2018
DOI: 10.3389/fimmu.2018.01891
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Therapies to Suppress β Cell Autoimmunity in Type 1 Diabetes

Abstract: Type 1 diabetes (T1D) is an autoimmune disease that is generally considered to be T cell-driven. Accordingly, most strategies of immunotherapy for T1D prevention and treatment in the clinic have targeted the T cell compartment. To date, however, immunotherapy has had only limited clinical success. Although certain immunotherapies have promoted a protective effect, efficacy is often short-term and acquired immunity may be impacted. This has led to the consideration of combining different approaches with the goa… Show more

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Cited by 27 publications
(19 citation statements)
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References 238 publications
(227 reference statements)
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“…Cell-based therapies using ex vivo administration of Ag-specific autologous regulatory T cells (Tregs) are in clinical testing to examine the efficacy of these immunosuppressive cells to delay autoimmune diseases such as type 1 diabetes (T1D) (12,13). Adoptive transfer of expanded Foxp3 + Tregs has shown promise in mice; however, technical limitations of human Tregs expansion ex vivo still need to be overcome (14). In addition to the use of Tregs, transfer of immunomodulatory dendritic cells (DCs) can restore Ag-specific peripheral tolerance and induce anergy in effector T cells (15,16).…”
Section: Introductionmentioning
confidence: 99%
“…Cell-based therapies using ex vivo administration of Ag-specific autologous regulatory T cells (Tregs) are in clinical testing to examine the efficacy of these immunosuppressive cells to delay autoimmune diseases such as type 1 diabetes (T1D) (12,13). Adoptive transfer of expanded Foxp3 + Tregs has shown promise in mice; however, technical limitations of human Tregs expansion ex vivo still need to be overcome (14). In addition to the use of Tregs, transfer of immunomodulatory dendritic cells (DCs) can restore Ag-specific peripheral tolerance and induce anergy in effector T cells (15,16).…”
Section: Introductionmentioning
confidence: 99%
“…The most promising intervention to date is the use of the anti-CD3 antibody teplizumab that was recently shown to delay disease onset in individuals predicted to develop T1D within a few years 3 . However, no intervention exists that can reverse established disease without broad immunosuppression 4 . To overcome this critical issue, we sought to determine if genetic modifications exist that render transplanted beta cells resistant to autoimmune killing.…”
mentioning
confidence: 99%
“…were concentrated on the mechanism of autoimmunity [25] and genetically relevant loci in human leukocyte antigen (HLA) [26,27], which might benefit for T1D prediction and prevention [28]. Here in the present study, the mechanism of EZH2/ZBTB16 in T1D inhibition by FBW7 is clarified, suggesting that FBW7 is a promising target for T1D therapy.…”
Section: Discussionmentioning
confidence: 70%