Millennium Institute on Immunology and Immunotherapy, Departamento de Genética Molecular y Microbiología, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, Chile.
Departamento de Anatomía Patológica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Immunology. 2019 Dec;158(4):322-339. doi: 10.1111/imm.13119. Epub 2019 Oct 7.
Current treatments for systemic autoimmune diseases partially improve the health of patients displaying low pharmacological efficacy and systemic immunosuppression. Here, the therapeutic potential of transferring tolerogenic dendritic cells (tolDCs) generated with heme-oxygenase inductor cobalt (III) protoporphyrin IX (CoPP), dexamethasone and rosiglitazone for the treatment of systemic autoimmunity was evaluated in two murine models of systemic lupus erythematosus (SLE), MRL-Fas and NZM2410 mice. Dendritic cells treated ex vivo with these drugs showed a stable tolerogenic profile after lipopolysaccharide stimulation. Regular doses of tolDCs were administered to anti-nuclear antibody-positive mice throughout 60-70 days, and the clinical score was evaluated. Long-term treatment with these tolDCs was well tolerated and effective to improve the clinical score on MRL-Fas lupus-prone mice. Additionally, decreased levels of anti-nuclear antibodies in NZM2410 mice were observed. Although tolDC treatment increased regulatory T cells, no significant reduction of renal damage or glomerulonephritis could be found. In conclusion, these results suggest that the transfer of histone-loaded tolDCs could improve only some SLE symptoms and reduced anti-nuclear antibodies. This is the first study to evaluate antigen-specific tolDC administration to treat SLE. Our report strengthens the clinical relevance of tolDC generation with CoPP, dexamethasone and rosiglitazone and the use of these modified cells as a therapy for systemic autoimmunity.
目前针对系统性自身免疫性疾病的治疗方法在一定程度上改善了那些药物疗效低和全身免疫抑制的患者的健康状况。在这里,我们评估了血红素加氧酶诱导剂钴(III)原卟啉 IX(CoPP)、地塞米松和罗格列酮生成的耐受原性树突状细胞(tolDCs)在两种系统性红斑狼疮(SLE)小鼠模型,MRL-Fas 和 NZM2410 小鼠中的治疗潜力。体外用这些药物处理的树突状细胞在脂多糖刺激后表现出稳定的耐受原性特征。在 60-70 天内,给抗核抗体阳性的小鼠定期注射 tolDCs,评估临床评分。长期用这些 tolDCs 治疗,MRL-Fas 狼疮易感小鼠的临床评分得到了改善,且耐受性良好。此外,在 NZM2410 小鼠中观察到抗核抗体水平降低。虽然 tolDC 治疗增加了调节性 T 细胞,但未发现肾损伤或肾小球肾炎有明显减少。总之,这些结果表明,负载组蛋白的 tolDC 的转移可以改善某些 SLE 症状并降低抗核抗体。这是首次评估抗原特异性 tolDC 给药治疗 SLE 的研究。我们的报告增强了 CoPP、地塞米松和罗格列酮生成 tolDC 的临床相关性,以及将这些修饰后的细胞作为治疗全身自身免疫性疾病的一种疗法的临床相关性。
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