OPINION
The potential of CD4+ regulatory T cells for the therapy of autoimmune diseases
1 Institute of Biology, Karelian Research Center of RAS, Petrozavodsk, Republic of Karelia
2 Perm State Pharmaceutical Academy, Perm, Russia
3 Kemerovo State Medical University, Kemerovo, Russia
Correspondence should be addressed: Alexey V. Churov
Pushkinskaya, 11, Petrozavodsk, 186910; ur.xednay@uoruhca
Funding: the study was carried out under state order for Karelian Research Centre (ID 0218-2019-0083; Modification of transcription programs of regulatory T cell differentiation in immunoinflammatory diseases and cancer). Its publication was sponsored by Prime Papers LLC.
Acknowledgements: the authors thank the Center for Precision Genome Editing and Genetic Technologies for Biomedicine (Moscow) for consultations.
Author contribution: Churov AV — article design, literature analysis, preparation of the manuscript draft and its final version; Syutkina AI — article design, the major contribution to literature analysis, preparation of the manuscript draft and its final version; Mamashov KY — article design, literature analysis, preparation of the manuscript draft and its final version; Oleinik EK — literature analysis, preparation of the manuscript draft and its final version.
Despite the considerable progress in the therapy of autoimmune pathologies, the existing methods are associated with the risk of serious adverse events. We think that regulatory T cells hold great promise for the therapy of disorders caused by a breakdown in immunological self-tolerance. This article aims at estimating the possible challenges facing Treg-based clinical approaches and offers solutions to the technical issues associated with the use of these cells in the therapy of autoimmune diseases.
Keywords: autoimmune disease, CRISPR-Cas9, Treg cells, regulatory T cells, FOXP3, immunotherapy, cell therapy, CAR-Treg therapy