Immunosuppressants · Pharmacology

Leflunomide is used in Rheumatoid Arthritis to inhibit which metabolic pathway?

  1. Purine synthesis
  2. Pyrimidine synthesis (Dihydroorotate dehydrogenase)
  3. Prostaglandin synthesis
  4. Leukotriene synthesis
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Correct answer: Pyrimidine synthesis (Dihydroorotate dehydrogenase)

Leflunomide's active metabolite inhibits dihydroorotate dehydrogenase. This limits the availability of pyrimidines, which prevents T-cell proliferation without affecting cells that can use salvage pathways.

Difficulty: Medium Question 13 of 20

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