Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune Disorders

The effector functions of T lymphocytes are responsible for most autoimmune disorders and act by directly damaging tissues or by indirectly promoting inflammation and antibody responses. Co-stimulatory and co-inhibitory T cell receptor molecules are the primary pharmacological targets that enable in...

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Main Authors: Bernard Vanhove, Nicolas Poirier, Fadi Fakhouri, Laetitia Laurent, Bert ’t Hart, Pedro H. Papotto, Luiz V. Rizzo, Masaaki Zaitsu, Fadi Issa, Kathryn Wood, Jean-Paul Soulillou, Gilles Blancho
Format: Article
Language:English
Published: MDPI AG 2017-11-01
Series:Antibodies
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Online Access:https://www.mdpi.com/2073-4468/6/4/19
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author Bernard Vanhove
Nicolas Poirier
Fadi Fakhouri
Laetitia Laurent
Bert ’t Hart
Pedro H. Papotto
Luiz V. Rizzo
Masaaki Zaitsu
Fadi Issa
Kathryn Wood
Jean-Paul Soulillou
Gilles Blancho
author_facet Bernard Vanhove
Nicolas Poirier
Fadi Fakhouri
Laetitia Laurent
Bert ’t Hart
Pedro H. Papotto
Luiz V. Rizzo
Masaaki Zaitsu
Fadi Issa
Kathryn Wood
Jean-Paul Soulillou
Gilles Blancho
author_sort Bernard Vanhove
collection DOAJ
description The effector functions of T lymphocytes are responsible for most autoimmune disorders and act by directly damaging tissues or by indirectly promoting inflammation and antibody responses. Co-stimulatory and co-inhibitory T cell receptor molecules are the primary pharmacological targets that enable interference with immune-mediated diseases. Among these, selective CD28 antagonists have drawn special interest, since they tip the co-stimulation/co-inhibition balance towards efficiently inhibiting effector T cells while promoting suppression by pre-existing regulatory T-cells. After having demonstrated outstanding therapeutic efficacy in multiple models of autoimmunity, inflammation and transplantation, and safety in phase-I studies in humans, selective CD28 antagonists are currently in early clinical development for the treatment of systemic lupus erythematous and rheumatoid arthritis. Here, we review the available proof of concept studies for CD28 antagonists in autoimmunity, with a special focus on the mechanisms of action.
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spelling doaj.art-5af90d7986b94022a85e7e1b6b33d2be2022-12-22T00:09:00ZengMDPI AGAntibodies2073-44682017-11-01641910.3390/antib6040019antib6040019Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune DisordersBernard Vanhove0Nicolas Poirier1Fadi Fakhouri2Laetitia Laurent3Bert ’t Hart4Pedro H. Papotto5Luiz V. Rizzo6Masaaki Zaitsu7Fadi Issa8Kathryn Wood9Jean-Paul Soulillou10Gilles Blancho11OSE Immunotherapeutics, 44200 Nantes, FranceOSE Immunotherapeutics, 44200 Nantes, FranceCentre de Recherche en Transplantation et Immunologie (CRTI) UMR1064, INSERM, Université de Nantes, 44035 Nantes, FranceCentre de Recherche en Transplantation et Immunologie (CRTI) UMR1064, INSERM, Université de Nantes, 44035 Nantes, FranceBiomedical Primate Research Centre, 2288 GJ Rijswijk, The NetherlandsInstituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, 1649-004 Lisbon, PortugalHospital Israelita Albert Einstein, Av. Albert Einstein 627-701, 2-SS Bloco A, 05651-901 São Paulo, BrazilNuffield Department of Surgical Sciences, University of Oxford, Oxford OX3 9DU, UKNuffield Department of Surgical Sciences, University of Oxford, Oxford OX3 9DU, UKNuffield Department of Surgical Sciences, University of Oxford, Oxford OX3 9DU, UKCentre de Recherche en Transplantation et Immunologie (CRTI) UMR1064, INSERM, Université de Nantes, 44035 Nantes, FranceCentre de Recherche en Transplantation et Immunologie (CRTI) UMR1064, INSERM, Université de Nantes, 44035 Nantes, FranceThe effector functions of T lymphocytes are responsible for most autoimmune disorders and act by directly damaging tissues or by indirectly promoting inflammation and antibody responses. Co-stimulatory and co-inhibitory T cell receptor molecules are the primary pharmacological targets that enable interference with immune-mediated diseases. Among these, selective CD28 antagonists have drawn special interest, since they tip the co-stimulation/co-inhibition balance towards efficiently inhibiting effector T cells while promoting suppression by pre-existing regulatory T-cells. After having demonstrated outstanding therapeutic efficacy in multiple models of autoimmunity, inflammation and transplantation, and safety in phase-I studies in humans, selective CD28 antagonists are currently in early clinical development for the treatment of systemic lupus erythematous and rheumatoid arthritis. Here, we review the available proof of concept studies for CD28 antagonists in autoimmunity, with a special focus on the mechanisms of action.https://www.mdpi.com/2073-4468/6/4/19autoimmunityT cell costimulationantibodies
spellingShingle Bernard Vanhove
Nicolas Poirier
Fadi Fakhouri
Laetitia Laurent
Bert ’t Hart
Pedro H. Papotto
Luiz V. Rizzo
Masaaki Zaitsu
Fadi Issa
Kathryn Wood
Jean-Paul Soulillou
Gilles Blancho
Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune Disorders
Antibodies
autoimmunity
T cell costimulation
antibodies
title Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune Disorders
title_full Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune Disorders
title_fullStr Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune Disorders
title_full_unstemmed Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune Disorders
title_short Antagonist Anti-CD28 Therapeutics for the Treatment of Autoimmune Disorders
title_sort antagonist anti cd28 therapeutics for the treatment of autoimmune disorders
topic autoimmunity
T cell costimulation
antibodies
url https://www.mdpi.com/2073-4468/6/4/19
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