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Chimeric anti-HLA antibody receptor engineered human regulatory T cells suppress alloantigen-specific B cells from pre-sensitized transplant recipients.

作者信息

Valentín-Quiroga Jaime, Zarauza-Santoveña Alejandro, López-Collazo Eduardo, Ferreira Leonardo M R

机构信息

Department of Pharmacology and Immunology, Medical University of South Carolina, Charleston, SC, United States.

Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, United States.

出版信息

Front Immunol. 2025 Aug 15;16:1601385. doi: 10.3389/fimmu.2025.1601385. eCollection 2025.


DOI:10.3389/fimmu.2025.1601385
PMID:40895551
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12394524/
Abstract

Organ transplantation is a lifesaving procedure, with 50,000 transplants happening every year in the United States. However, many patients harbor antibodies and B cells directed against allogeneic human leukocyte antigen (HLA) molecules, notably HLA-A2, greatly decreasing their likelihood of receiving a compatible organ. Moreover, antibody-mediated rejection is a significant contributor to chronic transplant rejection. Current strategies to desensitize patients non-specifically target circulating antibodies and B cells, resulting in poor efficacy and complications. Regulatory T cells (Tregs) are immune cells dedicated to suppressing specific immune responses by interacting with both innate and adaptive immune cells. Here, we genetically modified human Tregs with a chimeric anti-HLA antibody receptor (CHAR) consisting of an extracellular HLA-A2 protein fused to a CD28-CD3zeta intracellular signaling domain, driving Treg activation upon recognition of anti-HLA-A2 antibodies on the surface of alloreactive B cells. We find that HLA-A2 CHAR Tregs get activated specifically by anti-HLA-A2 antibody-producing cells. Of note, HLA-A2 CHAR activation does not negatively affect Treg stability, as measured by expression of the Treg lineage transcription factors FOXP3 and HELIOS. Interestingly, HLA-A2 CHAR Tregs are not cytotoxic towards anti-HLA-A2 antibody-producing cells, unlike HLA-A2 CHAR modified conventional CD4 T cells. Importantly, HLA-A2 CHAR Tregs recognize and significantly suppress high affinity IgG antibody production by B cells from HLA-A2 sensitized patients. Altogether, our results provide proof-of-concept of a new strategy to specifically inhibit alloreactive B cells to desensitize transplant recipients.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/26ca8b7eb36c/fimmu-16-1601385-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/0c8713e00590/fimmu-16-1601385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/bcd4c567ff9f/fimmu-16-1601385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/c22cca75c0a4/fimmu-16-1601385-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/26ca8b7eb36c/fimmu-16-1601385-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/0c8713e00590/fimmu-16-1601385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/bcd4c567ff9f/fimmu-16-1601385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/c22cca75c0a4/fimmu-16-1601385-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054f/12394524/26ca8b7eb36c/fimmu-16-1601385-g004.jpg

相似文献

[1]
Chimeric anti-HLA antibody receptor engineered human regulatory T cells suppress alloantigen-specific B cells from pre-sensitized transplant recipients.

Front Immunol. 2025-8-15

[2]
Chimeric anti-HLA antibody receptor engineered human regulatory T cells suppress alloantigen-specific B cells from pre-sensitized transplant recipients.

bioRxiv. 2025-4-1

[3]
Chimeric HLA antibody receptor T cells to target HLA-specific B cells in solid organ transplantation.

HLA. 2023-10

[4]
CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs.

Front Immunol. 2025-7-1

[5]
CD39 delineates chimeric antigen receptor regulatory T cell subsets with distinct cytotoxic & regulatory functions against human islets.

Front Immunol. 2024

[6]
Chimeric HLA antibody receptor T cells for targeted therapy of antibody-mediated rejection in transplantation.

HLA. 2023-10

[7]
Depletion of alloreactive B cells by drug-resistant chimeric alloantigen receptor T cells to prevent transplant rejection.

Mol Ther. 2025-3-5

[8]
Immunosuppressive T-cell antibody induction for heart transplant recipients.

Cochrane Database Syst Rev. 2013-12-2

[9]
Precision Engineering of an Anti-HLA-A2 Chimeric Antigen Receptor in Regulatory T Cells for Transplant Immune Tolerance.

Front Immunol. 2021

[10]
CAR T cells mediate linked suppression and infectious tolerance in islet transplantation in mice.

Sci Transl Med. 2025-8-20

本文引用的文献

[1]
Expanding the engineered Treg multiverse.

Mol Ther. 2025-3-5

[2]
Gene editing of CD3 epsilon to redirect regulatory T cells for adoptive T cell transfer.

Mol Ther. 2025-3-5

[3]
Single cell suppression profiling of human regulatory T cells.

Nat Commun. 2025-2-3

[4]
Generation of Human Chimeric Antigen Receptor Regulatory T Cells.

J Vis Exp. 2025-1-3

[5]
Donor regulatory T-cell therapy to prevent graft-versus-host disease.

Blood. 2025-5-1

[6]
High-affinity chimeric antigen receptor signaling induces an inflammatory program in human regulatory T cells.

Mol Ther Methods Clin Dev. 2024-11-18

[7]
Combinatorial genetic engineering strategy for immune protection of stem cell-derived beta cells by chimeric antigen receptor regulatory T cells.

Cell Rep. 2024-11-26

[8]
Allogeneic CD19-targeted CAR-T therapy in patients with severe myositis and systemic sclerosis.

Cell. 2024-9-5

[9]
CD39 delineates chimeric antigen receptor regulatory T cell subsets with distinct cytotoxic & regulatory functions against human islets.

Front Immunol. 2024

[10]
Tregs in transplantation tolerance: role and therapeutic potential.

Front Transplant. 2023-8-30

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