Engineered T cells and their therapeutic applications in autoimmune diseases

Zool Res. 2022 Mar 18;43(2):150-165. doi: 10.24272/j.issn.2095-8137.2021.363.

Abstract

Chimeric antigen receptor T cells (CAR-T cells) are engineered recombinant T cells, which were initially used to treat hematopoietic malignancies and are now widely used in the treatment of various diseases. Considering their intrinsic targeting efficiency, CAR-T cells show considerable potential in the treatment of autoimmune diseases. Furthermore, regulatory T cells (Treg), a subset of CD4 T cells exhibiting immunosuppressive functions, have attracted increasing attention regarding CAR-Treg cell production. In this review, we report on recent developments in preclinical and clinical studies on CAR-T cells in autoimmune diseases and provide an outlook on opportunities and challenges of CAR-T application in such diseases.

嵌合抗原受体T细胞(CAR-T细胞)是经过设计的重组T细胞,最初被用于治疗造血性恶性肿瘤,现在被广泛用于治疗各种疾病。因为其高效的靶向性,CAR-T细胞在治疗自身免疫性疾病方面显示出相当大的潜力。此外,调节性T细胞(Treg)是CD4 +T细胞的一个亚群,表现出免疫抑制功能,CAR-Treg细胞在自身免疫性疾病中的应用也引起了越来越多的关注。该综述介绍了CAR-T细胞在自身免疫性疾病中的临床前和临床研究的最新进展,并对CAR-T在此类疾病中应用的机会和挑战进行了展望。.

Keywords: Autoimmune diseases; Cell immunotherapy; Chimeric antigen receptor T cells.

Publication types

  • Review

MeSH terms

  • Autoimmune Diseases*
  • Immunotherapy, Adoptive*
  • Receptors, Chimeric Antigen*
  • T-Lymphocytes

Substances

  • Receptors, Chimeric Antigen

Grants and funding

This study was supported by the National Natural Science Foundation of China (81830051, 31961133011, 32130041); National Key R&D Program of China (2019YFA09006100); Shanghai Academic Research Leader (16XD1403800); Innovative Research Team of High-Level Local Universities in Shanghai; and Shanghai Collaborative Innovation Center of Cellular Homeostasis Regulation and Human Diseases