Page 124 - Binder2
P. 124

That’s the idea behind tolerogenic adjuvants—compounds
               that accompany the biologic and signal, “This is safe.”

               Examples include:


                   •  Rapamycin-loaded nanoparticles, which suppress
                       dendritic cell activation and promote Treg induction
                   •  Mucosal adjuvants that stimulate IL-10 production
                       and dampen Th1/Th17 responses
                   •  Hydrogel scaffolds that release antigen slowly in a
                       microenvironment biased toward regulation, not
                       activation


               In autoimmune disease models, these tools have already
               demonstrated their ability to reverse established
               immunity and restore tolerance to specific antigens. While
               most are in preclinical development, they represent a
               powerful new paradigm: drugs that don’t just function
               pharmacologically—but also coach the immune system
               through a behavioral shift.




               The Blueprint Is Already Being Written

               Across all of these platforms, one truth is emerging:
               immune cooperation is a design problem—and it's
               solvable.


               The ingredients are here:

                   •  Delivery routes that induce tolerance
                   •  Expression systems that reduce immune friction
                   •  Adjuvants that promote regulatory responses
                   •  Formulations that teach, not threaten



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