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9th International Conference on new trends in immunosuppression and immunotherapy: introduction.

机译:第九届国际免疫抑制和免疫疗法发展趋势国际会议:简介。

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This broad repertoire of drugs is quite effective but has one important problem. They target both bad (pathogenic) and good (regulatory) cells or molecules resulting in pathogenic effects. Thus, it is possible to combat an autoimmune exacerbation or prevent acute graft rejection but the drugs required to prevent relapse and chronic rejection are suboptimal. At present they do not result in immune (re) programming and tolerance but rather require chronic suppression with the associated toxicity and high costs.There is clearly an unmet medical need for new approaches (Figure 1) to shift from chronic immunosuppression to "immuno-cure" via immune (re)programming and tolerance induction. This might be achieved using a double strategy incorporating selective targeting of pathogenic cells while sparing anti-pathogen response and supporting immunoregulation. To reach this goal we have to i) identify the toxic cellular mediators and ways to regulate them, ii) develop new therapeutic tools including cell-based approaches, and iii) identify responsive patients and optimal time for intervention for successful and personalized immunotherapy.
机译:如此广泛的药物清单非常有效,但存在一个重要问题。它们既靶向不良(致病性)细胞,又靶向良好(调节性)细胞或分子,从而导致致病作用。因此,有可能抵抗自身免疫恶化或预防急性移植排斥反应,但是预防复发和慢性排斥反应所需的药物是次优的。目前,它们并未产生免疫(重新)编程和耐受性,而是需要伴随其毒性和高成本的慢性抑制。显然,医学上对新方法(图1)从慢性免疫抑制转变为“免疫抑制”的需求未得到满足。通过免疫(重新)编程和诱导耐受性来“治愈”。这可以使用双重策略实现,该策略结合了对病原细胞的选择性靶向,同时保留了抗病原体反应并支持免疫调节。为了实现这一目标,我们必须:i)确定有毒的细胞介体及其调控方法,ii)开发包括基于细胞的方法在内的新治疗工具,iii)确定反应灵敏的患者以及为成功进行个性化免疫疗法进行干预的最佳时间。

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