Table 1 Classification of therapeutic agents

From: Other immunomodulatory agent-related lymphoproliferative diseases: a single-center series of 72 biopsy-confirmed cases

Pharmaceutical (generic)

Class

Type

Main mechanism

# Patients

Ledertrexate (methotrexate)

IS

Antifolate

DNA synthesis inhibition

34

Imuran (azathioprine)

IS

Purine analogue

DNA synthesis inhibition

24

Sulfasalazine (salazopyrine)

IS

Aminosalicylate

Inconclusivea

9

Plaquenil (hydrochloroquine)

IS

TLR blocker

TLR singalling inhibition

8

Arava (leflunomide)

IS

DHODH inhibitor

DNA synthesis inhibition

3

Neoral (cyclosporin)

IS

CNI

Inhibition of T-lymphocyte signaling

2

Advagraf (tacrolimus)

IS

CNI

Inhibition of T-lymphocyte signalling

2

Allochrysine (aurothiopropanolsulfonate)

IS

Gold containing Compound

Inhibition of reduction/oxidation (redox) enzymes

2

Esbriet (pirfenidone)

IS

Small molecule

Broad antifibrotic and anti-inflammatory activities

1

Mercaptopurine (purinethol)

IS

Purine analogue

Inhibits purine nucleotide synthesis

1

Remicade (infliximab)

IM

Monoclonal antibody

Anti-TNFα

14

Humira (adalimumab)

IM

Monoclonal antibody

Anti-TNFα

9

Enbrel (etanercept)

IM

Monoclonal antibody

Anti-TNFα

4

anti-TNFα, not specified

IM

Monoclonal antibody

Anti-TNFα

2

Roactemra (tocilizumab)

IM

Monoclonal antibody

Anti-IL6R

2

Ilaris (canakinumab)

IM

Monoclonal antibody

Anti-IL1β

2

Entyvio (vedolizumab)

IM

Monoclonal antibody

Anti-integrin α4/β7

1

Kineret (anakinra)

IM

Recombinant RA

Anti-IL1R

1

Stelara (ustekinumab)

IM

Monoclonal antibody

Anti-IL12 and anti-IL23

1

Trocade

NA

Collagenase inhibitor

Selective inhibitor of matrix metalloproteinase-1

1

  1. Table based on Kovarik et al. [14]; “# Patients” is the number of patients who at one point received the specified pharmaceutical in the year before LPD diagnosis
  2. CNI calcineurin inhibitor, DODH dihydro-orotate dehydrogenase, IL interleukin, IM immunomodulatory, IS immunosuppressive, LPD lymphoproliferative disorder, NA not available, RA receptor antagonist, TLR toll-like receptor, TNF tumor necrosis factor
  3. aProposed mechanisms are inhibition of cyclo-oxygenase and interleukin-1, TNF activation and scavenging of reactive oxygen species [72]