Target intelligence / Profile preview

Immune System (Chimerism Induction)

Molecular classification
Cell-based Therapy, Immunomodulatory Strategy
01

Overview

Chimerism induction in the immune system is a therapeutic strategy aimed at establishing a state of coexistence between donor and recipient hematopoietic cells, primarily to induce immune tolerance and prevent graft rejection in transplantation. This involves creating mixed chimerism where both donor and recipient immune systems interact to promote long-term tolerance, often through mechanisms such as clonal deletion, anergy, and regulatory T cell activity. Various methods, including hematopoietic stem cell transplantation and combined organ/bone marrow transplantation, are used to achieve this goal. Clinical applications focus on reducing or eliminating the need for chronic immunosuppression in transplant recipients.

Other names
Chimerism-based ImmunotherapyTransplantation Tolerance InductionHematopoietic Stem Cell Transplantation for ToleranceMixed Chimerism
02

Mechanism of action

Induction of donor-recipient hematopoietic chimerism leading to central and peripheral immune tolerance to donor antigens.

03

Biological functions

Immune tolerance inductionGraft acceptanceRegulation of immune responseHematopoiesis
04

Disease associations

Organ transplant rejectionAutoimmune diseases (potential)Hematological malignancies (in the context of allogeneic HSCT)
05

Safety considerations

Graft-versus-host disease (GVHD)Opportunistic infectionsMalignancy (increased risk due to immunosuppression)Engraftment failureToxicity from conditioning regimen (e.g., myeloablation)
06

Interacting drugs

Cyclophosphamide

5 more in the full profile.

07

Biomarkers

% Donor chimerism (quantification of donor-derived cells)Regulatory T cell (Treg) frequency and functionLevels of immunosuppressive drugs

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