Alefacept

Alefacept
Klinički podaci
Drugs.com	Monografija
Način primene	Intramaskularno
Farmakokinetički podaci
Poluvreme eliminacije	~270 h

Identifikatori
CAS broj	222535-22-0^Y
ATC kod	L04AA15 (WHO)
DrugBank	DB00092^Y
UNII	ELK3V90G6C^Y
KEGG	D02800^Y
ChEMBL	CHEMBL1201571^Y
Hemijski podaci
Formula	C₂₃₀₆H₃₅₉₄N₆₁₀O₆₉₄S₂₆
Molarna masa	51801.1

Alefacept je korišten za kontrolisanje inflamacije pri umerenoj do jake psorijaze sa formiranjem plakova. On ometa aktivaciju limfocita.^[1] Alefacept je imunosupresivni dimerni fuzioni protein koji se sastoji od ekstracelularne CD2-vezujuće porcije ljudskog leukocnog funkcionog antigena-3 (LFA-3) vezanog za Fc (zglobin, CH2 i CH3 domain) porciju ljudskog IgG1.^[2]^[3]^[4]^[5]^[6]

Reference

^ „New drugs”. Australian Prescriber. 27 (101): 5. 2004. Архивирано из оригинала 24. 08. 2006. г. Приступљено 20. 8. 2006.
^ Koo JY, Bagel J, Sweetser MT, Ticho BS: Alefacept in combination with ultraviolet B phototherapy for the treatment of chronic plaque psoriasis: results from an open-label, multicenter study. J Drugs Dermatol. 2006 Jul-Aug;5(7):623-8. PMID 16865867
^ Krell JM: Use of alefacept and etanercept in 3 patients whose psoriasis failed to respond to etanercept. J Am Acad Dermatol. 2006 Jun;54(6):1099-101. PMID 16713481
^ Parrish CA, Sobera JO, Robbins CM, Cantrell WC, Desmond RA, Elewski BE: Alefacept in the treatment of psoriatic nail disease: a proof of concept study. J Drugs Dermatol. 2006 Apr;5(4):339-40. PMID 16673801
^ Knox C, Law V, Jewison T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS (2011). „DrugBank 3.0: a comprehensive resource for omics research on drugs”. Nucleic Acids Res. 39 (Database issue): D1035—41. PMC 3013709 . PMID 21059682. doi:10.1093/nar/gkq1126. уреди
^ David S. Wishart; Craig Knox; An Chi Guo; Dean Cheng; Savita Shrivastava; Dan Tzur; Bijaya Gautam; Murtaza Hassanali (2008). „DrugBank: a knowledgebase for drugs, drug actions and drug targets”. Nucleic acids research. 36 (Database issue): D901—6. PMC 2238889 . PMID 18048412. doi:10.1093/nar/gkm958. уреди

Literatura

Hardman JG, Limbird LE, Gilman AG (2001). Goodman & Gilman's The Pharmacological Basis of Therapeutics (10. изд.). New York: McGraw-Hill. ISBN 0071354697. doi:10.1036/0071422803.
Thomas L. Lemke; David A. Williams, ур. (2007). Foye's Principles of Medicinal Chemistry (6. изд.). Baltimore: Lippincott Willams & Wilkins. ISBN 0781768799.

Spoljašnje veze

Alefacept

Imunomodulatori: Imunosupresivni lekovi / Imunosupresanti (L04)

Intracelularni
(inicijacija)

Antimetaboliti	inhibitor sinteze purinа: Azatioprin • Mikofenolna kiselina/Mikofenolat mofetil inhibitor sinteze pirimidina: Leflunomid • Teriflunomid antifolat: Metotreksat
Makrolidi/ drugi IL-2 inhibitori	FKBP/Ciklofilin/Kalcineurin: Takrolimus • Ciklosporin • Pimekrolimus Abetimus • Gusperimus
TNF-α inhibitor	Talidomid • Lenalidomid

Intracelularni
(recepcija)

Antagonisti IL-1 receptora	Anakinra
mTOR	Sirolimus • Deforolimus • Everolimus • Temsirolimus • Zotarolimus • Biolimus A9

Ekstracelularni

Antitela

Monoklonalna

Serum cilj (non-celularni)	Dopunska komponenta 5 (Eculizumab) • TNF (Infliksimab, Adalimumab, Certolizumab pegol, Afelimomab, Golimumab) • Interleukin 5 (Mepolizumab) • Imunoglobulin E (Omalizumab) • BAYX (Nerelimomab) Interferon (Faralimomab) IL-6 (Elsilimomab) IL-12 i IL-13 (Lebrikizumab, Ustekinumab)
Celularni ciljevi	CD3 (Muromonab-CD3, Oteliksizumab, Teplizumab, Visilizumab) • CD4 (Klenoliksimab, Keliksimab, Zanolimumab) • CD11a (Efalizumab) • CD18 (Erlizumab) • CD20 (Afutuzumab, Ocrelizumab, Pascolizumab) • CD23 (Lumiliksimab) • CD40 (Teneliksimab, Toralizumab) • CD62L/L-selektin (Aselizumab) • CD80 (Galiksimab) • CD147/Basigin (Gavilimomab) • CD154 (Ruplizumab) BLyS (Belimumab) • CTLA-4 (Ipilimumab, Tremelimumab) • CAT (Bertilimumab, Lerdelimumab, Metelimumab) • Integrin (Natalizumab) • Interleukin-6 receptor (Tocilizumab) • LFA-1 (Odulimomab) IL-2 receptor/CD25 (Basiliksimab, Daklizumab, Inolimomab) T-limfocit (Zolimomab aritoks)
Nesortirani	Atorolimumab, Cedelizumab, Dorliksizumab, Fontolizumab, Gantenerumab, Gomiliksimab, Maslimomab, Morolimumab, Pekselizumab, Reslizumab, Rovelizumab, Siplizumab, Talizumab, Telimomab aritoks, Vapaliksimab, Vepalimomab