bioRxiv · 10.1101/2022.05.09.487072
Secreted cytokines provide local immune tolerance for human stem cell-derived islets
Abstract
Immunological protection of transplanted stem cell-derived islet (SC-islet) cells is yet to be achieved without chronic immunosuppression or encapsulation. Existing genetic engineering approaches to produce hypoimmunogenic SC-islet cells have so far shown variable results. Here, we show that targeting the human leukocyte antigens (HLAs) and PD-L1 alone do not sufficiently protect SC-islet cells from xeno- or allo-rejection. As an addition to these approaches, we genetically engineered SC-islet cells to secrete the cytokines IL-10, TGF-{beta} and modified IL-2 such that they promote a tolerogenic local microenvironment by activating and expanding regulatory T cells (Tregs). These cytokine-secreting human SC-islet cells prevented xeno-rejection for up to 9 weeks post-transplantation in B6/albino mice. Thus, hESCs engineered to induce a tolerogenic local microenvironment may represent a source of replacement SC-islet cells that do not require encapsulation or immunosuppression for diabetes cell replacement therapy.
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Gerace, D., Zhou, Q., Kenty, J. H.-R., Sintov, E., Wang, X., Boulanger, K. R., Li, H., Melton, D.. 2022-05-10. Secreted cytokines provide local immune tolerance for human stem cell-derived islets. https://doi.org/10.1101/2022.05.09.487072
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