanism of Action

A monoclonal antibody that targets CD3 on T cells, initially activating them but ultimately leading to their inactivation and deactivation.

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Muromonab-CD3: Clinical Applications

Muromonab-CD3 is primarily used to prevent organ transplant rejection by suppressing the immune response against the transplanted organ.

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Muromonab-CD3: Adverse Effects

Using Muromonab-CD3 can trigger a cytokine release syndrome, a potentially serious condition involving widespread inflammation. Other adverse effects include immunogenic reactions.

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Basiliximab: Mechanism of Action

Basiliximab, a monoclonal antibody, acts by blocking the IL-2 receptor, inhibiting IL-2 binding, and preventing T cell maturation. This also leads to decreased production of antibodies.

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Basiliximab: Clinical Applications

Similar to Muromonab-CD3, Basiliximab is primarily used as an immunosuppressant to prevent organ transplant rejection.

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Basiliximab: Adverse Effects

A common concern with Basiliximab is the increased risk of opportunistic infections because it suppresses the body's immune defenses.

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Infliximab, Adalimumab, Golimumab: Mechanism of Action

Infliximab, Adalimumab, and Golimumab all work by binding to TNF-α, a pro-inflammatory cytokine, reducing its signaling and thereby suppressing inflammatory cytokine production.

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Infliximab, Adalimumab, Golimumab: Clinical Applications

These medications are used for managing inflammatory conditions mediated by TNF-α, including autoimmune disorders and inflammatory bowel disease.

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Infliximab, Adalimumab, Golimumab: Adverse Effects

A common adverse effect of these drugs is weakening the immune system, making the body more susceptible to infections.

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Imiquimod: Clinical Applications

Imiquimod, a topical medication, is used for treating pre-cancerous tissues and lesions by stimulating the immune system to target and eliminate abnormal cells.

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Imiquimod: Mechanism of Action

Imiquimod works by activating TLR7, a receptor on immune cells, leading to their activation and the release of inflammatory cytokines, which then target and destroy abnormal cells.

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Imiquimod: Adverse Effects

Commonly observed side-effects associated with Imiquimod include localized inflammation and skin irritation at the application site.

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Dexamethasone: Applications

Dexamethasone is used for a diverse range of inflammatory conditions.

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Rho(D) Immune Globulin: Applications

Rho(D) Immune Globulin is administered to pregnant women to prevent complications in Rh-negative mothers carrying Rh-positive babies.

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Rho(D) Immune Globulin: Mechanism

Rho(D) Immune Globulin works by neutralizing fetal red blood cells in the mother's circulation.

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Muromonab-CD3: Applications

Muromonab-CD3 is a monoclonal antibody used to suppress the immune system after organ transplantation.

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Muromonab-CD3: Mechanism

Muromonab-CD3 binds to CD3 on T cells, initially activating them, but ultimately leading to their inactivation.

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Muromonab-CD3: Side Effects

Muromonab-CD3 can cause a cytokine release syndrome (CRS) and immunogenic reactions.

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Basiliximab: Applications

Basiliximab is used in organ transplant recipients to prevent the immune rejection of the graft.

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Basiliximab: Mechanism

Basiliximab blocks the IL-2 receptor, thereby inhibiting T cell maturation and antibody production.

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Basiliximab: Side Effects

Basiliximab can increase the risk of opportunistic infections by weakening the immune system.

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Infliximab, Adalimumab, Golimumab: Applications

Infliximab, Adalimumab, and Golimumab are used to manage various inflammatory conditions.

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Infliximab, Adalimumab, Golimumab: Mechanism

These medications bind to TNFα, reducing its signaling and suppressing inflammation.

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Infliximab, Adalimumab, Golimumab: Side Effects

These drugs can weaken the immune system, increasing the risk of opportunistic infections.

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Imiquimod: Applications

Imiquimod is a topical medication used to treat pre-cancerous lesions by stimulating the immune response.

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Imiquimod: Mechanism

Imiquimod activates TLR7, leading to leukocyte activation and inflammatory cytokine production.

