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Publication : Lethal graft-versus-host disease in mouse models of T cell receptor gene therapy.

First Author  Bendle GM Year  2010
Journal  Nat Med Volume  16
Issue  5 Pages  565-70, 1p following 570
PubMed ID  20400962 Mgi Jnum  J:160623
Mgi Id  MGI:4454734 Doi  10.1038/nm.2128
Citation  Bendle GM, et al. (2010) Lethal graft-versus-host disease in mouse models of T cell receptor gene therapy. Nat Med 16(5):565-70, 1p following 570
abstractText  The transfer of T cell receptor (TCR) genes can be used to induce immune reactivity toward defined antigens to which endogenous T cells are insufficiently reactive. This approach, which is called TCR gene therapy, is being developed to target tumors and pathogens, and its clinical testing has commenced in patients with cancer. In this study we show that lethal cytokine-driven autoimmune pathology can occur in mouse models of TCR gene therapy under conditions that closely mimic the clinical setting. We show that the pairing of introduced and endogenous TCR chains in TCR gene-modified T cells leads to the formation of self-reactive TCRs that are responsible for the observed autoimmunity. Furthermore, we demonstrate that adjustments in the design of gene therapy vectors and target T cell populations can be used to reduce the risk of TCR gene therapy-induced autoimmune pathology.
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