Dept. of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, Hannover, Germany.
Dept. of Gastroenterology and Hepatology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
J Autoimmun. 2019 Sep;103:102289. doi: 10.1016/j.jaut.2019.05.017. Epub 2019 Jun 5.
Adoptive immunotherapy with ex vivo expanded, polyspecific regulatory T cells (Tregs) is a promising treatment for graft-versus-host disease. Animal transplantation models used by us and others have demonstrated that the adoptive transfer of allospecific Tregs offers greater protection from graft rejection than that of polyclonal Tregs. This finding is in contrast to those of autoimmune models, where adoptive transfer of polyspecific Tregs had very limited effects, while antigen-specific Tregs were promising. However, antigen-specific Tregs in autoimmunity cannot be isolated in sufficient numbers. Chimeric antigen receptors (CARs) can modify T cells and redirect their specificity toward needed antigens and are currently clinically used in leukemia patients. A major benefit of CAR technology is its "off-the-shelf" usability in a translational setting in contrast to major histocompatibility complex (MHC)-restricted T cell receptors. We used CAR technology to redirect T cell specificity toward insulin and redirect T effector cells (Teffs) to Tregs by Foxp3 transduction. Our data demonstrate that our converted, insulin-specific CAR Tregs (cTregs) were functional stable, suppressive and long-lived in vivo. This is a proof of concept for both redirection of T cell specificity and conversion of Teffs to cTregs.
过继性免疫治疗采用体外扩增的多特异性调节性 T 细胞(Tregs),是治疗移植物抗宿主病的一种很有前途的方法。我们和其他人使用的动物移植模型表明,同种异体 Tregs 的过继转移提供了比多克隆 Tregs 更大的抗排斥保护。这一发现与自身免疫模型形成对比,在自身免疫模型中,多特异性 Tregs 的过继转移效果非常有限,而抗原特异性 Tregs 则很有前途。然而,在自身免疫中,抗原特异性 Tregs 不能以足够的数量分离出来。嵌合抗原受体(CAR)可以修饰 T 细胞,并将其特异性重新定向到所需的抗原上,目前正在白血病患者中进行临床应用。CAR 技术的一个主要优势是其在转化环境中的“即用型”可用性,与主要组织相容性复合体(MHC)限制的 T 细胞受体形成对比。我们使用 CAR 技术将 T 细胞特异性重新定向到胰岛素,并通过 Foxp3 转导将 T 效应细胞(Teffs)重新定向到 Tregs。我们的数据表明,我们转化的、胰岛素特异性的 CAR Tregs(cTregs)在体内具有功能稳定性、抑制性和长寿命。这既是 T 细胞特异性重定向的概念验证,也是 Teffs 向 cTregs 的转化的概念验证。
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