Therapeutic potentials of adoptive cell therapy in immune-mediated neuropathy

IF 7.9 1区 医学 Q1 IMMUNOLOGY
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引用次数: 0

Abstract

Immune-mediated neuropathy (IMN) is a group of heterogenous neuropathies caused by intricate autoimmune responses. For now, known mechanisms of different IMN subtypes involve the production of autoantibodies, complement activation, enhanced inflammation and subsequent axonal/demyelinating nerve damages. Recent therapeutic studies mainly focus on specific antibodies and small molecule inhibitors previously approved in rheumatoid diseases. Initial strategies based on the pathophysiologic features of IMN should be explored. Adoptive cell therapy (ACT) refers to the emerging immunotherapies in which circulating immunocytes are collected from peripheral blood and modified with killing and immunomodulatory capacities. It consists of chimeric antigen receptor-T cell therapy, T cell receptor-engineered T cell, CAR-Natural killer cell therapy, and others. In the last decade, ACT has demonstrated extraordinary potentials in treating cancers, infectious diseases and autoimmune diseases. Versatile combinations of targets, chimeric domains and effector cells greatly empower ACT to treat complicated immune disorders. In this review, we summarized the advances of ACT and envisioned suitable strategies for different IMN subtypes.

免疫介导的神经病变中采用细胞疗法的治疗潜力
免疫介导的神经病(IMN)是一组由复杂的自身免疫反应引起的异质性神经病。目前,已知的不同 IMN 亚型的发病机制包括自身抗体的产生、补体激活、炎症增强以及随后的轴突/脱髓鞘神经损伤。最近的治疗研究主要集中在特异性抗体和以前批准用于类风湿病的小分子抑制剂上。应探索基于 IMN 病理生理学特征的初步策略。采用性细胞疗法(ACT)是指从外周血中收集循环免疫细胞并对其进行改造,使其具有杀伤和免疫调节能力的新兴免疫疗法。它包括嵌合抗原受体-T 细胞疗法、T 细胞受体工程化 T 细胞、CAR-自然杀伤细胞疗法等。在过去十年中,ACT 在治疗癌症、传染病和自身免疫性疾病方面展现出了非凡的潜力。靶点、嵌合结构域和效应细胞的多种组合大大增强了 ACT 治疗复杂免疫疾病的能力。在这篇综述中,我们总结了 ACT 的进展,并设想了针对不同 IMN 亚型的合适策略。
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来源期刊
Journal of autoimmunity
Journal of autoimmunity 医学-免疫学
CiteScore
27.90
自引率
1.60%
发文量
117
审稿时长
17 days
期刊介绍: The Journal of Autoimmunity serves as the primary publication for research on various facets of autoimmunity. These include topics such as the mechanism of self-recognition, regulation of autoimmune responses, experimental autoimmune diseases, diagnostic tests for autoantibodies, as well as the epidemiology, pathophysiology, and treatment of autoimmune diseases. While the journal covers a wide range of subjects, it emphasizes papers exploring the genetic, molecular biology, and cellular aspects of the field. The Journal of Translational Autoimmunity, on the other hand, is a subsidiary journal of the Journal of Autoimmunity. It focuses specifically on translating scientific discoveries in autoimmunity into clinical applications and practical solutions. By highlighting research that bridges the gap between basic science and clinical practice, the Journal of Translational Autoimmunity aims to advance the understanding and treatment of autoimmune diseases.
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