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Imiquimod: Side Effects

Imiquimod may cause localized inflammation and skin irritation at the application site.

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Rituximab: Mechanism

Rituximab targets CD20 on B cells, leading to their destruction through ADCC.

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Rituximab: Applications

Rituximab is used for treating lymphomas, autoimmune diseases, and some pre-cancerous conditions.

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Rituximab: Side Effects

Rituximab's primary side effect is the depletion of healthy B cells in the body.

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Nivolumab and Pembrolizumab: Applications

Nivolumab and Pembrolizumab are checkpoint inhibitors, used in cancer immunotherapy.

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Nivolumab and Pembrolizumab: Mechanism

Nivolumab and Pembrolizumab block PD-1 interaction with PD-L1, reversing T cell exhaustion and restoring anti-tumor immunity.

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Atezolizumab: Mechanism

Atezolizumab is another checkpoint inhibitor, primarily targeting PD-L1, enhancing anti-tumor immunity.

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Ipilimumab: Mechanism

Ipilimumab is a checkpoint inhibitor that targets CTLA-4, blocking its inhibitory signaling.

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Brentuximab Vedotin: Applications

Brentuximab Vedotin is a targeted therapy used in Hodgkin's lymphoma.

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Brentuximab Vedotin: Mechanism

Brentuximab Vedotin works by binding to CD30 and delivering MMAE, a microtubule inhibitor, which kills the cells.

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Trastuzumab-Emtansine: Applications

Trastuzumab-Emtansine (Kadcyla) is used to treat HER2+ breast cancer.

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Trastuzumab-Emtansine: Mechanism

Trastuzumab-Emtansine binds to HER2 receptors, delivering DM1, a microtubule inhibitor, which kills the cells.

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Inotuzumab Ozogamicin: Applications

Inotuzumab Ozogamicin is used to treat relapsed or refractory B cell acute lymphoblastic leukemia.

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Inotuzumab Ozogamicin: Mechanism

Inotuzumab Ozogamicin works by binding to CD22, delivering calicheamicin, a DNA-damaging agent, which kills the cells.

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Gemtuzumab Ozogamicin: Applications

Gemtuzumab Ozogamicin is used to treat relapsed or refractory acute myeloid leukemia.

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Gemtuzumab Ozogamicin: Mechanism

Gemtuzumab Ozogamicin binds to CD22, delivering calicheamicin, a potent DNA-damaging agent, leading to cell death.

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Mosunetuzumab: Applications

Mosunetuzumab is a bispecific antibody used in cancer therapy.

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Mosunetuzumab: Mechanism

Mosunetuzumab binds to CD3 on T cells and CD20 on tumors, forcing them to interact, leading to T cell-mediated killing.

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Blinatumomab: Applications

Blinatumomab is another bispecific antibody used in various cancers.

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Blinatumomab: Mechanism

Blinatumomab bridges CD3 on T cells and CD19 on tumors, triggering T cell-mediated killing.

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Abatacept: Applications

Abatacept is a recombinant CTLA-4 protein used to manage rheumatoid arthritis.

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Abatacept: Mechanism

Abatacept competes with CD28 for binding to CD80/86, reducing T cell costimulation and activation.

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Etanercept: Applications

Etanercept is a fusion protein used to treat rheumatoid arthritis and other autoimmune diseases.

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Etanercept: Mechanism

Etanercept neutralizes soluble TNFα, reducing inflammatory cytokine signaling.

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CAR-T Therapy: Applications

CAR-T therapy uses engineered T cells to recognize and directly eliminate cancer cells.

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CD19 CAR-T Therapy: Mechanism

CD19 CAR-T therapy uses engineered T cells that target CD19, directly killing the cancer cells.

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CD19 CAR-T Therapy: Side Effects

CD19 CAR-T therapy can cause cytokine release syndrome (CRS), severe inflammation, and B cell depletion.

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Tocilizumab: Applications

Tocilizumab is used in managing cytokine release syndrome (CRS) and rheumatoid arthritis.

