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122         SECTIon II    Immunology  ` Immunology—ImmunoSuppreSSantS





               Therapeutic antibodies
                agent                target                      clInIcal uSe                noteS
                Cancer therapy
                Alemtuzumab          CD52                        CLL, multiple sclerosis     “Alymtuzumab”—chronic
                                                                                              lymphocytic leukemia
                Bevacizumab          VEGF                        Colorectal cancer, renal cell   Also used for neovascular age-
                                                                  carcinoma, non-small cell   related macular degeneration,
                                                                  lung cancer                 proliferative diabetic
                                                                                              retinopathy, and macular
                                                                                              edema
                Rituximab            CD20                        B-cell non-Hodgkin          Risk of PML in patients with
                                                                  lymphoma, CLL, rheumatoid   JC virus
                                                                  arthritis, ITP, multiple   CD20—“ri2ximab”
                                                                  sclerosis
                Trastuzumab          HER2                        Breast cancer, gastric cancer  HER2—“tras2zumab”
                Autoimmune disease therapy
                Adalimumab,          Soluble TNF-α               IBD, rheumatoid arthritis,   Etanercept is a decoy
                 infliximab                                       ankylosing spondylitis,     TNF-α receptor and not a
                                                                  psoriasis                   monoclonal antibody
                Eculizumab           Complement protein C5       Paroxysmal nocturnal
                                                                  hemoglobinuria
                Ixekizumab,          IL-17A                      Psoriasis, psoriatic arthritis
                 secukinumab
                Natalizumab          α4-integrin                 Multiple sclerosis, Crohn   α4-integrin: WBC adhesion
                                                                  disease                    Risk of PML in patients with
                                                                                              JC virus
                Ustekinumab          IL-12/IL-23                 Psoriasis, psoriatic arthritis
                 Other applications
                Abciximab            Platelet glycoproteins IIb/IIIa  Antiplatelet agent for   ABC is as easy as 123
                                                                  prevention of ischemic
                                                                  complications in patients
                                                                  undergoing percutaneous
                                                                  coronary intervention
                Denosumab            RANKL                       Osteoporosis; inhibits osteoclast Denosumab helps make dense
                                                                  maturation (mimics          bones
                                                                  osteoprotegerin)
                Omalizumab           IgE                         Refractory allergic asthma;
                                                                  prevents IgE binding to FcεRI
                Palivizumab          RSV F protein               RSV prophylaxis for high-risk   PaliVIzumab—VIrus
                                                                  infants




















          FAS1_2019_02-Immunology.indd   122                                                                            11/7/19   3:24 PM
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