Page 295 - Binder2
P. 295

Case 2: An Immunocompromised Adult Who Tolerized
               After Rejection


               In another early access case, an adult with a chronic
               autoimmune condition had cycled through multiple
               biologics—each promising relief, each eventually failing.
               The problem wasn’t lack of efficacy. It was immune
               rejection. The patient developed anti-drug antibodies
               (ADAs) that neutralized the injected therapies, rendering
               them useless and triggering allergic reactions.

               Rather than escalate to stronger immunosuppressants, the
               clinical team tried something different: a plant-made oral
               version of the same therapeutic protein. Low-dose, gut-
               delivered, and embedded in plant tissue, the drug was
               introduced not as a threat, but as a familiar visitor.


               The result? Tolerization.


               The patient’s immune system stopped treating the protein
               as foreign. ADA levels dropped. Clinical symptoms
               improved. The therapy that had once triggered rejection
               became, in a new form, something the body could accept.


               This wasn’t just drug delivery. It was immune retraining.


               Case 3: Plant-Derived IgA for Enteric Infections

               In settings like disaster zones, refugee camps, and
               international travel, the risk of diarrheal disease is high—
               and access to safe, fast-acting prophylactics is low.
               Antibiotics can disrupt the microbiome. Vaccines may not


                                          293
   290   291   292   293   294   295   296   297   298   299   300