Therapies to Suppress β Cell Autoimmunity in Type 1 Diabetes.

Therapies to Suppress β Cell Autoimmunity in Type 1 Diabetes.
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DOI:
10.3389/fimmu.2018.01891
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发表时间:
2018
影响因子:
7.3
通讯作者:
Tisch RM
Tisch RM
中科院分区:
医学2区
文献类型:
--
作者:
Kroger CJ;Clark M;Ke Q;Tisch RM

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1型糖尿病(T1D)是一种自身免疫性疾病,通常被认为是T细胞驱动的。因此,临床上用于T1D预防和治疗的大多数免疫疗法策略都靶向T细胞区室。然而,迄今为止,免疫疗法仅取得了有限的临床成功。虽然某些免疫疗法促进了保护作用,但疗效往往是短期的,获得性免疫可能会受到影响。这导致考虑将不同的方法与实现协同治疗反应的目标相结合。在这篇综述中,我们将讨论在临床上测试的各种T1D治疗策略的状态,以及恢复β细胞耐受性的可能组合方法。
Type 1 diabetes (T1D) is an autoimmune disease that is generally considered to be T cell-driven. Accordingly, most strategies of immunotherapy for T1D prevention and treatment in the clinic have targeted the T cell compartment. To date, however, immunotherapy has had only limited clinical success. Although certain immunotherapies have promoted a protective effect, efficacy is often short-term and acquired immunity may be impacted. This has led to the consideration of combining different approaches with the goal of achieving a synergistic therapeutic response. In this review, we will discuss the status of various T1D therapeutic strategies tested in the clinic, as well as possible combinatorial approaches to restore β cell tolerance.
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