Progress in Drug Research pp 1-51 | Cite as
Recent advances in immunosuppressants
Summary
In recent years, a large number of structurally diverse immunosuppressants have been discovered that are effective for the treatment of organ transplantation. Some of them are undergoing clinical trials and may soon enter into routine clinical practice. These compounds are either chemical entities obtained from natural sources/synthetic means or biomaterials such as monoclonal antibodies/gene products/proteins. They have been found to interfere at different stages of T cell activation and proliferation, and can be identified as inhibitors of nucleotide synthesis, growth factor signal transduction and differentiation. Newer strategies involving combination of new agents with traditional immunosuppressants, monoclonal antibodies and gene therapy offer enormous potential, not only for the investigation of mechanisms pertaining to graft rejection, but also for its therapeutic prevention.
Keywords
Immunosuppressants graft rejection Oligopeptides monoclonal antibodies triple drug regimen gene therapyGlossary of abbreviations
- CTL
Dcytotoxic T lymphocytes
- CsA
cyclosporin A
- GVHD
graft versus host disease
- PHA
phytohemagglutinin
- DHODH
dihydroorotate dehydrogenase
- HPLC
high performance liquid chromatography
- PKM
pokweed mitogen
- MLR
mixed lymphocyte reaction
- DSG
15, deoxyspergualin
- MHC
major histocompatibility complex
- IFN
interferon
- moab
monoclonal antibodies
- rHu
recombinant human
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