Developing efficient therapies is important for the improving of outcomes in transplant patients with a risk of post-transplant lymphoproliferative disorder (PTLD). Protheragen has a gifted group of researchers and scientists who have thorough knowledge in PTLD. They are committed in doing pioneering work to develop novel therapies for PTLD, intending to fill the gaps in available treatment options and progress precision medicine in the area.
Post-transplant lymphoproliferative disorder (PTLD) encompasses a spectrum of lymphoproliferative disorders occurring in the context of immunosuppression in transplant recipients, from benign hyperplastic to malignant aggressive lymphomas. It is a major complication impacting 5-20% of transplant patients, with varying incidence based on transplanted organ type-intestinal and lung transplants demonstrate the highest rates.
Subtypes | Characteristics | Incidence |
---|---|---|
Early Lesions | Reactive plasmacytic hyperplasia or infectious mononucleosis-like lesions, often EBV-driven. | 20-30% of PTLD cases |
Polymorphic PTLD | Clonal but histologically heterogeneous lymphoid proliferations. | 30-40% of PTLD cases |
Monomorphic PTLD | Overt lymphomas (mostly B-cell, e.g., diffuse large B-cell lymphoma). | 40-50% of PTLD cases |
The primary driving factor of PTLD pathogenesis is the debilitating immunosuppression which, in the impairment of immune surveillance, enables unchecked growth of Epstein-Barr virus (EBV)-infected B cells. To take advantage of this situation, EBV expresses latent proteins (LMP1, LMP2A, and EBNAs) that activate survival and proliferation pathways, such as NF-κB, and mimic B cell receptor signaling. In the case of EBV-negative PTLD, factors such as genetic alterations with MYC translocations and TP53 mutations along with microenvironmental factors drive the lymphomagenesis.
Fig.1 Mechanisms underlying pathogenesis of PTLD and potential targets to mitigate disease development and progression. (Asleh, Rabea, et al., 2022)
Therapy | Mechanism of Action | Targets | NCT Number | Research Phase |
---|---|---|---|---|
Polatuzumab Vedotin + Rituximab |
|
CD79b/CD20 | NCT06040320 | Phase I/II |
Obinutuzumab |
|
CD20 | NCT03086395 | Phase II |
Rituximab + Acalabrutinib |
|
CD20/BTK | NCT04337827 | Phase II |
Bortezomib + Rituximab |
|
Proteasome/CD20 | NCT01058239 | Phase I/II |
Disclaimer: Protheragen focuses on providing preclinical research services. This table is for information exchange purposes only. This table is not a treatment plan recommendation. For guidance on treatment options, please visit a regular hospital.
As a specialized research service provider, Protheragen is committed to accelerating breakthroughs in rare lymphoproliferative disorders (LPDs), particularly post-transplant lymphoproliferative disorder (PTLD). Our end-to-end solutions span diagnostic development, novel therapeutic discovery, precision disease modeling, and rigorous preclinical validation. By leveraging cutting-edge technologies and validated PTLD-specific models, we bridge the gap between research innovation and clinical translation, empowering partners to advance promising therapies from concept to commercialization.
Animal Model Development Services
Protheragen is steadfastly dedicated to meticulously validating and optimizing therapies for post-transplant lymphoproliferative disorder (PTLD) through a thorough series of pharmacodynamics (PD), pharmacokinetics (PK) and toxicology studies. If you are interested in our services, please feel free to contact us for more details and quotation information of related services.
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