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自身免疫性肝病和移植中的调节性T细胞疗法。

Regulatory T cell therapy in autoimmune liver disease and transplantation.

作者信息

Fleming Maegen, Sanchez-Fueyo Alberto, Safinia Niloufar

机构信息

Roger Williams Institute of Liver Studies, Department of Inflammation Biology, School of Immunology and Microbial Sciences, James Black Centre, King's College London, London, SE5 9NU, United Kingdom.

出版信息

JHEP Rep. 2025 Mar 12;7(8):101394. doi: 10.1016/j.jhepr.2025.101394. eCollection 2025 Aug.

Abstract

In this review, we explore the application of regulatory T cells (Tregs) as cellular therapies in the setting of autoimmune liver diseases and liver transplantation. At present, there are limited treatment options for end-stage liver disease, which in many cases requires transplantation. Following liver transplantation, immunosuppressive drugs are administered, often throughout the course of the patient's life, to prevent organ rejection. When used for a prolonged period, immunosuppressive drugs can have detrimental effects on the patient's health and quality of life. Tregs are an attractive target for cellular therapy in this context because of their innate ability to control inflammatory immune responses. In this review, we cover the different generations of Treg-based therapies, their potential roles in the treatment of autoimmune liver diseases and transplantation, and the future outlook for Tregs as cellular therapies.

摘要

在本综述中,我们探讨了调节性T细胞(Tregs)作为细胞疗法在自身免疫性肝病和肝移植中的应用。目前,终末期肝病的治疗选择有限,在许多情况下需要进行移植。肝移植后,通常在患者的整个生命过程中都要使用免疫抑制药物,以防止器官排斥。长期使用时,免疫抑制药物会对患者的健康和生活质量产生不利影响。在这种情况下,Tregs因其控制炎症性免疫反应的固有能力而成为细胞治疗的一个有吸引力的靶点。在本综述中,我们涵盖了不同代基于Treg的疗法、它们在自身免疫性肝病治疗和移植中的潜在作用,以及Tregs作为细胞疗法的未来前景。

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