Improving the Efficacy of Regulatory T Cell Therapy

被引:0
作者
Paulien Baeten
Lauren Van Zeebroeck
Markus Kleinewietfeld
Niels Hellings
Bieke Broux
机构
[1] Biomedical Research Institute,Neuro
[2] Hasselt University,Immune Connections and Repair Lab, Department of Immunology and Infection
[3] University MS Center,VIB Laboratory of Translational Immunomodulation, Center for Inflammation Research (IRC), Department of Immunology and Infection
[4] Biomedical Research Institute,Department of Internal Medicine
[5] Hasselt University,undefined
[6] Cardiovascular Research Institute Maastricht,undefined
[7] Maastricht University,undefined
来源
Clinical Reviews in Allergy & Immunology | 2022年 / 62卷
关键词
Regulatory T cells; Cell therapy; Autoimmunity; COVID-19; Gene editing; RNA interference;
D O I
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中图分类号
学科分类号
摘要
Autoimmunity is caused by an unbalanced immune system, giving rise to a variety of organ-specific to system disorders. Patients with autoimmune diseases are commonly treated with broad-acting immunomodulatory drugs, with the risk of severe side effects. Regulatory T cells (Tregs) have the inherent capacity to induce peripheral tolerance as well as tissue regeneration and are therefore a prime candidate to use as cell therapy in patients with autoimmune disorders. (Pre)clinical studies using Treg therapy have already established safety and feasibility, and some show clinical benefits. However, Tregs are known to be functionally impaired in autoimmune diseases. Therefore, ex vivo manipulation to boost and stably maintain their suppressive function is necessary when considering autologous transplantation. Similar to autoimmunity, severe coronavirus disease 2019 (COVID-19) is characterized by an exaggerated immune reaction and altered Treg responses. In light of this, Treg-based therapies are currently under investigation to treat severe COVID-19. This review provides a detailed overview of the current progress and clinical challenges of Treg therapy for autoimmune and hyperinflammatory diseases, with a focus on recent successes of ex vivo Treg manipulation.
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页码:363 / 381
页数:18
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