Exam 2- 1/2 Flashcards

(49 cards)

1
Q

tumor targeting antibodies

A

monoclonal antibody designed to target oncoproteins expressed by tumor cells and to cause an immune response that destroys cancer cells (target therapy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

immunomodulatory antibody

A

monoclonal antibodies specifically interacts with immuno-regulatory molecules, which elicits or restores an existing anti-cancer immune response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

adoptive T cell transfer

A

treatment using host T cells to boost the natural ability of immune activity to fight cancer. T cells are isolated from the patients’ tumor and grown into large batches in the lab. these T cells are then infused into the patient body to enhance immune response against cancer cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

immunostimulatory cytokines

A

multiple functional proteins that play important roles in body’s immune responses and have the immune-regulator activity to control cancer cell growth. the 2 pain types of cytokines used to treat cancer are interferon alpha/beta and IL-2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

cancer-therapeutic vaccines

A

APC with PAP/GM-CSF as the active component of the vaccine to stimulate immune response against cancer. sipuleucel-T is the first FDA approved therapeutic vaccine for prostate cancer treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

innate immunity agonists

A

bacillus calmette-guerin (BCG): an innate immunity-stimulus used to treat bladder cancer. when inserted directly into the bladder with a catheter, BCG causes a strong innate immune/inflammatory response against cancer cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

monoclonal antibodies (mAbs)

A

produced from a single B lymphocyte, either from mouse, human or other species

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

murine mAbs

A

derived entirely from mouse, usually mouse hybridoma cells by the fusion of mouse myeloma cells with spleen B- cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

chimeric mAbs

A

molecularly constructed IgG with the variable regions derived from a murine source and constant region from human

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

humanized mAbs

A

molecularly constructed IgG with the antigen-binding sequences (CDRs) derived from a mouse and all others from human

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

human mAbs

A

derived entirely from a human source, currently by transgenic mice, phage display, human hybridoma and human B cell lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

therapeutic antibody MOAs

A
  1. naked therapeutic antibody.
  2. conjugated therapeutic antibody
  3. immuno-regulatory therapeutic antibody
  4. bispecific (dual targeting) antibody
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

naked therapeutic antibody

A

directly targets receptors or oncoproteins on cell surface of tumor cells to exert killing and growth inhibition effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

conjugated therapeutic antibody

A

targeting cell surface proteins for delivering highly potent cytotoxins or radioisotopes for tumor cell killing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

immuno-regulatory therapeutic antibody

A

remove the inhibitory signals and restore T cell response to eliminate tumors (aka immune checkpoint therapy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

bispecific antibody

A

engage T cell CD3 and cellular markers on tumor cells to facilitate T cell-mediated tumor cytotoxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

conjugated therapeutic antibodies are conjugated with

A

highly potent cytotoxins known as antibody-drug conjugates (ADC) (tubulin/DNA inhibitors) or radio-isotopes (iodine/yttrium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

maytansinoid & monomethyl auristatin E (MMAE)

A

tubulin inhibitors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

calicheamicin

A

DNA inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

tositumomab

21
Q

ibritumomab

22
Q

ipilimumab

A
CTLA-4 inhbitor
Yervoy
human mAb
melanoma
ADRs: immune-mediated rxns
23
Q

nivolumab and pembrolizumab

A
PD-1 inhibitor
human mAb
Opdivo
melanoma
squamous NSCLC
ADRs: immune-mediated rxns
24
Q

trastuzumab is specific to

A

HER2
aka Herceptin
humanized

25
cetuximab is specific to
EGFR (HER1) (Erbitux) chimeric
26
ado-trastuzumab emtansine is specific to
HER2 kadcyla humanized linked with maytansinoid
27
Severe ADR of trastuzumab
cardiomyopathy (7%) | also some pulmonary tox
28
what cancers is cetuximab used in?
head and neck cancer | colorectal cancer withour KRAS mutation
29
premedicate cetuximab with
an H1 antagonists
30
cetuximab severe ADRs
cardiopulmonary arrest and sudden death. | also dermatologic toxicity- liming sun exposure
31
bevacizumab is specific to
VEGF Avastin humanized
32
bevacizumab MOA
binds to VEGF (NOT the receptor) and prevents interaction
33
bevacizumab indications
metastatin colorectal cancer, non-squamouse NSCLC, glioblastoma, metastatic renal cell carcinoma
34
bevacizumab severe ADRs
GI perforation (2%), wound healing complications, hemorrhage
35
rituximab
naked antibody specific to CD20 Rituxan chimeric NHL
36
tositumomab
I-131 labeled antiboy specific to CD-20
37
alemtuzumab
naked antibody specific to CD52
38
brentuximab vedotin
antibody-drug conjugate (ADC) targeting CD30 for drug deliver
39
premedicate rituxan with
APAP and an antihistamine
40
severe ADRs with rituxan
infusion rxns, tumor lysis syndrome, severe mucocutaneous rxns, progressive multifocal leukoencephalopathy
41
ibrituxumomab tiuxetan
murine IgG conjugated with indium-111 or yttrium-90 Zevalin specific to CD20 NHL
42
ibrituxumomab serious ADRs
infusion rxn, severe cytopenias, hematologic toxicity (delayed in onset and takes 2-4 wks to recover), cutaneous and mucocutaneous rxn (fatal)
43
brentuximab vedotin (an ADC)
chimeric conjugated with MMAE binds CD 30 Adcetris hodgkin lymphoma
44
patient's to receive brentuximab must have
good renal and liver function
45
3 major ADRs of brentuximab
bone marrow damage, reproductive damage, liver damage
46
what 2 signals are required for T cell activation?
TCR/MHC complex and CD28/B7
47
CTLA-4 blocks
co-stimulation and therefor no T cell activation
48
blinatumomab
bispecific human mAb CD3 and CD19 Blincyto ph negative ALL
49
blinatumomab ADRs
side effects from both the tumor side and T cell activation