IL-2 receptor engineering enhances regulatory T cell function suppressed by calcineurin inhibitor.

IL-2 receptor engineering enhances regulatory T cell function suppressed by calcineurin inhibitor.
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DOI:
10.1111/ajt.17181
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发表时间:
2022-12
期刊:
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子:
--
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其他
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调节性T细胞(Treg)治疗在器官移植中的临床试验已经显示出有希望的结果,然而,标准免疫抑制方案的选择仍然存在争议。钙调神经磷酸酶抑制剂(CNI)是器官移植中最常见的免疫抑制剂之一,尽管它们可能通过抑制常规T细胞产生IL-2而对T细胞产生负面影响。作为选择性地替代TcB中的IL-2信号传导的策略,我们引入了工程化的正交IL-2(邻IL-2)细胞因子/细胞因子受体(R)对,其彼此特异性结合但不与其野生型对应物结合。从受体中分离小鼠TCR 4,并在离体扩增期间用ortho IL-2 R β进行逆转录病毒转导。在他克莫司给药的混合造血嵌合体模型中,将转导的TbR(ortho TbR)转移到受体小鼠中。在存在他克莫司的情况下,Ortho IL-2处理显著增加了ortho IL-2 R β(+)Treg群体,而不刺激其他T细胞亚群。所有用他克莫司加邻位IL-2治疗的小鼠即使在他克莫司停药后也能达到心脏移植耐受,而那些单独接受他克莫司治疗的小鼠则不能。这些数据表明,Treg疗法可以通过利用细胞因子受体工程改造而被采用到基于CNI的方案中。
Clinical trials utilizing regulatory T cell (Treg) therapy in organ transplantation have shown promising results, however, the choice of a standard immunosuppressive regimen is still controversial. Calcineurin inhibitors (CNIs) are one of the most common immunosuppressants for organ transplantation, although they may negatively affect Tregs by inhibiting IL-2 production by conventional T cells. As a strategy to replace IL-2 signaling selectively in Tregs, we have introduced an engineered orthogonal IL-2 (ortho IL-2) cytokine/cytokine receptor (R) pair that specifically binds with each other but does not bind with their wild-type counterparts. Murine Tregs were isolated from recipients and retrovirally transduced with ortho IL-2Rβ during ex vivo expansion. Transduced Tregs (ortho Tregs) were transferred into recipient mice in a mixed hematopoietic chimerism model with tacrolimus administration. Ortho IL-2 treatment significantly increased the ortho IL-2Rβ(+) Treg population in the presence of tacrolimus without stimulating other T cell subsets. All the mice treated with tacrolimus plus ortho IL-2 achieved heart allograft tolerance, even after tacrolimus cessation, whereas those receiving tacrolimus treatment alone did not. These data demonstrate that Treg therapy can be adopted into a CNI-based regimen by utilizing cytokine receptor engineering.
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