Review Article

Immunotherapy Deriving from CAR-T Cell Treatment in Autoimmune Diseases

Table 1

CAR-T cell-derived immunotherapy in preclinical models of AIDs.

CARs/generationsConstruction of specific T cells or TregsDisease modelSpecific autoantigenOutcomeReference

Dsg3 CAAR-T cells/2ndHuman T cells were engineered to express a CAAR that consisted of the PV autoantigen, Dsg3, fused to CD137-CD3ζ signaling domainsPVDsg3Effective for PV relief, obviously decreased Dsg3 serum autoantibody titersEllebrecht et al. [42]
CD19-targeted CAR-T cells/2ndCD8+ T cells were modified to express CD19-targeted CARs with CD28-CD3ζ signaling domainsLupusCD19Eliminated autoantibody production, reversed disease phenotype, and prolonged survival timeKansal and Richardson [45]
287-CAR-T cells/2nd or 3rdCD8+ T cells were modified to express monoclonal antibody 287 CARs (287-CARs) harboring CD28-CD3ζ or CD28-CD137-CD3ζ signaling domainsT1DI-Ag7-B:9-23 (R3) complexDelayed but did not prevent the onset of T1DZhang et al. [49]
Insulin-specific CAR-Tregs/2ndCD4+ T cells were transduced with retroviral particles encoding the CAR plasmid including Foxp3 to convert CD4+ T cells into TregsT1DInsulinFailed to prevent spontaneous diabetesTenspolde et al. [54]
MOG CAR-Tregs/2ndCD4+ T cells transduced to Tregs expressing CARs with MOG, the FoxP3 gene, and CD28-CD3ζ signaling domainsMSMOGInhibited EAE demonstrated as reduced cytokine expression and diminished disease symptomsFransson et al. [55]
TNP-TPCR TregsTNP-TPCR Tregs were isolated from transgenic mice expressing the TNP-specific chimeric receptor under the CD2 promoterColitisTNPAlleviated acute TNBS colitisElinav et al. [56]
CEA-specific CAR-Tregs/2ndCD4+CD25+ Tregs were transduced with the CEA-specific SCA431 CAR that was fused to CD28-CD3ζ signaling domainsColitis and colorectal cancerCEAAmeliorated colitis and prevented development of colitis-associated colorectal cancerBlat et al. [57]

PV: pemphigus vulgaris; T1D: type I diabetes; Dsg3: desmoglein 3; MS: multiple sclerosis; MOG: myelin oligodendrocyte glycoprotein; EAE: encephalomyelitis; TPCR: tripartite chimeric receptor; TNP: 2,4,6-trinitrophenol; TNBS: 2,4,6-trinitrobenzenesulphonic acid; CEA: carcinoembryonic antigen.