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Tocilizumab: Mechanism

Tocilizumab binds to the IL-6 receptor, inhibiting IL-6 signaling and reducing inflammation.

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Tocilizumab: Side Effects

Tocilizumab can increase the risk of opportunistic infections by weakening the immune system.

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Paracetamol/Acetaminophen: Applications

Paracetamol/Acetaminophen is used to relieve pain and reduce fever.

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Paracetamol/Acetaminophen: Mechanism

Paracetamol acts by inhibiting prostaglandin synthesis and blocking endocannabinoid reuptake.

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Paracetamol/Acetaminophen: Side Effects

High doses of paracetamol can cause hepatotoxicity, which is damage to the liver.

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Aspirin: Applications

Aspirin is a common anti-inflammatory medication with various applications.

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Aspirin: Mechanism

Aspirin irreversibly inhibits COX-1 and COX-2, blocking prostaglandin synthesis.

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NSAIDs: Applications

NSAIDs (e.g., ibuprofen, naproxen) are widely used to relieve pain, fever, and inflammation.

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NSAIDs: Mechanism

NSAIDs inhibit COX-1 and COX-2, blocking prostaglandin synthesis.

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NSAIDs: Side Effects

NSAIDs can cause gastrointestinal irritation, ulcers, and potential kidney problems with long-term use.

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Rofecoxib: Adverse Effects

Rofecoxib was a selective COX-2 inhibitor withdrawn from the market due to increased cardiovascular risks.

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Rofecoxib: Mechanism

Rofecoxib selectively inhibited COX-2, reducing prostaglandin production.

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Dinoprostone: Applications

Dinoprostone is a prostaglandin analogue used to induce labor and prepare the cervix for delivery.

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Dinoprostone: Mechanism

Dinoprostone mimics endogenous PGE2, stimulating uterine contractions and cervical softening.

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Dinoprost: Applications

Dinoprost is another prostaglandin analogue used in labor induction, abortion, and other gynecological procedures.

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Dinoprost: Mechanism

Dinoprost mimics endogenous PGF2α, stimulating uterine contractions.

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Carboprost: Applications

Carboprost is a synthetic prostaglandin analogue used to control postpartum hemorrhage.

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Carboprost: Mechanism

Carboprost stimulates uterine contractions and promotes hemostasis, reducing postpartum hemorrhage.

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Suffix '-ximab': Humanization

The suffix '-ximab' indicates a chimeric antibody with mixed human and non-human origins.

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Suffix '-umab': Humanization

The suffix '-umab' denotes a fully human monoclonal antibody.

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Suffix '-omab': Humanization

The suffix '-omab' indicates a fully mouse monoclonal antibody.

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Suffix '-zumab': Humanization

The suffix '-zumab' represents a humanized monoclonal antibody.

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Trastuzumab-Emtansine: Applications

Trastuzumab-Emtansine is a targeted therapy specifically designed to treat HER2+ metastatic or resistant breast cancer.

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TH17 Cell Cytokine

TH17 cells release IL-17, a key pro-inflammatory cytokine involved in various immune responses.

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Cytokines Directing T Cell Differentiation

IL-12 drives TH1 cell differentiation, while IL-4 promotes TH2 differentiation.

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Cytokines Directing T Cell Differentiation

IL-6 and TGFβ promote TH17 differentiation, while IL-2 and TGFβ favor Treg differentiation.

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TH2 Cell Cytokine

TH2 cells release IL-4, a cytokine that promotes the allergic and anti-parasitic responses.

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TH1 Cell Cytokine

TH1 cells release IFN-γ, a cytokine that activates macrophages and supports cell-mediated immunity.

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Treg Cell Cytokines

Treg cells release TGFβ and IL-10, cytokines known for their immune regulatory and immunosuppressive roles.

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IL-1β: Effects

IL-1β, a pro-inflammatory cytokine, is involved in several local and systemic inflammatory actions.

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CXCL8: Effects

CXCL8, a chemokine, attracts neutrophils, basophils, and T cells to sites of inflammation.

