Engineered antigen-specific human regulatory T cells: immunosuppression of FVIII-specific T-and B-cell responses

YC Kim, AH Zhang, Y Su, SA Rieder… - Blood, The Journal …, 2015 - ashpublications.org
YC Kim, AH Zhang, Y Su, SA Rieder, RJ Rossi, RA Ettinger, KP Pratt, EM Shevach, DW Scott
Blood, The Journal of the American Society of Hematology, 2015ashpublications.org
Expansion of human regulatory T cells (Tregs) for clinical applications offers great promise
for the treatment of undesirable immune responses in autoimmunity, transplantation, allergy,
and antidrug antibody responses, including inhibitor responses in hemophilia A patients.
However, polyclonal Tregs are nonspecific and therefore could potentially cause global
immunosuppression. To avoid this undesirable outcome, the generation of antigen-specific
Tregs would be advantageous. Herein, we report the production and properties of …
Abstract
Expansion of human regulatory T cells (Tregs) for clinical applications offers great promise for the treatment of undesirable immune responses in autoimmunity, transplantation, allergy, and antidrug antibody responses, including inhibitor responses in hemophilia A patients. However, polyclonal Tregs are nonspecific and therefore could potentially cause global immunosuppression. To avoid this undesirable outcome, the generation of antigen-specific Tregs would be advantageous. Herein, we report the production and properties of engineered antigen-specific Tregs, created by transduction of a recombinant T-cell receptor obtained from a hemophilia A subject’s T-cell clone, into expanded human FoxP3+ Tregs. Such engineered factor VIII (FVIII)-specific Tregs efficiently suppressed the proliferation and cytokine production of FVIII-specific T-effector cells. Moreover, studies with an HLA-transgenic, FVIII-deficient mouse model demonstrated that antibody production from FVIII-primed spleen cells in vitro were profoundly inhibited in the presence of these FVIII-specific Tregs, suggesting potential utility to treat anti-FVIII inhibitory antibody formation in hemophilia A patients.
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