Anticancer & Immunosuppressants · NEET PG Preparation Pharmacology

A renal transplant recipient is prescribed an immunosuppressant that acts as a prodrug converted to mycophenolic acid. Which of the following is the…

Practice question from Anticancer & Immunosuppressants (NEET PG Preparation Pharmacology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-6D6E8C

A renal transplant recipient is prescribed an immunosuppressant that acts as a prodrug converted to mycophenolic acid. Which of the following is the specific intracellular enzyme inhibited by mycophenolic acid?

  1. A.Dihydrofolate reductase
  2. B.Inosine monophosphate dehydrogenaseCorrect answer
  3. C.HMG-CoA reductase
  4. D.Calcineurin phosphatase

Solution

Mycophenolate mofetil is hydrolyzed to mycophenolic acid, which is a potent, reversible, uncompetitive inhibitor of inosine monophosphate dehydrogenase (IMPDH). IMPDH is the rate-limiting enzyme in de novo guanosine nucleotide synthesis, which lymphocytes depend on heavily for proliferation.

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