Wiewiórska-Krata Natalia, Foroncewicz Bartosz, Mucha Krzysztof, Zagożdżon Radosław
Laboratory of Cellular and Genetic Therapies, Center for Preclinical Research, Medical University of Warsaw, Warsaw, Poland.
ProMix Center (ProteogenOmix in Medicine), Department of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland.
Front Med (Lausanne). 2025 Mar 26;12:1550527. doi: 10.3389/fmed.2025.1550527. eCollection 2025.
Immune-mediated disorders are a broad range of diseases, arising as consequence of immune defects, exaggerated/misguided immune response or a mixture of both conditions. Their frequency is on a rise in the developed societies and they pose a significant challenge for diagnosis and treatment. Traditional pharmacological, monoclonal antibody-based or polyclonal antibody replacement-based therapies aiming at modulation of the immune responses give very often dissatisfactory results and/or are burdened with unacceptable adverse effects. In recent years, a new group of treatment modalities has emerged, utilizing cells as living drugs, especially with the use of the up-to-date genetic engineering. These modern cellular therapies are designed to offer a high potential for more targeted, safe, durable, and personalized treatment options. This work briefly reviews the latest advances in the treatment of immune-mediated disorders, mainly those related to exaggeration of the immune response, with such cellular therapies as hematopoietic stem cells (HSCs), mesenchymal stromal cells (MSCs), regulatory T cells (Tregs), chimeric antigen receptor (CAR) T cells and others. We highlight the main features of these therapies as new treatment options for taming the dysregulated immune system. Undoubtfully, in near future such therapies can provide lasting remissions in a range of immune-mediated disorders with reduced treatment burden and improved quality of life for the patients.
免疫介导性疾病是一大类疾病,其产生是免疫缺陷、过度/错误引导的免疫反应或两者兼有的结果。在发达社会中,它们的发病率呈上升趋势,对诊断和治疗构成重大挑战。旨在调节免疫反应的传统药物治疗、基于单克隆抗体或基于多克隆抗体替代的疗法往往效果不佳和/或伴有不可接受的不良反应。近年来,出现了一组新的治疗方式,将细胞用作活药物,特别是利用了最新的基因工程技术。这些现代细胞疗法旨在为更具针对性、安全、持久和个性化的治疗选择提供巨大潜力。本文简要回顾了免疫介导性疾病治疗的最新进展,主要是那些与免疫反应过度相关的疾病,以及造血干细胞(HSCs)、间充质基质细胞(MSCs)、调节性T细胞(Tregs)、嵌合抗原受体(CAR)T细胞等细胞疗法。我们强调这些疗法作为驯服失调免疫系统的新治疗选择的主要特征。毫无疑问,在不久的将来,此类疗法可以使一系列免疫介导性疾病实现持久缓解,减轻治疗负担并改善患者的生活质量。