Regulatory T cells: first steps of clinical application in solid organ transplantation.

作者: Jeroen B. van der Net , Andrew Bushell , Kathryn J. Wood , Paul N. Harden

DOI: 10.1111/TRI.12608

关键词: RegimenClinical trialCell therapyImmunologyDiseaseRegulatory T cellMedicineImmunosuppressionCancerTransplantationInternal medicineOncology

摘要: Solid organ transplantation is the treatment of choice for patients with end-stage failure. To prevent rejection transplanted continuous immunosuppressive medication needed. Immunosuppression may be harmful to transplant recipient, increasing risk cancer, infections and cardiovascular disease. improve patient survival, there a need an immune-modulatory regimen that not only potent in preventing organ, but has less side effects compared current regimens. Increasingly, research focusses on regulatory T cell (Treg) therapy achieve this aim, which Treg are used as strategy allow reduction immunosuppression. Currently, first clinical trials underway investigating safety feasibility renal transplantation. This review gives overview rationale using transplantation, previous experience humans, expected safety, potential efficacy cost-effectiveness solid

参考文章(63)
A. Siepert, S. Ahrlich, K. Vogt, C. Appelt, K. Stanko, A. Kühl, J. van den Brandt, H. M. Reichardt, H. Nizze, M. Lehmann, M. Tiedge, H.-D. Volk, B. Sawitzki, P. Reinke, Permanent CNI treatment for prevention of renal allograft rejection in sensitized hosts can be replaced by regulatory T cells. American Journal of Transplantation. ,vol. 12, pp. 2384- 2394 ,(2012) , 10.1111/J.1600-6143.2012.04143.X
S. Landwehr-Kenzel, F. Issa, S.-H. Luu, M. Schmück, H. Lei, A. Zobel, A. Thiel, N. Babel, K. Wood, H.-D. Volk, P. Reinke, Novel GMP-Compatible Protocol Employing an Allogeneic B Cell Bank for Clonal Expansion of Allospecific Natural Regulatory T Cells American Journal of Transplantation. ,vol. 14, pp. 594- 606 ,(2014) , 10.1111/AJT.12629
S. Gurkan, Y. Luan, N. Dhillon, S. R. Allam, T. Montague, J. S. Bromberg, S. Ames, S. Lerner, Z. Ebcioglu, V. Nair, R. Dinavahi, V. Sehgal, P. Heeger, B. Schroppel, B. Murphy, Immune Reconstitution Following Rabbit Antithymocyte Globulin American Journal of Transplantation. ,vol. 10, pp. 2132- 2141 ,(2010) , 10.1111/J.1600-6143.2010.03210.X
Irmeli Lautenschlager, Raymund R. Razonable, Human herpesvirus-6 infections in kidney, liver, lung, and heart transplantation: review. Transplant International. ,vol. 25, pp. 493- 502 ,(2012) , 10.1111/J.1432-2277.2012.01443.X
Shimon Sakaguchi, Noriko Sakaguchi, Misako Itoh, Masanao Asano, Masaaki Toda, Immunologic self-tolerance maintained by activated T cells expressing IL-2 receptor alpha-chains (CD25). Breakdown of a single mechanism of self-tolerance causes various autoimmune diseases. Journal of Immunology. ,vol. 155, pp. 1151- 1164 ,(1995)
S. C. Juvet, A. G. Whatcott, A. R. Bushell, K. J. Wood, Harnessing regulatory T cells for clinical use in transplantation: the end of the beginning. American Journal of Transplantation. ,vol. 14, pp. 750- 763 ,(2014) , 10.1111/AJT.12647
KL Hippen, SC Merkel, DK Schirm, C Nelson, NC Tennis, JL Riley, CH June, JS Miller, JE Wagner, BR Blazar, None, Generation and large-scale expansion of human inducible regulatory T cells that suppress graft-versus-host disease American Journal of Transplantation. ,vol. 11, pp. 1148- 1157 ,(2011) , 10.1111/J.1600-6143.2011.03558.X
Keisuke Minamimura, Wenda Gao, Takashi Maki, CD4+ Regulatory T Cells Are Spared from Deletion by Antilymphocyte Serum, a Polyclonal Anti-T Cell Antibody Journal of Immunology. ,vol. 176, pp. 4125- 4132 ,(2006) , 10.4049/JIMMUNOL.176.7.4125
Kathryn J. Wood, Andrew Bushell, Joanna Hester, Regulatory immune cells in transplantation Nature Reviews Immunology. ,vol. 12, pp. 417- 430 ,(2012) , 10.1038/NRI3227