Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospects

Visceral leishmaniasis (VL) is a vector-borne chronic infectious disease caused by the protozoan parasite Leishmania donovani or Leishmania infantum. VL is a serious public health problem, causing high morbidity and mortality in the developing world with an estimated 0.2 -0.4 million new cases each...

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Main Authors: Om Prakash eSingh, Shyam eSundar
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-06-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2014.00296/full
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author Om Prakash eSingh
Shyam eSundar
author_facet Om Prakash eSingh
Shyam eSundar
author_sort Om Prakash eSingh
collection DOAJ
description Visceral leishmaniasis (VL) is a vector-borne chronic infectious disease caused by the protozoan parasite Leishmania donovani or Leishmania infantum. VL is a serious public health problem, causing high morbidity and mortality in the developing world with an estimated 0.2 -0.4 million new cases each year. In the absence of a vaccine, chemotherapy remains the favoured option for disease control, but is limited by a narrow therapeutic index, significant toxicities, and frequently acquired resistance. Improved understanding of VL pathogenesis offers the development of immune based treatment options either alone or in combination with chemotherapy. Modulations of host immune responses include the approaches that inhibit molecular pathways, crucial for parasite growth and maintenance; and stimulate host effectors immune responses that restore the impaired effector functions. In this review, we highlight the challenges in treatment of VL with a particular emphasis on immunotherapy and targeted therapies to improve clinical outcomes.
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spelling doaj.art-6a1c142b274f4df7b9fb93eb0e7c9b022022-12-22T01:35:03ZengFrontiers Media S.A.Frontiers in Immunology1664-32242014-06-01510.3389/fimmu.2014.0029680389Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospectsOm Prakash eSingh0Shyam eSundar1Banaras Hindu UniversityBanaras Hindu UniversityVisceral leishmaniasis (VL) is a vector-borne chronic infectious disease caused by the protozoan parasite Leishmania donovani or Leishmania infantum. VL is a serious public health problem, causing high morbidity and mortality in the developing world with an estimated 0.2 -0.4 million new cases each year. In the absence of a vaccine, chemotherapy remains the favoured option for disease control, but is limited by a narrow therapeutic index, significant toxicities, and frequently acquired resistance. Improved understanding of VL pathogenesis offers the development of immune based treatment options either alone or in combination with chemotherapy. Modulations of host immune responses include the approaches that inhibit molecular pathways, crucial for parasite growth and maintenance; and stimulate host effectors immune responses that restore the impaired effector functions. In this review, we highlight the challenges in treatment of VL with a particular emphasis on immunotherapy and targeted therapies to improve clinical outcomes.http://journal.frontiersin.org/Journal/10.3389/fimmu.2014.00296/fullImmunotherapyVisceral leishmaniasisIL-10TreatmentResistanceanti-IL-10 mAb
spellingShingle Om Prakash eSingh
Shyam eSundar
Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospects
Frontiers in Immunology
Immunotherapy
Visceral leishmaniasis
IL-10
Treatment
Resistance
anti-IL-10 mAb
title Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospects
title_full Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospects
title_fullStr Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospects
title_full_unstemmed Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospects
title_short Immunotherapy and Targeted Therapies in Treatment of Visceral Leishmaniasis: current status and future prospects
title_sort immunotherapy and targeted therapies in treatment of visceral leishmaniasis current status and future prospects
topic Immunotherapy
Visceral leishmaniasis
IL-10
Treatment
Resistance
anti-IL-10 mAb
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2014.00296/full
work_keys_str_mv AT omprakashesingh immunotherapyandtargetedtherapiesintreatmentofvisceralleishmaniasiscurrentstatusandfutureprospects
AT shyamesundar immunotherapyandtargetedtherapiesintreatmentofvisceralleishmaniasiscurrentstatusandfutureprospects