Mycophenolic acid in Rheumatology: mechanisms of action and severe adverse events

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MPA is clinically administered as morfolinoethyl ester (mycophenolate mofetil, MMF) or, more recently, as a salt (enteric-coated mycophenolate sodium). It is a fermentation product of Penicillium brevicompactum and other analogue fungi, identified by Gosio in 1893 as a weak antibacterial agent; in 1969 Franklin and Cook discovered its capacity to inhibit the inosine mono phosphate dehydrogenase (IMPDH), an enzyme involved in purine nucleotide synthesis (1)...

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Zizzo, G., De Santis, M., & Ferraccioli, G. (2010). Mycophenolic acid in Rheumatology: mechanisms of action and severe adverse events. Reumatismo, 62(2), 91–100. https://doi.org/10.4081/reumatismo.2010.91