Product Name

Natalizumab

CAS Number

189261-10-7

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Product Name:
Natalizumab
CAS Number:
189261-10-7
Indication:
For treatment of multiple sclerosis.
Mode of Action:

Binds to the α4-subunit of α4b 1 and α4b 7 integrins expressed on the surface of all leukocytes except neutrophils, and inhibits the α4-mediated adhesion of leukocytes to their counter-receptor(s).

Pharmacodynamics:

In multiple sclerosis, lesions are believed to occur when activated inflammatory cells, including T-lymphocytes, cross the blood-brain barrier (BBB). Leukocyte migration across the BBB involves interaction between adhesion molecules on inflammatory cells, and their counter-receptors present on endothelial cells of the vessel wall. The clinical effect of natalizumab in multiple sclerosis may be a secondary result of its blockade of the molecular interaction of a 4b 1-integrin expressed by inflammatory cells with VCAM-1 on vascular endothelial cells, and with CS-1 and/or osteopontin expressed by parenchymal cells in the brain. α4-integrin is required for white blood cells to move into organs, therefore, natalizumab prevents these immune cells from crossing blood vessel walls to reach affected organs thereby decreasing inflamation.

Metabolism:

Most likely removed by opsonization via the reticuloendothelial system when bound to leukocytes.

ATC:
L04AA23
DrugBank:
DB00108 (BTD00083, BIOD00083)
AHFS Code:
32:00.0
General Reference:
General Reference:

Ghosh S, Goldin E, Gordon FH, Malchow HA, Rask-Madsen J, Rutgeerts P, Vyhnalek P, Zadorova Z, Palmer T, Donoghue S: Natalizumab for active Crohn’s disease. N Engl J Med. 2003 Jan 2;348(1):24-32. [PubMed:12510039 ]

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