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Friday, 08 March 2019 / Published in New Direction for Medicine

‘Taking treatment for autoimmune disease in a new direction’

In autoimmune diseases, such as type 1 diabetes and multiple sclerosis, the body’s immune system mistakenly attacks healthy cells, believing them to be harmful agents. Recently, scientists have been conducting new research with the aim of devising an innovative strategy to treat these conditions.

researcher in lab peering through microscope

Recent research explores a promising new pathway in the treatment of autoimmune conditions.

Current treatments for autoimmune conditions rely on neutralizing the immune cells that mistakenly target and attack the body’s own healthy tissue.

However, a major downside of existing therapies is that they end up inactivating not just the specific immune cells causing the damage, but also other immune cells that are functioning normally.

This leaves the body exposed to all kinds of other diseases and infections.

Now, a research team from University of Utah Health in Salt Lake City has begun to look into disabling only the particular sets of immune cells that cause trouble in autoimmune conditions, while preserving the integrity of healthy immune cells so they can continue to do their job.

The new research — conducted in mouse models — focuses on programmed cell death protein (PD-1) cells. PD-1 is a type of protein on the surface of certain cells, and it plays a key role in regulating the immune response.

The study’s findings, which were published yesterday in the journal Nature Biomedical Engineering, suggest that the new strategy may be a viable, more constructive approach to tackling autoimmune conditions.

“We are really taking treatment for autoimmune disease in a new direction. This is the first time anyone has looked at the [PD-1] cells as a target to develop therapeutics for autoimmune disease.”

Study author Mingnan Chen, Ph.D.

3 key components working in unison

In a healthy immune system, the researchers explain, two types of specialized cells — B and T lymphocytes — express PD-1, and they feature a mechanism that checks immune cells’ activity to prevent them from attacking healthy cells. ADVERTISEMENT Official Physician Site – Stage III NSCLC Trial Data Read New Efficacy Data For Overall Survival In Stage III NSCLC. www.stage-iii-nsclc-therapy.com

In people with autoimmune conditions, that mechanism becomes ineffective, and immune cells mistakenly turn against the body. Multiple sclerosis: Small molecule could delay onset Are researchers on the right path toward better treatments for multiple sclerosis? Read now

The first author of the current study, Peng Zhao, Ph.D., notes that the team “wanted to target PD-1-expressing cells” with the aim to “avoid long-term immune deficiency caused by common treatments for autoimmune disease.”

The researchers thus set to work to design a protein molecule that would have the effect of depleting the immune system’s store of PD-1-expressing cells.

This new molecule, the team explains, has three main components: an anti-PD-1 antibody fragment, the Pseudomonas exotoxin, and a protein called albumin-binding domain.

Each of these three components plays a specific role: The antibody fragment attaches to PD-1-expressing cells, the toxin then kills these cells, and finally, the albumin-binding domain allows the molecule to keep circulating through the body.

https://www.medicalnewstoday.com/articles/324615.php

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