IL-2 therapy in type 1 diabetes : "Trials" and tribulations

Copyright © 2013 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 149(2013), 3 vom: 02. Dez., Seite 324-31
1. Verfasser: Long, S Alice (VerfasserIn)
Weitere Verfasser: Buckner, Jane H, Greenbaum, Carla J
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2013
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Review Clinical trials; GVHD GVHD; HCV-induced vasculitis IL-2 receptor IL-2; IL2R MMTT mehr... Regulatory T cells Regulatory T cells; T1D Teff Treg Type 1 diabetes; effector T cells graft versus host diseases mixed meal tolerance test type 1 diabetes Hypoglycemic Agents Interleukin-2 Receptors, Interleukin-2
Beschreibung
Zusammenfassung:Copyright © 2013 Elsevier Inc. All rights reserved.
IL-2 facilitates immunity or tolerance depending on its availability. In model systems, it is well established that low dose IL-2 promotes selective expansion of regulatory T cells (Treg), an IL-2 responsive cell type known to control autoimmunity. Moreover, many autoimmune diseases are marked by defects in Treg and/or IL-2/IL-2 receptor signaling. Thus, patients with immune-mediated diseases were treated with IL-2 with the goal of increasing Treg and controlling autoimmunity. In graft versus host disease, HCV-induced vasculitis and type 1 diabetes (T1D), Treg numbers increased with IL-2 therapy. Yet there was no relationship between Treg number and clinical outcome. In fact, in T1D subjects treated with rapamycin and IL-2 therapy there was no measureable clinical benefit. In this review, we compare results from IL-2 treatment of patients with immune-mediated diseases, discuss possible mechanisms of IL-2 treatment and suggest future directions for use of IL-2 therapy in T1D
Beschreibung:Date Completed 30.12.2013
Date Revised 21.10.2021
published: Print-Electronic
Citation Status MEDLINE
ISSN:1521-7035
DOI:10.1016/j.clim.2013.02.005