RE: From bench to bedside (CD3)2 Aug 2020 10:33
Hi Busymum
Not sure about the points you make. I'll try and respond to each but in my mind if you induce tolerance to a Tx organ fantastic. If you induce tolerance to a pathogenic organism, probably not so good. The scientists seem to be very clever so I'm trying to find where I'm getting it wrong - not them.
I know the arguments for and against animal testing. Hoping we don't need to go there.
I don't think the data from animal work is trying to lay down a future protocol for humans. MMF great drug as are steroids and tacrolimus. Narrow therapeutic windows, difficult compliance, long term sequalae.
I think what the suggestion is and I may be wrong if if you allow an immune response to happen then giving CD3 antibodies you induce tolerance in the immune cells that are reacting. If you treat before the immune response then the tolerance is not induced but you do suppress the immune response like you do with mmf albeit for much longer.
You are right in saying no doctor would do in humans what they did in these animal studies.
They are suggesting that do the Tx. Allow an initial immune response, treat with anti CD3, induce tolerance, remove the need for life long immunosuppression.