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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Generation of Human Chimeric Antigen Receptor Regulatory T Cells
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Next-generation regulatory T cell therapy.

Leonardo M R Ferreira1,2,3, Yannick D Muller1, Jeffrey A Bluestone4,5

  • 1Department of Surgery, University of California, San Francisco, San Francisco, CA, USA.

Nature Reviews. Drug Discovery
|September 22, 2019
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Summary
This summary is machine-generated.

Regulatory T (Treg) cells are crucial for immune balance. Enhancing Treg cell therapy using advanced technologies shows promise for treating autoimmune diseases and transplant rejection.

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Area of Science:

  • Immunology
  • Cell Therapy
  • Transplantation Science

Background:

  • Regulatory T (Treg) cells maintain immune homeostasis by suppressing excessive immune responses.
  • Defects in Treg cell function lead to autoimmune diseases and transplant complications.
  • Treg cells possess multiple mechanisms for immune suppression, making them potential therapeutics.

Purpose of the Study:

  • To review advances in Treg cell therapy for inflammatory disorders.
  • To explore the application of genetic engineering in enhancing Treg cell therapies.
  • To discuss the prospects of Treg cell-based treatments in autoimmunity and transplantation.

Main Methods:

  • Review of current literature on Treg cell biology and therapy.
  • Analysis of technological advancements in chimeric antigen receptor (CAR) development and genome editing (CRISPR-Cas9).
  • Evaluation of early-phase clinical trial data for Treg cell therapy.

Main Results:

  • Treg cell therapy has demonstrated feasibility, tolerability, and potential efficacy in clinical trials.
  • Genetic engineering technologies are being utilized to improve Treg cell specificity and function.
  • Significant progress has been made in optimizing T cell therapies for various conditions.

Conclusions:

  • Treg cell-based therapies offer a promising avenue for treating autoimmune diseases and preventing transplant rejection.
  • Advanced technologies like CARs and CRISPR-Cas9 are key to developing next-generation Treg cell therapies.
  • Further research and clinical development are essential to fully realize the therapeutic potential of Treg cells.