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What is immune system medicine used for?

Published in Immunosuppression 3 mins read

Immune system medicine, often involving immunosuppressant drugs, is primarily used to prevent the immune system from attacking the body's own healthy cells and tissues, and to prevent organ rejection after transplants.

Here's a more detailed breakdown:

Treating Autoimmune Diseases

Autoimmune diseases occur when the immune system mistakenly targets and attacks the body's own cells, tissues, or organs. Immune system medicine, specifically immunosuppressants, can help manage these conditions by suppressing the immune response. Examples of autoimmune diseases treated with these medications include:

  • Rheumatoid Arthritis: A chronic inflammatory disorder affecting joints.
  • Lupus: A systemic autoimmune disease that can affect various organs.
  • Multiple Sclerosis (MS): A disease affecting the brain and spinal cord.
  • Type 1 Diabetes: An autoimmune reaction that destroys insulin-producing cells in the pancreas.
  • Inflammatory Bowel Disease (IBD): Including Crohn's disease and ulcerative colitis, which cause inflammation of the digestive tract.

Preventing Organ and Stem Cell Transplant Rejection

After an organ or stem cell transplant, the recipient's immune system recognizes the transplanted tissue as foreign and may launch an attack, leading to rejection. Immune system medicine is crucial to suppress this immune response and allow the body to accept the new organ or cells. These medications are often taken for life to prevent rejection.

Examples of Immune System Medicines

A variety of medications fall under the umbrella of "immune system medicine," including:

  • Corticosteroids (e.g., prednisone): Broadly suppress immune function and reduce inflammation.
  • Calcineurin inhibitors (e.g., cyclosporine, tacrolimus): Interfere with T-cell activation, a key step in the immune response.
  • Antimetabolites (e.g., azathioprine, methotrexate): Interfere with DNA synthesis and cell proliferation, impacting immune cell function.
  • Biologics (e.g., TNF inhibitors, interleukin inhibitors): Target specific components of the immune system, such as inflammatory cytokines.
  • mTOR inhibitors (e.g., sirolimus, everolimus): Suppress T-cell and B-cell proliferation.

Considerations

It's important to note that suppressing the immune system can increase the risk of infections. Therefore, careful monitoring and management by a healthcare professional are essential when using immune system medicine. The goal is to find a balance between suppressing the harmful immune response and maintaining sufficient immunity to fight off infections.

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