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Tolerance induction or IS are achievable techniques to enhance the efficacy as well as the duration of gene expression without having main safety issues.

This demands the re evaluation of cdk1 inhibitor early concepts focused mainly on aggressive IS rather than balanced IS and tolerance induction. IS protocols involve the use of a wide range of drugs, each having side effects, and most protocols require the patient to stay on IS agents for many years. The combination of different classes of drugs Cell Cycle inhibitor have allowed a more sophisticated application of IS. There has been a shift from high intensity ablative therapy to less intense, more refined use of IS that can tip the balance from total immune suppression to a setting more prone to induce tolerance. In gene therapy applications, the ultimate goal is to achieve long term antigen specific tolerance to the transgene product. There is a delicate balance between immune suppression and tolerance induction.

In the majority of IS protocols for organ transplants, IS drugs are given in combination because many of the classes of IS drugs act synergistically. This Cell Cycle inhibitor allows greater efficacy from lower doses of drug, an important consideration when trying to avoid unwanted dose dependent side effects. IS can be achieved by depleting lymphocytes, blocking lymphocyte response pathways, or diverting lymphocyte traffic. IS drugs include glucocorticoids, small molecule drugs, depleting and nondepleting protein drugs, fusion proteins, and intravenous IgG. Table 1 summarizes the different classes of immunomodulatory drugs and includes information as to the mechanism of action, possible side effects, and other pertinent information on the use of these drugs in IS regimens.

Thus, the pharmacological IS regimens to induce successful immune modulation most likely required in gene transfer protocols may be less intense than for those to control organ transplant rejection.