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IL-6: Effects

IL-6, a pro-inflammatory cytokine, has a diverse range of effects, both locally and systemically.

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IL-12: Effects

IL-12 is a vital cytokine for promoting NK cell activation and the differentiation of TH1 cells.

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TNF-α: Effects

TNF-α, a powerful pro-inflammatory cytokine, is involved in numerous inflammatory processes.

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What is Dexamethasone?

Synthesized corticosteroid that binds to corticosteroid receptors (CRs) to modulate inflammatory responses.

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What clinical applications does Dexamethasone have?

It's used to manage a wide range of inflammatory conditions including autoimmune disorders, and is a common preventative measure for organ transplant rejection.

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What are the main adverse effects of Dexamethasone?

Dexamethasone can weaken the immune system, leading to a higher risk of opportunistic infections.

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What is Rho(D) Immune Globulin?

A type of immune globulin used to prevent hemolytic disease in newborns.

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How does Rho(D) Immune Globulin work?

Prevents hemolytic disease of the newborn by binding to Rho(D) antigens on fetal red blood cells, facilitating their clearance from the maternal circulation.

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How does Muromonab-CD3 work?

A monoclonal antibody that binds to the CD3 protein on T cells, leading to initial activation followed by complex internalization and inactivation.

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What is the clinical application of Muromonab-CD3?

It's commonly used to prevent organ transplant rejection by suppressing the immune response to the transplanted organ.

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What are potential adverse effects of Muromonab-CD3?

Muromonab-CD3 can cause a cytokine release syndrome (CRS), a potentially serious condition involving widespread inflammation; it can also trigger immunogenic reactions.

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Explain the mode of action for Basiliximab.

A monoclonal antibody that blocks the IL-2 receptor, preventing IL-2 binding and blocking the maturation of T cells; this also decreases antibody production.

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What is the clinical application of Basiliximab?

Similar to Muromonab-CD3, Basiliximab is mainly used as an immunosuppressant to prevent organ transplant rejection.

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What are some adverse effects of Basiliximab?

Basiliximab, like other immunosuppressants, can increase the risk of opportunistic infections.

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What do Infliximab, Adalimumab, and Golimumab have in common?

These are monoclonal antibodies that bind to TNF-α, a pro-inflammatory cytokine, reducing its signaling and suppressing inflammatory cytokine production.

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What are the common clinical applications of Infliximab, Adalimumab, and Golimumab?

These medications are used to manage different inflammatory conditions mediated by TNF-α, including certain autoimmune conditions and inflammatory bowel disease.

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What are the common adverse effects of Infliximab, Adalimumab, and Golimumab?

These medications can suppress the immune system, increasing the risk of opportunistic infections.

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How is Imiquimod used clinically?

A topical medication used for treating precancerous tissues and lesions by stimulating the immune system to target and eliminate abnormal cells.

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How does Imiquimod work at a cellular level?

Imiquimod works by activating TLR7, a receptor found on immune cells, leading to their activation and the release of inflammatory cytokines which go on to target abnormal cells.

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What are some adverse effects of Imiquimod?

Common side effects of Imiquimod include localized inflammation and skin irritation at the application site.

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How does Rituximab work?

A monoclonal antibody that binds to CD20 on B cells, inducing antibody-dependent cell-mediated cytotoxicity (ADCC)

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What are the clinical applications of Rituximab?

Rituximab is used in the treatment of B cell lymphomas and autoimmune conditions.

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What are some adverse effects of Rituximab?

Rituximab can deplete healthy B cells, leading to a weakened immune system.

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How does Trastuzumab work?

A monoclonal antibody that binds to the overexpressed HER2 receptor, inducing Antibody-Dependent Cell-mediated Cytotoxicity (ADCC)

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What is the clinical indication for Trastuzumab?

Trastuzumab is used in the treatment of HER2+ breast cancer.

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How do Nivolumab and Pembrolizumab work?

