Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trials

The use of immunosuppressive drugs to treat transplant recipients has markedly reduced the incidence of acute rejection and early graft loss. However, such treatments have numerous adverse side effects and fail to prevent chronic allograft dysfunction. In this context, therapies based on the adoptiv...

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Main Authors: Aurelie eMoreau, Emilie eVarey, Gaelle eBeriou, Marcelo eHill, Laurence eDelbos, Mercedes eSegovia, Maria-Cristina eCuturi
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2012.00218/full
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author Aurelie eMoreau
Emilie eVarey
Gaelle eBeriou
Marcelo eHill
Laurence eDelbos
Mercedes eSegovia
Maria-Cristina eCuturi
author_facet Aurelie eMoreau
Emilie eVarey
Gaelle eBeriou
Marcelo eHill
Laurence eDelbos
Mercedes eSegovia
Maria-Cristina eCuturi
author_sort Aurelie eMoreau
collection DOAJ
description The use of immunosuppressive drugs to treat transplant recipients has markedly reduced the incidence of acute rejection and early graft loss. However, such treatments have numerous adverse side effects and fail to prevent chronic allograft dysfunction. In this context, therapies based on the adoptive transfer of regulatory cells are promising strategies to induce indefinite transplant survival. The use of tolerogenic dendritic cells (DC) has shown great potential, as preliminary experiments in rodents have demonstrated that administration of tolerogenic DC prolongs graft survival. Recipient DC, Donor DC or Donor antigen-pulsed recipient DC have been used in preclinical studies and administration of these cells with suboptimal immunosuppression increases their tolerogenic potential. We have demonstrated that autologous unpulsed tolerogenic DC injected in the presence of suboptimal immunosuppression are able to induce antigen-specific allograft tolerance. We derived similar tolerogenic DC in different animal models (mice and non-human primates) and confirmed their protective abilities in vitro and in vivo. The mechanisms involved in the tolerance induced by autologous tolerogenic DC were also investigated. With the aim of using autologous DC in kidney transplant patients, we have developed and characterized tolerogenic monocyte-derived DC in humans. In this review, we will discuss the preclinical studies and describe our recent results from the generation and characterization of tolerogenic monocyte-derived DC in humans for a clinical application. We will also discuss the limits and difficulties in translating preclinical experiments to the clinic.
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spelling doaj.art-78f1446a4663485eaab494c3cab3d9262022-12-21T23:32:33ZengFrontiers Media S.A.Frontiers in Immunology1664-32242012-08-01310.3389/fimmu.2012.0021827415Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trialsAurelie eMoreau0Emilie eVarey1Gaelle eBeriou2Marcelo eHill3Laurence eDelbos4Mercedes eSegovia5Maria-Cristina eCuturi6INSERM U1064INSERM U1064INSERM U1064INSERM U1064INSERM U1064INSERM U1064INSERM U1064The use of immunosuppressive drugs to treat transplant recipients has markedly reduced the incidence of acute rejection and early graft loss. However, such treatments have numerous adverse side effects and fail to prevent chronic allograft dysfunction. In this context, therapies based on the adoptive transfer of regulatory cells are promising strategies to induce indefinite transplant survival. The use of tolerogenic dendritic cells (DC) has shown great potential, as preliminary experiments in rodents have demonstrated that administration of tolerogenic DC prolongs graft survival. Recipient DC, Donor DC or Donor antigen-pulsed recipient DC have been used in preclinical studies and administration of these cells with suboptimal immunosuppression increases their tolerogenic potential. We have demonstrated that autologous unpulsed tolerogenic DC injected in the presence of suboptimal immunosuppression are able to induce antigen-specific allograft tolerance. We derived similar tolerogenic DC in different animal models (mice and non-human primates) and confirmed their protective abilities in vitro and in vivo. The mechanisms involved in the tolerance induced by autologous tolerogenic DC were also investigated. With the aim of using autologous DC in kidney transplant patients, we have developed and characterized tolerogenic monocyte-derived DC in humans. In this review, we will discuss the preclinical studies and describe our recent results from the generation and characterization of tolerogenic monocyte-derived DC in humans for a clinical application. We will also discuss the limits and difficulties in translating preclinical experiments to the clinic.http://journal.frontiersin.org/Journal/10.3389/fimmu.2012.00218/fullImmune ToleranceTransplantationClinical TrialTranslational researchTolerogenic dendritic cells
spellingShingle Aurelie eMoreau
Emilie eVarey
Gaelle eBeriou
Marcelo eHill
Laurence eDelbos
Mercedes eSegovia
Maria-Cristina eCuturi
Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trials
Frontiers in Immunology
Immune Tolerance
Transplantation
Clinical Trial
Translational research
Tolerogenic dendritic cells
title Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trials
title_full Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trials
title_fullStr Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trials
title_full_unstemmed Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trials
title_short Tolerogenic dendritic cells and negative vaccination in transplantation: from rodents to clinical trials
title_sort tolerogenic dendritic cells and negative vaccination in transplantation from rodents to clinical trials
topic Immune Tolerance
Transplantation
Clinical Trial
Translational research
Tolerogenic dendritic cells
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2012.00218/full
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