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CAR and TRuC redirected regulatory T cells differ in capacity to control adaptive immunity to FVIII

Mol Ther. 2021-04; 
Jyoti Rana , Daniel J Perry, Sandeep Rp Kumar, Maite Muñoz-Melero, Rania Saboungi, Todd M Brusko, Moanaro Biswas
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摘要

Regulatory T cells (Treg) control immune responses in autoimmune disease, transplantation, and enable antigen-specific tolerance induction in protein replacement therapies. Tregs can exert a broad array of suppressive functions through their T cell receptor (TCR) in a tissue-directed and antigen-specific manner. This capacity can now be harnessed for tolerance induction by "redirecting" polyclonal Tregs to overcome low inherent precursor frequencies and simultaneously augment suppressive functions. Using hemophilia A as a model, we sought to engineer antigen-specific Tregs to suppress antibody formation against the soluble therapeutic protein factor VIII in an MHC-independent fashion. Surprisingly, high-affinit... More

关键词

Bethesda assay; CAR; FVIII; ITAM; TRuC; Treg; engineered receptor; hemophilia; inhibitors; scFv; tolerance.
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