Objetivo
Type 1 diabetes (T1D) is thought to be T-cell mediated auto-immune disease, where auto-aggressive CD4+ and CD8+ lymphocytes target and destroy the insulin producing pancreatic b-cells. During the last decade several studies focused on different immune-based therapies to treat or prevent T1D.
Numerous data point towards two promising immune interventions:
(1) The antigen specific prevention of T1D for example with DNA vaccines, proinsulin, GAD and insulin B chain, which can prevent T1D in more than 50% RIP-L CMV transgenic or NOD mice. Unfortunately, the protective effect of such strategies was only observed when the antigen was given early during the prediabetic phase.
(2) In contrast, non-mitogenic anti-CD3 antibody is able to revert recent-onset TID in NOD m ice, which was initially discovered by Lucienne Chatenoud. This antibody has already been tested by Jeff Bluestone and Kevan Herold clinically and preserved C-peptide levels over the first year in recent-onset diabetics.
The aim of our present study is based on the idea that combination of anti-CD3 systemic therapy with antigen specific approaches might result in a synergistic effect. We believe that anti-CD3 will act to "reset" the immune system, then leaving a window for therapeutic intervention with anti gen specific treatments to induce regulation that can maintain long-term tolerance in T1D.
This approach will be tested pre-clinically by using the NOD and RIP-LCMV transgenic mouse models treated with a commercial anti-CD3 Fab'2 in combination with islet specific-antigens (administered as DNA, peptides or full protein) after recent onset of T1D. In our opinion, this strategy will increase efficacy of antigen specific immunizations by opening a window for re-direction of the existing autoreactive response and/or de novo induction of autoantigen specific (adaptive) regulatory T cells. We believe the risk for adverse allergic reactions as well as aggravation of the autoimmune process will be lowered through.
Ámbito científico
CORDIS clasifica los proyectos con EuroSciVoc, una taxonomía plurilingüe de ámbitos científicos, mediante un proceso semiautomático basado en técnicas de procesamiento del lenguaje natural.
CORDIS clasifica los proyectos con EuroSciVoc, una taxonomía plurilingüe de ámbitos científicos, mediante un proceso semiautomático basado en técnicas de procesamiento del lenguaje natural.
- medical and health sciencesbasic medicineimmunologyimmunisation
- natural sciencesbiological sciencesgeneticsDNA
- medical and health sciencesclinical medicineendocrinologydiabetes
- medical and health sciencesbasic medicineimmunologyautoimmune diseases
- medical and health sciencesbasic medicinepharmacology and pharmacypharmaceutical drugsvaccines
Palabras clave
Convocatoria de propuestas
FP6-2002-MOBILITY-6
Consulte otros proyectos de esta convocatoria
Régimen de financiación
OIF - Marie Curie actions-Outgoing International FellowshipsCoordinador
MONTPELLIER
Francia