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Proteasome inhibitors have been found to be well tolerated in humans and there is some emerging evidence that they might have efficacy as immunosuppressive agents.

In addition, the use of proteasome inhibitors in AAV mediated gene transfer protocols is highly attractive, as these compounds have also been shown to enhance AAV mediated gene expression in vitro and mapk inhibitor in vivo. The most common risk of IS therapy is increased susceptibility to opportunistic infection. For those gene therapy studies requiring invasive procedure for vector delivery to the target organ, a higher risk of nosocomial infection within the first weeks is expected when compared to minimally or noninvasive approaches. Proper screening and implementation of prophylactic therapeutics could also minimize the risk of activation of latent infections such as cytomegalovirus, Pneumocystis carinii, herpes simplex virus, hepatitis B virus, Mycobacterium tuberculosis, and others.

mapk inhibitor Gene therapy is an emerging medical technology that has the promise to treat many genetic and acquired diseases. While considerable advances have been made in animal and human studies, the host immune response remains a formidable barrier to the effective translation of gene transfer studies from the bench to the clinic. The wealth of information using immunosuppressive agents that has been gained over the past 60 years from the organ transplant field can be used to help guide the use of IS in genetransfer protocols. To date there are no guidelines for the use or duration of a specific IS regimen. It is likely that different IS therapeutic strategies will require different combinations of drugs over distinct periods of time depending on the vector, disease, target tissue, and as the therapeutic outcome necessitates.

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