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Heme Immunotherapy and antineoplastics Exam 2023 with complete solution What are two situ, Exams of Medicine

Heme Immunotherapy and antineoplastics Exam 2023 with complete solution What are two situations in which it would be advantageous to temporarily suppress inflammatory responses? - Answer<>Transplantation, treatment of autoimmune disease What are two situations in which it would be advantageous to enhance immune responses

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2024/2025

Available from 06/18/2025

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Heme Immunotherapy and antineoplastics Exam 2023
with complete solution
What are two situations in which it would be advantageous to temporarily suppress
inflammatory responses? - Answer<>Transplantation, treatment of autoimmune
disease
What are two situations in which it would be advantageous to enhance immune
responses? - Answer<>Prevention/treatment of infectious diseases and cancer
what type of immunization is Vaccination considered (active vs passive)? What type
of response is elicited preferably? - Answer<>Active immunization
Humoral response (antibody production from B/plasma cells)- this is preferably to
cell-mediated immunity
what two bacteria are targeted in Caries Vaccines? How do they prevent the
bacterial disease process? Is there a commercially available vaccine for caries? -
Answer<>Streptococcus mutans and Streptococcus subrinus
prevent adherence of bacteria via generation of secretory IgA antibodies and
targeting isolated antigens needed by bacteria in plaque formation
there is no commercially active vaccine available
what are two given categories of immunostimulants? How do they work? -
Answer<>1. Thymic extracts such as Thymosin and Thymostimulin
-induce T-cell maturation
-especially effective in patients with absence of thymus (DiGeorge Syndrome)
2. Levamisole (ergamisol)
-antihelminthic agent
-thymomimetic effects; affects multiple cell populations as well (PMNs, MQs, etc.)
-show to be effective for recurrent aphthous ulcers and herpes labialis
What type of immunity is generated in antibody therapy (active vs passive) vs a
vaccine? How is this immunity different? - Answer<>Antibody therapy is PASSIVE
immunization, vs vaccines which are ACTIVE
passive immunization provides antibodies but does not induce autonomous
generation of them; therefore antibody therapies are subjected to half-lives
what are two main uses for polyclonal antibodies (what can they treat)? -
Answer<>1. PASSIVE IMMUNITY for diseases in which there is a deficiency in
humoral immunity (such as multiple myeloma)- provides rapid (but short lasting)
immunity
2. ANTITOXIN/ANTIVENIN to bind to and neutralize toxic compounds such as
rattlesnake venom, diptheria toxin, etc.
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Heme Immunotherapy and antineoplastics Exam 2023

with complete solution

What are two situations in which it would be advantageous to temporarily suppress inflammatory responses? - Answer<>Transplantation, treatment of autoimmune disease What are two situations in which it would be advantageous to enhance immune responses? - Answer<>Prevention/treatment of infectious diseases and cancer what type of immunization is Vaccination considered (active vs passive)? What type of response is elicited preferably? - Answer<>Active immunization Humoral response (antibody production from B/plasma cells)- this is preferably to cell-mediated immunity what two bacteria are targeted in Caries Vaccines? How do they prevent the bacterial disease process? Is there a commercially available vaccine for caries? - Answer<>Streptococcus mutans and Streptococcus subrinus prevent adherence of bacteria via generation of secretory IgA antibodies and targeting isolated antigens needed by bacteria in plaque formation there is no commercially active vaccine available what are two given categories of immunostimulants? How do they work? - Answer<>1. Thymic extracts such as Thymosin and Thymostimulin

  • induce T-cell maturation
  • especially effective in patients with absence of thymus (DiGeorge Syndrome)
  1. Levamisole (ergamisol)
  • antihelminthic agent
  • thymomimetic effects; affects multiple cell populations as well (PMNs, MQs, etc.)
  • show to be effective for recurrent aphthous ulcers and herpes labialis What type of immunity is generated in antibody therapy (active vs passive) vs a vaccine? How is this immunity different? - Answer<>Antibody therapy is PASSIVE immunization, vs vaccines which are ACTIVE passive immunization provides antibodies but does not induce autonomous generation of them; therefore antibody therapies are subjected to half-lives what are two main uses for polyclonal antibodies (what can they treat)? - Answer<>1. PASSIVE IMMUNITY for diseases in which there is a deficiency in humoral immunity (such as multiple myeloma)- provides rapid (but short lasting) immunity
  1. ANTITOXIN/ANTIVENIN to bind to and neutralize toxic compounds such as rattlesnake venom, diptheria toxin, etc.

