Abstract
As we indicated in an early review on this subject [1], the clinical use of proteins as drugs is not a new practice. What is new is the ability to produce almost limitless quantities of many clinically relevant proteins, and our depth of understanding of the mechanisms underlying their physiologic function. Unfortunately, neither of these aspects guarantees a successful transition from the laboratory to a meaningful clinical application. Despite being endogenous mediators of cell function, systemic administration of cytokines resulting in supraphysiologic levels often leads to toxicity [2]. Nevertheless, as predicted in our previous discussion, activity over the past four years in the field of clinical applications of cytokines and interleukins has been of sufficient volume to preclude a comprehensive overview in a single chapter. For some cytokines, such as the interferons and IL-2, a clinical role has been established and much of the recent work has focused on refining dosages, routes of administration, and schedules as well as investigations of combining these agents together or with other drugs with the goal of improving efficacy. In other cases, for example TNF and IL-1, despite being among the first cytokines to be characterized, clearly defined successful therapeutic applications remain elusive. For more recently identified cytokines such as IL-12 and IL-15, clinical trials remain in the earliest stages.
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Cardi, G., Ciardelli, T.L., Ernstoff, M.S. (1996). Therapeutic applications of cytokines for immunostimulation and immunosuppression: An update. In: Jucker, E. (eds) Progress in Drug Research/Fortschritte der Arzneimittelforschung/Progrès des recherches pharmaceutiques. Progress in Drug Research/Fortschritte der Arzneimittelforschung/Progrès des recherches pharmaceutiques, vol 47. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-8998-8_6
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