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Immune
Deficiency: a
breakdown or inability of certain parts of the immune system to
function, thus making a person susceptible to certain diseases that
they would have not contracted with a healthy immune system. Immune
deficiencies may be temporary or permanent and be triggered by genetic
mutation, therapy with immunesuppressive drugs (as during organ
transplants) or an infection such as HIV.
Immunocompetent:
refers to an immune system capable of developing a normal
protective response when confronted with invading microbes or cancer.
Immunocompromised:
refers to an immune system in which the response to infections
and tumors is subnormal.
Immunoglobulin
(class=SpellE>Ig): a general term for antibodies, which bind onto
invading organisms, leading to their destruction. There are five
classes: IgA, IgD, IgM, IgE, IgG.
Immunoglobulin
A (IgA): an immunoglobulin found in body fluids such as
tears and saliva and in the respiratory, reproductive, urinary and
gastrointestinal tracts. IgA protects the body.s mucosal surfaces
from infection.
Immunoglobulin
G (IgG): the prominent type of immunoglobulin existing
in the blood. Also called gamma globulin.
Immunomodulator:
a drug such as IL-2 (see) that alters, suppresses
or strengthens the body.s immune system.
Immunosuppression:
weakening of the immune response that occurs with HIV infection
as well as with some antiviral or anticancer treatments.
Immunotherapy:
treatment aimed at reconstituting an impaired immune system.
Examples of experimental immunotherapies for AIDS include passive
hyperimmune therapy (PHT), IL-2 and therapeutic vaccines (see).
Indication: purpose
for which a drug is prescribed. The FDA-approved indications appear
on a printed insert included with the manufacturer.s drug packaging.
IND
Abbreviation for Investigational New Drug.
Infusion: the
process of administering a medication to an individual by slowly
injecting a dilute solution of the compound into a vein. Infusions
are often used when the digestive system does not absorb appreciable
quantities of a drug that is also too bulky or too toxic to be given
by quick injection.
Interim Analysis:
an intermediary analysis of clinical trial data, performed
at a point at which enough data have been gathered to derive preliminary,
but not necessarily complete conclusions. Interim analyses are performed
to see whether continuation of a clinical trial is warranted.
Interleukin:
one of a large group of glycoproteins that act as cytokines
(see). The interleukins are secreted by and affect many different
cells in the immune system.
Intramuscular
(IM) injected directly into a muscle.
Intraocular:
injected into the eye.
Intrathecal:
injected directly into the spinal canal.
Intravenous
(IV) injected directly into a vein.
Intravitreal:
injected into the eye.s vitreous humor (see) between
the lens and the retina.
Intrinsic activity
is the maximal stimulatory response induced by a compound in relation
to that of a given reference compound (See also Partial agonist)
This term has evolved with common usage. It was introduced by Ariëns
as a proportionality factor between tissue response and receptor
occupancy. The numerical value of intrinsic activity (alpha) could
range from unity (for full agonists, i.e., agonist inducing the
tissue maximal response) to zero (for antagonists), the fractional
values within this range denoting partial agonists. Ariëns. original
definition equates the molecular nature of alpha to maximal response
only when response is a linear function of receptor occupancy. This
function has been verified. Thus, intrinsic activity, which is a
drug and tissue parameter, cannot be used as a characteristic drug
parameter for classification of drugs or drug receptors. For this
purpose, a proportionality factor derived by null methods, namely,
relative efficacy, should be used. Finally, .intrinsic activity.
should not be used instead of .intrinsic efficacy.. A .partial agonist.
should be termed .agonist with intermediate intrinsic efficacy.
in a given tissue.
Institutional
Review Board (IRB): a regulating committee composed of
internal staff, hospital affiliates and community members which
reviews and approves all human trials conducted within a particular
hospital or research center. The IRB ensures that a trial is conducted
in an ethical manner, with proper protection of human subjects.
Inverse agonist
is a drug which acts at the same receptor as that of an agonist,
yet produces an opposite effect. Also called negative antagonists.
Investigational
New Drug (IND) status given an experimental drug after
the FDA approves an application for testing it in people.
Isosteres
are molecules or ions of similar size containing the same number
of atoms and valence electrons, e.g., O2-, F-,
Ne (See also Bioisostere).
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