What are two unique uses for Monoclonal antibodies other than immunosuppression? - Answer<>1. Diagnostic use to identify infectious diseases and to monitor concentrations of hormones and chemotherapeutics in plasma

  1. Their exquisite specificity makes them ideal guidance systems as carries for cytotoxic agents What are three given examples of Monoclonal antibodies, and what are they used for? - Answer<>Abciximab- novel antiplatelet for unstable angina Basiliximab- prevent allograft rejection Cetuximab- for H&N and colorectal cancers What is the purpose for different generations of Monoclonal Antibodies? What is the trend for the increase in generation number? - Answer<>the potential for immunogenic responses by the host will decrease as you use further generation treatments. 1st generation Mabs are 0% human (rodent), and then as you go to 4th generation Mabs which are 100% human, you have less of a chance of immunogenic reaction because it better resembles human identity Describe 1st generation Monoclonal antibodies - Answer<>Murine (0% human) suffix: - OMAB (such as Muromonab) describe 2nd generation Monoclonal antibodies - Answer<>Chimeric (65% human) suffix: - ximab (such as abciximab, basiliximab, cetuximab) describe 3rd generation Monoclonal antibodies - Answer<>Humanized (>90% human) suffix: - zumab describe 4th generation Monoclonal antibodies. What is an example? - Answer<>Fully Human (100%) suffix: - umab Ex: Humira - used to treat Rheumatoid arthritis How does Abciximab work and what is it used to treat? What generation Mab is it? - Answer<>binds to platelet glycoprotein IIB/IIIa receptors and prevents binding to fibrinogen antiplatelet agent to treat clotting disorders and unstable angina 2nd gen (-ximab)

what disease state involves Th1 or Th2 cytokines? - Answer<>IgE-mediated allergic disease involves overactivation of Th2 cells long-term treatment success corresponds with shifting antibody isotypes from IgE to IgG Which of the mentioned anti-tumor agents are not cell cycle specific? - Answer<>Alkylating agents (cyclophosphamide) Antibiotics (Bleomycin) Cisplatin Nitrosauria What type of drug is cyclophosphamide? - Answer<>Alkylating agent (anti-tumor) What type of drug is Methotrexate &/or 5-Flurouracil? - Answer<>Antimetabolites (anti-tumor) What type of drug is bleomycin? - Answer<>Antibiotic (anti-tumor) How do alkylating agents work as anti-tumor agents? Give an example. What are two major draw backs? - Answer<>Form alkyl radicals which covalently bond to components of DNA, RNA, and proteins - > inhibits replication; destructive to rapidly dividing cells ex: cyclophosphamide drawbacks are:

  1. mutagenic, teratogenic, etc. due to ability to cause DNA damage and mutate
  2. myelosuppression/immunosuppression so susceptibility to infections are common (damages actively dividing WBCs) What is an anti-tumor agent that acts similarly to alkylating agents? How does it work? - Answer<>Cisplatin alkylates and forms DNA strand breaks similar drawbacks as alkylating agents (teratogenic, immune suppression) How do antimetabolites work as anti-tumor agents? Give 2 examples. What are some oral manifestations of antimetabolite side effects? - Answer<>structurally mimic folic acid, purines, & pyrimidines and inhibit production of molecules needed for DNA synthesis; inhibit growth of rapidly dividing cells
  • methotrexate inhibits Tetrahydrafolate replenishment or some shit

Ex: Methotrexate and 5-Flurouracil Oral manifestations include ulcerative stomatitis, glossitis, mucositis, and gingivitis How do certain antibiotics work as anti-tumor agents? Give an example. What is a special feature of the particular example that was given? - Answer<>form irreversible complexes with DNA (intercalation) which inhibit cell division; work on different cell cycle phases so they are NON-SPECIFIC in their action ex: Bleomycin Bleomycin can also excise and fragment DNA How do Vinka Alkaloids work as anti-tumor agents? - Answer<>Arrest cell division in metaphase by binding to tubulin and prevent mitotic spindle FORMATION How do Taxanes work as anti-tumor agents? What are some examples - Answer<>Act by binding to cellular tubulin and prevent microtubule DISSASEMBLY and locks them in a polymerized state, arresting the cell in the M phase ex: pacliTAXel, doceTAXel What are 5 examples of hormone agonist/antagonists as anti-tumor agents? - Answer<>Tamoxifen androgens flutamide estrogens prednisone What hormone agonist/antagonist is used as an anti-tumor agent for adenocarcinoma of the breast? how does it work? - Answer<>tamoxifen estrogen receptor antagonist- decreases estrogen production by tumor What hormone agonist/antagonist is used as an anti-tumor agent for prostate cancer? - Answer<>flutamide testosterone receptor antagonist What hormone agonist/antagonist is used as an anti-tumor agent for ADVANCED prostatic carcinoma? how does it work - Answer<>estrogen (antagonizes/opposes testosterone) What hormone agonist/antagonist is used as an anti-tumor agent in combination with other agents in treating ALL/CLL, HL, lymphoma, MM? - Answer<>prednisone