Indoleamine 2,3-dioxygenase: From tolerance during pregnancy to cancer

نویسنده

  • E. Alegre
چکیده

RESUMEN El feto expresa durante el embarazo antígenos procedentes del padre que no provocan el rechazo como cualquier otro injerto semi-alogénico. Entre los sistemas implicados en la inducción de la tolerancia materno-fetal, se encuentra la enzima indolamina 2,3-dioxigenasa (IDO) que inicia la degradación del triptófano. Al consumir el triptófano provoca una inhibición de la respuesta de las células T que no pueden superar un punto de control de la fase G1 del ciclo celular. Numerosos tumores pueden expresar la enzima IDO de forma ectópica con lo que evitan el ataque inmune. También las células dendríticas pueden expresar actividad IDO, con lo que pueden inducir una respuesta tolerogénica. La enzima IDO puede ser una nueva diana inmunoterapéutica, ya que sus inhibidores pueden hacer más lento el crecimiento tumoral, y su administración conjunta con quimioterápicos produce una regresión tumoral. El entendimiento de esta capacidad tolerogénica del tumor ayuda no sólo a comprender el cáncer sino también a desarrollar nuevos enfoques terapeúticos

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تاریخ انتشار 2006