Meeting the Challenge of Controlling Viral Immunopathology

The mission of this review is to identify immune-damaging participants involved in antiviral immunoinflammatory lesions. We argue these could be targeted and their activity changed selectively by maneuvers that, at the same time, may not diminish the impact of components that help resolve lesions. I...

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Main Authors: Engin Berber, Sachin Mulik, Barry T. Rouse
Format: Article
Language:English
Published: MDPI AG 2024-04-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/25/7/3935
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author Engin Berber
Sachin Mulik
Barry T. Rouse
author_facet Engin Berber
Sachin Mulik
Barry T. Rouse
author_sort Engin Berber
collection DOAJ
description The mission of this review is to identify immune-damaging participants involved in antiviral immunoinflammatory lesions. We argue these could be targeted and their activity changed selectively by maneuvers that, at the same time, may not diminish the impact of components that help resolve lesions. Ideally, we need to identify therapeutic approaches that can reverse ongoing lesions that lack unwanted side effects and are affordable to use. By understanding the delicate balance between immune responses that cause tissue damage and those that aid in resolution, novel strategies can be developed to target detrimental immune components while preserving the beneficial ones. Some strategies involve rebalancing the participation of immune components using various approaches, such as removing or blocking proinflammatory T cell products, expanding regulatory cells, restoring lost protective cell function, using monoclonal antibodies (moAb) to counteract inhibitory molecules, and exploiting metabolic differences between inflammatory and immuno-protective responses. These strategies can help reverse ongoing viral infections. We explain various approaches, from model studies and some clinical evidence, that achieve innate and adaptive immune rebalancing, offering insights into potential applications for controlling chronic viral-induced lesions.
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spelling doaj.art-4974dde0f58f495a90bb3f4877c5f3942024-04-12T13:20:10ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672024-04-01257393510.3390/ijms25073935Meeting the Challenge of Controlling Viral ImmunopathologyEngin Berber0Sachin Mulik1Barry T. Rouse2Infection Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USACenter for Biomedical Research, The University of Texas Health Science Center at Tyler, Tyler, TX 75708, USACollege of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USAThe mission of this review is to identify immune-damaging participants involved in antiviral immunoinflammatory lesions. We argue these could be targeted and their activity changed selectively by maneuvers that, at the same time, may not diminish the impact of components that help resolve lesions. Ideally, we need to identify therapeutic approaches that can reverse ongoing lesions that lack unwanted side effects and are affordable to use. By understanding the delicate balance between immune responses that cause tissue damage and those that aid in resolution, novel strategies can be developed to target detrimental immune components while preserving the beneficial ones. Some strategies involve rebalancing the participation of immune components using various approaches, such as removing or blocking proinflammatory T cell products, expanding regulatory cells, restoring lost protective cell function, using monoclonal antibodies (moAb) to counteract inhibitory molecules, and exploiting metabolic differences between inflammatory and immuno-protective responses. These strategies can help reverse ongoing viral infections. We explain various approaches, from model studies and some clinical evidence, that achieve innate and adaptive immune rebalancing, offering insights into potential applications for controlling chronic viral-induced lesions.https://www.mdpi.com/1422-0067/25/7/3935viral infectionimmunopathologyimmunotherapyimmunometabolism
spellingShingle Engin Berber
Sachin Mulik
Barry T. Rouse
Meeting the Challenge of Controlling Viral Immunopathology
International Journal of Molecular Sciences
viral infection
immunopathology
immunotherapy
immunometabolism
title Meeting the Challenge of Controlling Viral Immunopathology
title_full Meeting the Challenge of Controlling Viral Immunopathology
title_fullStr Meeting the Challenge of Controlling Viral Immunopathology
title_full_unstemmed Meeting the Challenge of Controlling Viral Immunopathology
title_short Meeting the Challenge of Controlling Viral Immunopathology
title_sort meeting the challenge of controlling viral immunopathology
topic viral infection
immunopathology
immunotherapy
immunometabolism
url https://www.mdpi.com/1422-0067/25/7/3935
work_keys_str_mv AT enginberber meetingthechallengeofcontrollingviralimmunopathology
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