Institute of Microbiology of the Czech Academy of Sciences, v.v.i., Prague, Czechia.
SOTIO a s., Prague, Czechia.
Front Immunol. 2019 May 14;10:967. doi: 10.3389/fimmu.2019.00967. eCollection 2019.
Tolerogenic dendritic cells (tolDCs) are explored as a promising standalone or combination therapy in type 1 diabetes (T1D). The therapeutic application of tolDCs, including in human trials, has been tested also in other autoimmune diseases, however, T1D displays some unique features. In addition, unlike in several disease-induced animal models of autoimmune diseases, the prevalent animal model for T1D, the NOD mouse, develops diabetes spontaneously. This review compares evidence of various tolDCs approaches obtained from animal (mainly NOD) models of T1D with a focus on parameters of this cell-based therapy such as protocols of tolDC preparation, antigen-specific . unspecific approaches, doses of tolDCs and/or autoantigens, application schemes, application routes, the migration of tolDCs as well as their preventive, early pre-onset intervention or curative effects. This review also discusses perspectives of tolDC therapy and areas of preclinical research that are in need of better clarification in animal models in a quest for effective and optimal tolDC therapies of T1D in humans.
耐受性树突状细胞(tolDCs)被探索作为 1 型糖尿病(T1D)的一种有前途的独立或联合治疗方法。tolDCs 的治疗应用,包括临床试验,也已经在其他自身免疫性疾病中进行了测试,然而,T1D 具有一些独特的特征。此外,与几种自身免疫性疾病诱导的动物模型不同,T1D 的常见动物模型 NOD 小鼠会自发发生糖尿病。本综述比较了从 T1D 的动物(主要是 NOD)模型中获得的各种 tolDC 方法的证据,重点关注这种基于细胞的治疗方法的参数,如 tolDC 制备方案、抗原特异性和非特异性方法、tolDCs 和/或自身抗原的剂量、应用方案、应用途径、tolDC 的迁移以及它们的预防、早期发病前干预或治疗效果。本综述还讨论了 tolDC 治疗的前景和临床前研究领域,这些领域在动物模型中需要更好地阐明,以寻求人类 T1D 的有效和最佳 tolDC 治疗方法。
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