Immunobiology of Transplantation: Impact on Targets for Large and Small Molecules

Organ transplantation is the preferred method of treatment for many forms of end‐stage organ failure. However, immunosuppressive drugs that are used to avoid rejection can result in numerous undesirable effects (infection, malignancy, hypertension, diabetes, and accelerated arteriosclerosis). Moreov...

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Veröffentlicht in:Clinical pharmacology and therapeutics 2011-08, Vol.90 (2), p.229-242
Hauptverfasser: Azimzadeh, AM, Lees, JR, Ding, Y, Bromberg, JS
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container_title Clinical pharmacology and therapeutics
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creator Azimzadeh, AM
Lees, JR
Ding, Y
Bromberg, JS
description Organ transplantation is the preferred method of treatment for many forms of end‐stage organ failure. However, immunosuppressive drugs that are used to avoid rejection can result in numerous undesirable effects (infection, malignancy, hypertension, diabetes, and accelerated arteriosclerosis). Moreover, they are not effective at preventing chronic rejection resulting in late graft loss. This review summarizes the fundamental concepts underlying the rejection of solid‐organ allografts with the aim of highlighting potential new targets for therapeutics. Future improvement will depend on new therapeutic moieties, including biologics, to target various pathways of both the innate and adaptive arms of immunity. Results from some of the most recent clinical trials in transplantation and emerging new therapies are also discussed. Clinical Pharmacology & Therapeutics (2011) 90 2, 229–242. doi:10.1038/clpt.2011.106
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subjects Adaptive Immunity
Animals
Biological and medical sciences
Drug Delivery Systems
Drug Design
Graft Rejection - immunology
Graft Rejection - prevention & control
Graft Survival - drug effects
Graft Survival - immunology
Humans
Immunity, Innate
Immunosuppressive Agents - pharmacology
Medical sciences
Organ Transplantation - methods
Pharmacology. Drug treatments
title Immunobiology of Transplantation: Impact on Targets for Large and Small Molecules
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