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Related Concept Videos

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Generation of Human Chimeric Antigen Receptor Regulatory T Cells
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Gene-corrected regulatory T cell therapy for IL2RA deficiency.

Alvin S Ha1, Nechama Kalter2, Michael Rosenberg2

  • 1Department of Laboratory Medicine, University of California, San Francisco, San Francisco, CA 94143, USA; Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA 94158, USA.

Molecular Therapy : the Journal of the American Society of Gene Therapy
|December 11, 2025
PubMed
Summary
This summary is machine-generated.

Gene-corrected regulatory T cells (Tregs) offer a potential new therapy for IL2RA deficiency, a rare autoimmune disease. This approach uses CRISPR-Cas9 to fix gene mutations, creating functional Tregs for a safer treatment than current options.

Keywords:
CRISPRIL2RAclinical manufacturinggene correctioninborn errors of immunitynon-viralrare diseaseregulatory T cells

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Area of Science:

  • Immunology
  • Gene Therapy
  • Cell Therapy

Background:

  • Bi-allelic germline deficiency of IL2RA causes a rare autoimmune condition characterized by impaired regulatory T cell (Treg) function and interleukin-2 (IL-2) signaling.
  • Current definitive treatment, allogeneic hematopoietic stem cell transplantation, involves significant risks.

Purpose of the Study:

  • To develop a novel therapeutic approach for IL2RA deficiency using ex vivo gene-corrected autologous Tregs (gcTregs).
  • To establish a Good Manufacturing Practice (GMP)-compatible manufacturing process for personalized gcTreg therapies.

Main Methods:

  • CRISPR-Cas9-mediated homology-directed repair was used to correct one of two disease-causing mutations in patient-derived Tregs.
  • Gene correction aimed to restore IL2RA expression and Treg function.
  • Clinical-scale manufacturing processes were developed and validated.

Main Results:

  • The gcTregs demonstrated restored IL2RA expression and robust in vitro suppressive activity.
  • Clinical-scale manufacturing achieved efficient gene correction and functional equivalence to healthy donor Tregs.
  • The process was shown to be GMP-compatible.

Conclusions:

  • Personalized gcTreg therapy represents a potentially safer treatment for IL2RA deficiency compared to current options.
  • This approach provides a framework for treating other inborn errors of immunity involving Treg dysfunction.