Monday, March 18, 2013

Aurora B inhibitor BI-1356 -- A In Depth Research On What Actually works And Precisely what Doesn't

The lipophilic components of Danshen extract Aurora B inhibitor have low bioavailability, therefore they have little effect on CYP1A2 which mainly locates on the hepatocyte after oral administration. Since theophylline is mainly metabolized by CYP1A2, the metabolism of theophylline is not likely to be inuenced by long term oral administration of Danshen extract.

Most gene therapy trials for genetic diseases are aimed at sustained expression of therapeutic genes by introducing the vector into the target BI-1356 tissue with minimal or no tissue damage. Transduced cells and/or the expression of the therapeutic transgene following delivery of vectors are potentially able to trigger alloimmune responses involving both naive and memory lymphocytes, including lymphocytes specific for viral antigens. This scenario creates, to a certain extent, a clinical parallel to the immune responses following organ transplantation in which neoantigens in the graft are presented to the host immune system. To avoid allograft rejection, immunosuppression is required during the induction phase followed by a long term maintenance regimen.

Most of immune suppression strategies described in this review directed at avoiding adaptive immune response will also have an affect on the innate response to the gene delivery vector by BI-1356 decreasing inflammatory responses. The use of vector modified hematopoietic stem cell therapy in which myelocytotoxic and IS drugs are given to the host to create space in the bone marrow for the homing and expansion of gene corrected cells will not be reviewed. The immune systems reaction to antigen depends on the relative frequencies of responding T and B cells and on the thresholds of binding affinity that their receptors display, the levels of antigen present, and the period during which the antigen remains in secondary lymphoid tissue, where primary immune responses are initiated.

Factors influencing the host immune response against the vector, such as route of vector administration, dose of vector, choice of promoter/ enhancer, alterations to vector genome sequence and/or structure, the status and the nature of the target tissue, and patient related factors are all critical to the development of a clinically relevant gene based strategy to treat human diseases.

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