In an attempt to keep away from vector capsid mediated immune responses, a brief course of MMF and cyclosporine was administered for 12 weeks. In this study, transient IS was safe and sound and successful in preventing or delaying antivector T cell responses.
Collectively, Docetaxel these studies showed that these IS regimens do not interfere with parameters of gene transfer, vector biodistribution and transgene expression following delivery of vector to the hepatic artery of NHP. However, studies in NHP treated with an AAV2 vector expressing human FIX showed that adding daclizumab to a regimen consisting of MMF and rapamycin resulted in a boost of the anti AAV2 antibody titer and formation of neutralizing antibodies to the FIX transgene, a serious complication in the treatment of hemophilia. In this study, the monitoring of peripheral blood mononuclear cells of AAV injected NHP revealed that following daclizumab injection the population of CD4 CD25 FoxP3 Treg cells diminished to almost undetectable levels and returned to baseline levels after week 11.
It was shown that administration of anti CD3 antibody alone was sufficient to induce tolerance. However when anti CD3 was coadministered with cyclosporine, E7080 tolerance induction was prevented. Thus these data also highlight another important consideration, that different therapeutic outcomes can derive from the use of IS regimens by modifying just one of the drugs, even in the same clinical setting. The presence of neutralizing antibodies to the wild type viruses common among humans is another limitation of in vivo transduction efficacy using the cognate recombinant vector. The use of AAV vectors in NHPs with neutralizing antibodies to AAV capsid proteins at titers 1:5 failed to permit sufficient vector transduction and transgene expression in comparison with animals with low or undetectable antibody titers.
There are several other targets of therapeutic interest to induce effective IS that in combination with other drugs are highly attractive for immune tolerance induction. FTY720 is a novel drug which induces lymphopenia due its ability to sequester T and B cells into peripheral and mesenteric lymph nodes by a mechanism involving sphingosine 1 phosphate receptor on lymphocytes.
Thursday, March 14, 2013
Six Things You Did Not Recognize Around Docetaxel E7080
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