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Organ Transplantation
Graft Rejection
Cellular Mechanisms
Molecular Mechanisms
Immunsuppressive Agents
Corticosteroids
Calcineurine Inhibitors
Antiproliferative Agents
Monoclonal Antibodies
Polyclonal Antibodies
Side Effects
Immunotherapy
Inductive Therapy
Maintenance Therapy
Episodic Treatment
Current Areas of Research
New Drugs
Drug Efficacy
Alternative Therapies
Tolerance
Tissue Engineering
Xenotransplantation
Glossary of Terms
References
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CURRENT AREAS OF RESEARCH
Despite
enhancements in immunosuppressant pharmacological therapies, doctors still
struggle to balance the adverse reactions of overimmunosuppression and
organ rejection from underimmunosuppression. Additionally, organ transplantation
is severely limited by availability of donor organs; 75% on the organ
waiting list who are in desperate need of an allograft die empty-handed.
The individuals lucky enough to receive donor organs are resigned to a
life of immunosuppressant therapy and its long list of associated side
effects. Overall, there is an apparent problem with the current methods
of immunosuppression.
There
are two main potential answers to this dilemma. Either immunosuppressant
drugs need to become more specific and effective in dealing with transplant
rejection and side effects must be significantly diminished, or immunosuppressant
therapy needs to step away from drug use as a whole with alternative therapies
stepping in. Both approaches represent the forefront of medical research.
New drugs are being developed that are increasingly
specific and effective in combating transplant rejection. Drug
Efficacy is also discussed. These topics are supplemented by research
into alternate means of immunosuppression through tissue
engineering, stem cell research,
and induction of tolerance. Xenotransplantation
is also being worked out as a possible alternative to allogenic transplantation.

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