Belatacept is a soluble fusion protein, which links the extracellular domain of human cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) to the modified Fc (hinge, CH2, and CH3 domains) portion of human immunoglobulin G1 (IgG1). Structurally, abatacept is a glycosylated fusion protein with a MALDI-MS molecular weight of 92,300 Da and it is a homodimer of two homologous polypeptide chains of 357 amino acids each. It is produced through recombinant DNA technology in mammalian CHO cells. The drug has activity as a selective co-stimulation modulator with inhibitory activity on T lymphocytes. It is approved for the treatment of rheumatoid arthritis. Belatacept selectively blocks the process of T-cell activation. It was developed by Bristol-Myers-Squibb. Belatacept is only 2 amino acids different from abatacept (Orencia). FDA approved on June 15, 2011.
For prophylaxis of organ rejection. It is also used concomitantly with basiliximumab for induction therapy, mycophenolate, and corticosteriods in kidney transplant recepients that are seropositive for the Epstein-Barr virus.
Emory University, Atlanta, Georgia, United States
University of Arizona, Tucson, Arizona, United States
Mount Sinai School of Medicine Recanati/Miller Transplantation Institute, New York, New York, United States
Transplant Research Institute (PI Address), Los Angeles, California, United States
Cedars-Sinai Medical Center, Los Angeles, California, United States
Saint Barnabas Medical Center, Livingston, New Jersey, United States
Boston Childrens Hospital, Boston, Massachusetts, United States
University Of Alabama At Birmingham, Birmingham, Alabama, United States
Childrens Hospital Of La, Los Angeles, California, United States
University of Wisconsin-Madison, Madison, Wisconsin, United States
Tampa General Hospital, Tampa, Florida, United States
The Christ Hospital, Cincinnati, Ohio, United States
University of Maryland, Baltimore, Maryland, United States
University of Wisconsin, Madison, Wisconsin, United States
Scripps Green Hospital, La Jolla, California, United States
Tulane Abdominal Transplant Institute, New Orleans, Louisiana, United States
Office Of Dr. Allan Kirk, Atlanta, Georgia, United States
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