Nivolumab and Pembrolizumab are known as checkpoint inhibitors, they bind to PD-1, preventing its interaction with PD-L1, which reverses T cell exhaustion and restores anti-tumor immune responses.

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What are the clinical applications for Nivolumab and Pembrolizumab?

Nivolumab and Pembrolizumab are used as immunotherapy in the treatment of various cancers.

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How does Atezolizumab work?

Atezolizumab is a checkpoint inhibitor that binds to PD-L1, preventing its interaction with PD-1, boosting T cell-mediated anti-tumor immunity.

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What are the main clinical applications for Atezolizumab?

Atezolizumab is used in the treatment of various cancers as an immunotherapy.

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How does Ipilimumab work?

Ipilimumab is a checkpoint inhibitor that binds to CTLA-4, blocking its inhibitory signaling, allowing T cell activation promoting anti-tumor immunity.

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What are the main clinical applications for Ipilimumab?

Ipilimumab is used in the treatment of various cancers as an immunotherapy.

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How does Rituximab work?

A monoclonal antibody that binds to CD20 on B cells, inducing antibody-dependent cell-mediated cytotoxicity (ADCC)

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What are the clinical applications of Rituximab?

Rituximab is used in the treatment of B cell lymphomas and autoimmune conditions.

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What are some adverse effects of Rituximab?

Rituximab can deplete healthy B cells, leading to a weakened immune system.

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What are the potential adverse effects of Basiliximab?

Basiliximab causes a weakening of the immune system that could make the body more prone to infections.

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How do Infliximab, Adalimumab, and Golimumab work?

A monoclonal antibody that binds to TNF-α, a pro-inflammatory cytokine, reducing its signaling and thereby suppressing inflammatory cytokine production.

Signup and view all the flashcards

What are the clinical applications of Infliximab, Adalimumab, and Golimumab?

These medications are used for managing inflammatory conditions mediated by TNF-α, including autoimmune disorders and inflammatory bowel disease.

Signup and view all the flashcards

What are the potential adverse effects of Infliximab, Adalimumab, and Golimumab?

A common adverse effect of these drugs is weakening the immune system, making the body more susceptible to infections.

Signup and view all the flashcards

What is the clinical application of Imiquimod?

Imiquimod, a topical medication, is used for treating pre-cancerous tissues and lesions by stimulating the immune system to target and eliminate abnormal cells.

Signup and view all the flashcards

How does Imiquimod work?

Imiquimod works by activating TLR7, a receptor on immune cells, leading to their activation and the release of inflammatory cytokines, which then target and destroy abnormal cells.

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What are the potential adverse effects of Imiquimod?

Commonly observed side-effects associated with Imiquimod include localized inflammation and skin irritation at the application site.

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What are the potential adverse effects of Rituximab?

Rituximab's primary side effect is the depletion of healthy B cells in the body.

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What is the clinical application of Nivolumab and Pembrolizumab?

Nivolumab and Pembrolizumab are checkpoint inhibitors, used in cancer immunotherapy. They block PD-1 interaction with PD-L1, reversing T cell exhaustion and restoring anti-tumor immunity.

Signup and view all the flashcards

What are the clinical applications of Atezolizumab?

Atezolizumab is another checkpoint inhibitor, primarily targeting PD-L1, enhancing anti-tumor immunity.

Signup and view all the flashcards

What is the clinical application of Ipilimumab?

Ipilimumab is a checkpoint inhibitor that targets CTLA-4, blocking its inhibitory signaling.

Signup and view all the flashcards

What is the clinical application of Brentuximab Vedotin?

Brentuximab Vedotin is a targeted therapy used in Hodgkin's lymphoma. It works by binding to CD30 and delivering MMAE, a microtubule inhibitor, which kills the cells.

Signup and view all the flashcards

What is the clinical application of Trastuzumab-Emtansine?

Trastuzumab-Emtansine (Kadcyla) is used to treat HER2+ metastatic or resistant breast cancer. It binds to HER2 receptors, delivering DM1, a microtubule inhibitor, which kills the cells.

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