Cobb Jacob, Rawson Jeffrey, Gonzalez Nelson, Singer Mahmoud, Kandeel Fouad, Husseiny Mohamed I
Department of Translational Research & Cellular Therapeutics, Arthur Riggs Diabetes & Metabolism Research Institute, Duarte, CA 91010, USA.
Beckman Research Institute, City of Hope National Medical Center, Duarte, CA 91010, USA.
Vaccines (Basel). 2024 Mar 6;12(3):276. doi: 10.3390/vaccines12030276.
A combination therapy of preproinsulin (PPI) and immunomodulators (TGFβ+IL10) orally delivered via genetically modified and anti-CD3 promoted glucose balance in in NOD mice with recent onset diabetes. The bacteria were modified to express the diabetes-associated antigen PPI controlled by a bacterial promoter in conjunction with over-expressed immunomodulating molecules. The possible mechanisms of action of this vaccine to limit autoimmune diabetes remained undefined. In mice, the vaccine prevented and reversed ongoing diabetes. The vaccine-mediated beneficial effects were associated with increased numbers of antigen-specific CD4CD25Foxp3 Tregs, CD4CD49bLAG3 Tr1-cells, and tolerogenic dendritic-cells (tol-DCs) in the spleens and lymphatic organs of treated mice. Despite this, the immune response to infection was not altered. Furthermore, the vaccine effects were associated with a reduction in islet-infiltrating lymphocytes and an increase in the islet beta-cell mass. This was associated with increased serum levels of the tolerogenic cytokines (IL10, IL2, and IL13) and chemokine ligand 2 (CCL2) and decreased levels of inflammatory cytokines (IFNγ, GM-CSF, IL6, IL12, and TNFα) and chemokines (CXCL1, CXCL2, and CXCL5). Overall, the data suggest that the -based vaccine modulates the immune response, reduces inflammation, and promotes tolerance specifically to an antigen involved in autoimmune diabetes.
通过基因改造的抗CD3口服给予前胰岛素原(PPI)和免疫调节剂(TGFβ+IL10)的联合疗法可促进近期发病的NOD糖尿病小鼠的血糖平衡。对细菌进行改造,使其表达由细菌启动子控制的糖尿病相关抗原PPI,并同时过表达免疫调节分子。这种疫苗限制自身免疫性糖尿病的可能作用机制尚不清楚。在小鼠中,该疫苗可预防和逆转正在发生的糖尿病。疫苗介导的有益作用与治疗小鼠脾脏和淋巴器官中抗原特异性CD4CD25Foxp3调节性T细胞、CD4CD49bLAG3 Tr1细胞和耐受性树突状细胞(tol-DCs)数量的增加有关。尽管如此,对感染的免疫反应并未改变。此外,疫苗的作用与胰岛浸润淋巴细胞的减少和胰岛β细胞量的增加有关。这与耐受性细胞因子(IL10、IL2和IL13)和趋化因子配体2(CCL2)血清水平的升高以及炎性细胞因子(IFNγ、GM-CSF、IL6、IL12和TNFα)和趋化因子(CXCL1、CXCL2和CXCL5)水平的降低有关。总体而言,数据表明基于该疫苗可调节免疫反应、减轻炎症并特异性促进对自身免疫性糖尿病相关抗原的耐受性。
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