What mechanism does basiliximab primarily utilize to exert its immunosuppressive effect?

Prepare for the Lippincott Pharmacology Exam with interactive flashcards and multiple-choice questions, each accompanied by detailed hints and explanations. Master your exam with ease!

Basiliximab primarily exerts its immunosuppressive effect by binding to CD25, which is the alpha chain of the interleukin-2 (IL-2) receptor. This mechanism is significant because CD25 is upregulated on activated T lymphocytes in response to IL-2, a cytokine critical for T cell proliferation and activation. By binding to CD25, basiliximab effectively blocks IL-2 from binding to its receptor, preventing the activation and proliferation of T cells. This action is particularly beneficial in the context of preventing acute rejection in organ transplantation, where the activation of the immune response must be managed.

The other options describe different mechanisms utilized by other agents in immunotherapy. One involves the binding to CD52, which is targeted by monoclonal antibodies like alemtuzumab and has a different therapeutic role. Another option refers to calcineurin interference, which is a mechanism of drugs like cyclosporine and tacrolimus, but not basiliximab. Lastly, inhibiting the IL-2 receptor generally would refer to different pharmacologic approaches that are not the primary action of basiliximab. Thus, the choice of CD25 binding correctly identifies the primary mechanism through which basilixim

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