; Kervella, Delphine ; Bouchet-Delbos, Laurence ; Braudeau, Cécile ; Saïagh, Soraya ; Guérif, Pierrick ; Limou, Sophie ; Moreau, Anne
; Bercegeay, Sylvain ; Streitz, Mathias ; Sawitzki, Birgit
; James, Ben ; Harden, Paul N. ; Game, David
; Tang, Qizhi ; Markmann, James F. ; Roberts, Ian S.D. ; Geissler, Edward K. ; Dréno, Brigitte ; Josien, Régis ; Cuturi, Maria-Cristina ; Blancho, Gilles ; Blancho, Gilles ; Branchereau, Julien ; Cantarovich, Diego ; Chapelet, Agnès ; Dantal, Jacques ; Deltombe, Clément ; Figueres, Lucile ; Gaisne, Raphael ; Garandeau, Claire ; Giral, Magali ; Gourraud-Vercel, Caroline ; Hourmant, Maryvonne ; Karam, Georges ; Kerleau, Clarisse ; Kervella, Delphine ; Masset, Christophe ; Meurette, Aurélie ; Ville, Simon ; Kandell, Christine ; Moreau, Anne ; Renaudin, Karine ; Delbos, Florent ; Walencik, Alexandre ; Devis, Anne | Dokumentenart: | Artikel | ||||
|---|---|---|---|---|---|
| Titel eines Journals oder einer Zeitschrift: | Kidney International | ||||
| Verlag: | ELSEVIER SCIENCE INC | ||||
| Ort der Veröffentlichung: | NEW YORK | ||||
| Band: | 103 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 3 | ||||
| Seitenbereich: | S. 627-637 | ||||
| Datum: | 2023 | ||||
| Institutionen: | Medizin > Lehrstuhl für Chirurgie | ||||
| Identifikationsnummer: |
| ||||
| Stichwörter / Keywords: | PROLONG ALLOGRAFT SURVIVAL; REGULATORY T-CELLS; ANTIGEN; ALEMTUZUMAB; TACROLIMUS; THERAPY; SAFETY; cell therapy; clinical trial; dendritic cells; tolerance; transplantation | ||||
| Dewey-Dezimal-Klassifikation: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status: | Veröffentlicht | ||||
| Begutachtet: | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden: | Ja | ||||
| Dokumenten-ID: | 76195 |
Zusammenfassung
Kidney transplant survival is shortened by chronic rejection and side effects of standard immunosuppressive drugs. Cell based immunotherapy with tolerogenic dendritic cells has long been recognized as a promising approach to reduce general immunosuppression. Published trials report the safety and the absence of therapy-related adverse reactions in patients treated with tolerogenic dendritic cells ...

Zusammenfassung
Kidney transplant survival is shortened by chronic rejection and side effects of standard immunosuppressive drugs. Cell based immunotherapy with tolerogenic dendritic cells has long been recognized as a promising approach to reduce general immunosuppression. Published trials report the safety and the absence of therapy-related adverse reactions in patients treated with tolerogenic dendritic cells suffering from several inflammatory diseases. Here, we present the first phase I clinical trial results using human autologous tolerogenic dendritic cells (ATDC) in kidney transplantation. Eight patients received ATDC the day before transplantation in conjunction with standard steroids, mycophenolate mofetil and tacrolimus immunosuppression with an option to taper mycophenolate mofetil. ATDC preparations were manufactured in a Good Manufacturing Practice-compliant facility and fulfilled cell count, viability, purity and identity criteria for release. A control group of nine patients received the same standard immunosuppression, except basiliximab induction replaced ATDC therapy and mycophenolate tapering was not allowed. During the three-year follow-up, no deaths occurred and there was 100% graft survival. No significant increase of adverse events was associated with ATDC infusion. Episodes of rejection were observed in two patients from the ATDC group and one patient from the control group. However, all rejections were successfully treated by glucocorticoids. Mycophenolate was successfully reduced/stopped in five patients from the ATDC group, allowing tacrolimus monotherapy for two of them. Regarding immune monitoring, reduced CD8 T cell activation markers and increased Foxp3 expression were observed in the ATDC group. Thus, our results demonstrate ATDC administration safety in kidney-transplant recipients.
Metadaten zuletzt geändert: 18 Mrz 2025 10:10
Altmetric