Adoptive T Regulatory Cell Therapy for Tolerance Induction.

Curr Transplant Rep

Department of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL 33136 ; Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136.

Published: June 2015

AI Article Synopsis

  • There is a pressing need for new strategies to achieve immune tolerance in transplant recipients and autoimmune patients without relying on long-term immunosuppression.
  • Adoptive T regulatory cell (T) therapy shows promise for providing durable protection, but current clinical trials suggest that simply infusing expanded autologous T cells isn't showing significant benefits on its own.
  • Combining T cell therapy with additional treatments that support stable donor T cell engraftment and function may enhance outcomes and lead to longer-lasting therapeutic effects.

Article Abstract

There is a clear need to develop strategies to induce tolerance without the need of chronic immunosuppression in transplant recipient and in patients with autoimmunity. Adoptive T regulatory cell (T) therapy offers the potential of long-lasting protection. However, based on results of clinical trials so far with expanded autologous T in type 1 diabetic (T1D) patients, it seems unlikely that single immunotherapy with T infusion without immunomodulation regimens that promote stable donor T engraftment and persistence would afford truly significant clinical benefit. Combination therapies could provide improved outcomes with consideration of the fundamental factors required for T generation, homeostasis, and function to promote long-term donor T persistence to provoke beneficial therapeutic outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415881PMC
http://dx.doi.org/10.1007/s40472-015-0058-5DOI Listing

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