Current landscape for T-cell targeting in autoimmunity and transplantation

Daniel R. Getts*, Sushma Shankar, Emily M.L. Chastain, Aaron Martin, Meghann Teague Getts, Kathryn Wood, Stephen D. Miller

*Corresponding author for this work

Research output: Contribution to journalReview article

36 Scopus citations

Abstract

In recent years, substantial advances in T-cell immunosuppressive strategies and their translation to routine clinical practice have revolutionized management and outcomes in autoimmune disease and solid organ transplantation. More than 80 diseases have been considered to have an autoimmune etiology, such that autoimmune-associated morbidity and mortality rank as third highest in developed countries, after cardiovascular diseases and cancer. Solid organ transplantation has become the therapy of choice for many end-stage organ diseases. Short-term outcomes such as patient and allograft survival at 1 year, acute rejection rates, as well as time course of disease progression and symptom control have steadily improved. However, despite the use of newer immunosuppressive drug combinations, improvements in long-term allograft survival and complete resolution of autoimmunity remain elusive. In addition, the chronic use of nonspecifically targeted immunosuppressive drugs is associated with significant adverse effects and increased morbidity and mortality. In this article, we discuss the current clinical tools for immune suppression and attempts to induce long-term T-cell tolerance induction as well as much-needed future approaches to produce more short-acting, antigen-specific agents, which may optimize outcomes in the clinic.

Original languageEnglish (US)
Pages (from-to)853-870
Number of pages18
JournalImmunotherapy
Volume3
Issue number7
DOIs
Publication statusPublished - Jul 1 2011

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Keywords

  • T-cell tolerance
  • autoimmunity
  • chimerism
  • immune suppression
  • infection
  • maintenance suppression
  • transplantation

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Oncology

Cite this

Getts, D. R., Shankar, S., Chastain, E. M. L., Martin, A., Getts, M. T., Wood, K., & Miller, S. D. (2011). Current landscape for T-cell targeting in autoimmunity and transplantation. Immunotherapy, 3(7), 853-870. https://doi.org/10.2217/imt.11.61