Cancer Immunotherapy Drugs
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Questions and Answers

A patient undergoing treatment develops cytokine release syndrome (CRS). Which class of therapies is most likely contributing to this adverse effect?

  • Telomerase Inhibitors
  • HDAC Inhibitors
  • CAR-T Therapies (correct)
  • Nuclear Export Inhibitors

A researcher is studying a novel drug that promotes the activation of NK cells by increasing IL-2 and interferon gamma levels. Which of the following drugs shares a similar mechanism of action?

  • Venetoclax
  • Thalidomide (correct)
  • Acalabrutinib
  • Tafasitamab

A patient with acute promyelocytic leukemia (APL) is being treated with a drug that induces differentiation of malignant cells. Which of the following drugs shares this mechanism of action through the degradation of PML-RARα?

  • Asparaginase
  • Omacetaxine Mepesuccinate
  • Arsenic Trioxide (correct)
  • Idelalisib

A researcher aims to inhibit protein synthesis in leukemia cells by targeting ribosomes. Which drug should they select for this experiment?

<p>Omacetaxine Mepesuccinate (A)</p> Signup and view all the answers

A scientist is developing a new therapy to induce apoptosis in cancer cells by targeting BCL-2. Which of the following drugs functions through a similar mechanism?

<p>Venetoclax (D)</p> Signup and view all the answers

A patient undergoing treatment with methoxsalen (Uvadex) should be monitored for potential complications arising from which primary mechanism of action?

<p>Interference with the DNA replication and repair processes, leading to cell death. (B)</p> Signup and view all the answers

In the treatment of acute promyelocytic leukemia (APL), which drug directly influences the PML-RARα fusion protein, thereby promoting differentiation of leukemic cells into normal white blood cells?

<p>Tretinoin (ATRA) (C)</p> Signup and view all the answers

Which therapeutic agent selectively binds to and activates retinoid X receptors (RXR), playing a crucial role in modulating cellular differentiation and proliferation pathways?

<p>Bexarotene (D)</p> Signup and view all the answers

A patient undergoing treatment with tretinoin (ATRA) should be closely monitored for which severe adverse effect, indicative of differentiation syndrome and rapid proliferation of white blood cells?

<p>RA-APL syndrome and leukocytosis (A)</p> Signup and view all the answers

Pembrolizumab and nivolumab enhance the body's immune response against cancer cells by disrupting which specific interaction?

<p>Blocking T-cell inhibition by targeting the PD-1 receptor (B)</p> Signup and view all the answers

Which monoclonal antibody is engineered to specifically target the CD19 protein found on the surface of B-cells, making it a valuable tool in treating certain B-cell lymphomas?

<p>Tafasitamab (B)</p> Signup and view all the answers

A patient with relapsed or refractory B-cell lymphoma is being considered for treatment. Which combination of monoclonal antibodies is designed to target the CD20 protein on B-cells, initiating cell death and reducing the tumor burden?

<p>Rituximab, ofatumumab (A)</p> Signup and view all the answers

Brentuximab vedotin disrupts cellular division by interfering with what key process?

<p>Tubulin polymerization (D)</p> Signup and view all the answers

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Quel droga promote le activation de cellulas NK per augmentar le nivellos de IL-2 e interferon gamma?

<p>Thalidomide (C)</p> Signup and view all the answers

Qual effecto adverse es plus probabile in patientes tractate con agentes qui bloca le menin e le transcription aberrente?

<p>Syndrome de differentiation (A)</p> Signup and view all the answers

Qual droga directe-mente degrada PML-RAR-a, inducente differentiation de cellulas leucemic?

<p>Arsenic trioxide (C)</p> Signup and view all the answers

Qual es le objectivo de CD19 pro le therapia CAR-T, con EXCEPTION de un del agentes listate?

<p>Tisagenlecleucel (A)</p> Signup and view all the answers

Qual mechanismo de action es associate con imetelstat?

<p>Inhibition de telomerase (D)</p> Signup and view all the answers

Which therapeutic approach directly targets the CD38 protein on myeloma cells, leveraging Fc regions to engage NK cells?

<p>Daratumumab (B)</p> Signup and view all the answers

A patient with relapsed multiple myeloma is being considered for a bispecific T-cell engager that targets GPRC5D. Which of the following medications fits this description?

<p>Talquetamab (D)</p> Signup and view all the answers

Which drug inhibits the activity of histone deacetylases (HDACs) to treat T-cell lymphomas and multiple myeloma?

<p>Panobinostat (B)</p> Signup and view all the answers

Which of the following drugs is designed to inhibit the Menin-MLL interaction, which is crucial for KMT2A-rearranged leukemias?

