Vaccines for immune tolerance against autoimmune disease

Adv Drug Deliv Rev. 2023 Dec:203:115140. doi: 10.1016/j.addr.2023.115140. Epub 2023 Nov 18.

Abstract

The high prevalence and rising incidence of autoimmune diseases have become a prominent public health issue. Autoimmune disorders result from the immune system erroneously attacking the body's own healthy cells and tissues, causing persistent inflammation, tissue injury, and impaired organ function. Existing treatments primarily rely on broad immunosuppression, leaving patients vulnerable to infections and necessitating lifelong treatments. To address these unmet needs, an emerging frontier of vaccine development aims to restore immune equilibrium by inducing immune tolerance to autoantigens, offering a potential avenue for a cure rather than mere symptom management. We discuss this burgeoning field of vaccine development against inflammation and autoimmune diseases, with a focus on common autoimmune disorders, including multiple sclerosis, type 1 diabetes, rheumatoid arthritis, inflammatory bowel disease, and systemic lupus erythematosus. Vaccine-based strategies provide a new pathway for the future of autoimmune disease therapeutics, heralding a new era in the battle against inflammation and autoimmunity.

Keywords: Autoimmune; Immune tolerance; Immunotherapy; Inflammation; Vaccine.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Autoimmune Diseases*
  • Autoimmunity
  • Humans
  • Immune Tolerance
  • Inflammation
  • Lupus Erythematosus, Systemic* / complications
  • Vaccines* / therapeutic use

Substances

  • Vaccines