2002
DOI: 10.1007/s00125-002-0937-z
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Peptide therapy for Type I diabetes: the immunological homunculus and the rationale for vaccination

Abstract: The autoimmune process that produces Type I (insulin-dependent) diabetes mellitus seems to respond favourably to therapeutic vaccination with a peptide of the 60 kDa heat shock protein. This article is a personal review of the observations and the thinking that gave rise to the idea of therapeutic peptide vaccination. The rationale for vaccination therapy is compared to other approaches aimed at specific immunological treatment for autoimmune disease. [Diabetologia (2002)

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Cited by 48 publications
(3 citation statements)
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“…In addition, advances in peptide manipulations such as synthesis of D-amino acids, cyclic peptides, incorporation of chemicals and nanocarriers have further increased the bioavailability of peptides 53 . Currently, ample examples of efficacious and safe peptide drugs are available in the market 54 - 57 . Great success has been achieved for the peptide drug Fuzeon TM (enfuvirtide), a synthetic peptide that blocks viral fusion by binding to the gp41 (polypeptide chain) of the human immunodeficiency virus (HIV) type-1 envelope protein 55 .…”
Section: Development Of Peptides As Therapeuticsmentioning
confidence: 99%
See 1 more Smart Citation
“…In addition, advances in peptide manipulations such as synthesis of D-amino acids, cyclic peptides, incorporation of chemicals and nanocarriers have further increased the bioavailability of peptides 53 . Currently, ample examples of efficacious and safe peptide drugs are available in the market 54 - 57 . Great success has been achieved for the peptide drug Fuzeon TM (enfuvirtide), a synthetic peptide that blocks viral fusion by binding to the gp41 (polypeptide chain) of the human immunodeficiency virus (HIV) type-1 envelope protein 55 .…”
Section: Development Of Peptides As Therapeuticsmentioning
confidence: 99%
“…In 2011, 25 of the US-approved peptide drugs accounted for the global sale of over US$14.7 billion, while Victoza®, Zoladex®, Sandostatin®, Lupron® and Copaxone® each had global sales of over US$1,000 million 63 . Some other examples of therapeutic peptides include glucagon-like peptide-1 (GLP-1) and analogues 57 , deletion peptides of insulin 56 and a deletion peptide of the heat shock protein 60 54 that have been used widely in the treatment of diabetes. This has demonstrated the potential and importance of peptides as pharmacological agents.…”
Section: Development Of Peptides As Therapeuticsmentioning
confidence: 99%
“…The bias to certain self-antigens suggests that the immune system, too, might express an immunological homunculus -an internal image of key body molecules encoded by positive selection of antigen receptors to generate skewed repertoires of T cells and B cells [7][8][9]. Obviously, any self-antigen biases would have to enhance fitness; the autoimmunity expressed by repertoires of T cells and B cells in healthy individuals must be doing more good than harm [10][11][12][13][14].…”
Section: The Immunological Homunculusmentioning
confidence: 99%