<p>Revumenib (A)</p> Signup and view all the answers

Which drug is used in the treatment of acute myeloid leukemia (AML) by targeting mutant IDH1 or IDH2 enzymes?

<p>Ivosidenib (C)</p> Signup and view all the answers

A patient with chronic lymphocytic leukemia (CLL) has developed resistance to traditional therapies. Which drug, targeting BCL-2, might be considered to induce apoptosis in these resistant cancer cells?

<p>Venetoclax (D)</p> Signup and view all the answers

Which cellular therapy targets the BCMA protein on multiple myeloma cells?

<p>Idecabtagene vicleucel (A)</p> Signup and view all the answers

Which drug is designed to inhibit the exportin 1 (XPO1) protein, leading to the accumulation of tumor suppressor proteins in the nucleus?

<p>Selinexor (D)</p> Signup and view all the answers

Qual es le consequentia immediate de blocar le interaction inter PD-1 e su ligando in le therapia de cancere?

<p>Augmentation del responsa del systema immunitari per disinhibir cellulas T. (C)</p> Signup and view all the answers

Qual scopo specific ha le anticorpore monoclonal obinutuzumab in le therapia de lymphoma?

<p>Ciblar e initier le morte de cellulas B exprimiente CD20 de typo II. (C)</p> Signup and view all the answers

Qual es le mechanismo de action primari de brentuximab vedotin in le tractamento de lymphoma?

<p>Inhibi le polymerisation de tubulina, perturbante le division cellular. (D)</p> Signup and view all the answers

Qual therapia es plus probabile causar le syndrome de release de cytokines (CRS) per su mechanismo de action?

<p>Anticorpores BiTE (bispecific T-cell engager). (D)</p> Signup and view all the answers

Qual scopo molecular ha le administration de glasdegib in certe tractamentos de cancere?

<p>Blocar le proteina lisciante (SMO). (C)</p> Signup and view all the answers

Qual mechanismo differentia asciminib ab altere STIs que ciba le cromosoma Philadelphia (Ph)?

<p>Illo es Ph specific. (A)</p> Signup and view all the answers

Qual consequentia es plus probabile que resultara de un tractamento con brentuximab vedotin que affice le polymerisation de tubulina?

<p>Neuropathia peripheric. (C)</p> Signup and view all the answers

Qual mechanismo de action define omacetaxine mepesuccinat in le therapia de cancere?

<p>Bloca le synthesis de proteina per ligar se al ribosomas. (D)</p> Signup and view all the answers

Flashcards

Idelalisib

A drug that inhibits the PI3K pathway, used in certain leukemias.

Venetoclax

A BCL-2 inhibitor used to treat chronic lymphocytic leukemia (CLL).

Omacetaxine mepesuccinate

Inhibits protein synthesis by binding ribosomes, used in leukemia.

Romidepsin

An HDAC inhibitor used to treat cutaneous T-cell lymphoma (CTCL).

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Cytokine release syndrome (CRS)

A severe adverse effect associated with CAR-T therapies.

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Methoxsalen (Uvadex) action

Inhibits DNA synthesis and damages DNA.

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Tretinoin (ATRA) function

Activates PML-RAR to inhibit differentiation and increase WBC production.

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Bexarotene activity

Activates RXR receptors.

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Tretinoin major side effect

RA-APL syndrome and leukocytosis.

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Pembrolizumab/Nivolumab mechanism

Blocks PD-1 to enhance T-cell activity.

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Tafasitamab target

Monoclonal antibody that targets CD19.

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FLT3 inhibitor example

Midostaurin is an FLT3 inhibitor.

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Blinatumomab targets

Targets CD3 & CD19 to engage T-cells.

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Mutant IDH Blockers

Drugs that can cause differentiation syndrome.

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Inhibit Telomerase

Drugs that prevent the maintenance of telomeres, using telomerase inhibitors.

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CAR-T Therapy

A treatment that modifies T-cells to target cancer cells, associated with CRS.

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Hydroxyurea

Inhibits ribonucleotide reductase and DNA synthesis.

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Thalidomide function

Enhances IL-2 and interferon gamma to boost NK cell activity.

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Photodynamic therapy

Therapy that uses light-sensitive drugs to inhibit DNA synthesis and damage DNA.

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Retinoids

Compounds that promote cell differentiation and increase normal WBC counts, e.g., tretinoin.

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PD-1 Inhibitors

Drugs like Pembrolizumab and Nivolumab that block PD-1 to boost T-cell immune response.

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Anti-CD19 mAbs

Monoclonal antibodies like Tafasitamab target CD19 to treat B-cell malignancies.

