Pharmazentrum Frankfurt/ZAFES, Goethe University Hospital Frankfurt, Frankfurt am Main, Germany.
Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Diabetes. 2015 Dec;64(12):4198-211. doi: 10.2337/db15-0479. Epub 2015 Aug 20.
Anti-CD3 therapy of type 1 diabetes results in a temporary halt of its pathogenesis but does not constitute a permanent cure. One problem is the reinfiltration of islets of Langerhans with regenerated, autoaggressive lymphocytes. We aimed at blocking such a reentry by neutralizing the key chemokine CXCL10. Combination therapy of diabetic RIP-LCMV and NOD mice with anti-CD3 and anti-CXCL10 antibodies caused a substantial remission of diabetes and was superior to monotherapy with anti-CD3 or anti-CXCL10 alone. The combination therapy prevented islet-specific T cells from reentering the islets of Langerhans and thereby blocked the autodestructive process. In addition, the local immune balance in the pancreas was shifted toward a regulatory phenotype. A sequential temporal inactivation of T cells and blockade of T-cell migration might constitute a novel therapy for patients with type 1 diabetes.
抗 CD3 疗法可暂时阻止 1 型糖尿病的发病,但并不能根治。其问题之一是胰岛中再生的自身反应性淋巴细胞再次浸润。我们的目的是通过中和关键趋化因子 CXCL10 来阻止这种再进入。抗 CD3 和抗 CXCL10 抗体联合治疗糖尿病 RIP-LCMV 和 NOD 小鼠可显著缓解糖尿病,优于单独使用抗 CD3 或抗 CXCL10 治疗。联合治疗可防止胰岛特异性 T 细胞再次进入胰岛,从而阻断自身破坏过程。此外,胰腺中的局部免疫平衡向调节表型转变。T 细胞的顺序时相失活和 T 细胞迁移的阻断可能为 1 型糖尿病患者提供一种新的治疗方法。