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Anti-CD22 mAbs

Monoclonal antibodies like Inotuzumab Ozogamicin target CD22 in B-cell diseases.

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BITE antibodies

Bispecific antibodies like Blinatumomab that engage T-cells by targeting CD3 and CD19.

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Proteasome inhibitors

Drugs like Bortezomib that inhibit proteasomes to disrupt protein degradation in cancer.

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BCL-2 Blockers

Drugs like Venetoclax that inhibit BCL-2 to induce apoptosis in cancer cells.

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Multiple Myeloma

A type of cancer affecting plasma cells in the bone marrow.

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B-cell Lymphoma

Cancer that develops from B lymphocytes (a type of white blood cell).

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CD19 Targeting

A monoclonal antibody therapy that targets CD19 on B-cell cancers.

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BCMA Targeting

Targets B-cell maturation antigen (BCMA) on myeloma cells.

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Imatinib Use

A drug that inhibits mutant kinase receptors, treating chronic myeloid leukemia (CML).

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Venetoclax Mechanism

Inhibits BCL-2, inducing apoptosis in cancer cells, especially in CLL.

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CAR-T Cells

A form of immunotherapy using genetically modified T cells to fight cancer.

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FLT3 Mutation Targeting

Use of FLT3 inhibitors like midostaurin in acute myeloid leukemia (AML).

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Study Notes

Methoxsalen (Uvadex) Mechanism of Action

  • Inhibits DNA synthesis and damages DNA

PML-RAR Activation Drug

  • Tretinoin (ATRA) activates PML-RAR to inhibit differentiation and increase normal white blood cell (WBC) production.

RXR Receptor Activator

  • Bexarotene activates RXR receptors.

Tretinoin (ATRA) Side Effect

  • A major side effect of tretinoin (ATRA) is RA-APL syndrome and leukocytosis.

Pembrolizumab and Nivolumab Action

  • These drugs block the inhibition of T-cells via PD-1.

CD19 Targeting Monoclonal Antibody

  • Tafasitamab targets CD19.

CD20 Targeting Monoclonal Antibodies

  • Rituximab, ofatumumab, and obinutuzumab target CD20.

Tubulin Polymerization Inhibitor

  • Brentuximab vedotin inhibits tubulin polymerization.

SLAMF Targeting Drug

  • Elotuzumab targets SLAMF and increases natural killer (NK) cells.

Blinatumomab and Mosunetuzumab Targets

  • Blinatumomab and mosunetuzumab target CD3 and CD19.

JAK Inhibitors

  • Fedratinib, pacritinib, ruxolitinib, are JAK inhibitors.

BTK Inhibitors

  • Ibrutinib, acalabrutinib, and zanubrutinib are BTK inhibitors.

SMO Signaling Inhibitor

  • Glasdegib specifically blocks SMO signaling.

FLT3 Inhibitor

  • Midostaurin is an FLT3 inhibitor.

PI3K Inhibitor

  • Idelalisib, duvelisib, alpelisib, and inavolisib are PI3K inhibitors.

Protein Synthesis Inhibitor

  • Omacetaxine mepesuccinate inhibits protein synthesis by binding to ribosomes.

HDAC Inhibitor

  • Romidepsin, vorinostat, belinostat, and panobinostat are HDAC inhibitors.

HMT Inhibitor

  • Tazemetostat inhibits HMT.

Nuclear Export Inhibitor

  • Selinexor is a nuclear export inhibitor.

Telomerase Inhibitor

  • Imetelstat inhibits telomerase.

Differentiation Syndrome Drug

  • Ivosidenib, enasidnib, and olutasidenib are associated with differentiation syndrome.

Asparagine Depleting Drug

  • Asparaginase depletes asparagine from plasma.

PML-RAR Degradation Effect

  • Arsenic trioxide degrades PML-RARα, leading to differentiation.

NK Cell Activator

  • Thalidomide increases IL-2 and interferon gamma to activate NK cells.

BCMA Targeting CAR-T Therapy

  • Idecabtagene vicleucel targets BCMA.

CAR-T Therapy Side Effect

  • Cytokine release syndrome (CRS) is a severe adverse effect of CAR-T therapies.

BCL2 Inhibitor

  • Venetoclax is a BCL2 inhibitor

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Description

Explore the mechanisms of action and key targets of cancer immunotherapy drugs. Learn about T-cell inhibition blockers, monoclonal antibodies targeting CD19 and CD20, tubulin polymerization inhibitors, and drugs targeting SLAMF. Also covered are Blinatumomab, Mosunetuzumab, and JAK inhibitors.

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