Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Immunotherapy Strategy for Systemic Autoimmune Diseases: Betting on CAR-T

Version 1 : Received: 17 September 2023 / Approved: 18 September 2023 / Online: 18 September 2023 (07:17:18 CEST)

How to cite: Chasov, V.; Zmievskaya, E.; Ganeeva, I.; Gilyazova, E.; Davletshin, D.; Mirgayazova, R.; Khadiullina, R.; Valiullina, A.; Rizvanov, A.; Bulatov, E. Immunotherapy Strategy for Systemic Autoimmune Diseases: Betting on CAR-T. Preprints 2023, 2023091136. https://doi.org/10.20944/preprints202309.1136.v1 Chasov, V.; Zmievskaya, E.; Ganeeva, I.; Gilyazova, E.; Davletshin, D.; Mirgayazova, R.; Khadiullina, R.; Valiullina, A.; Rizvanov, A.; Bulatov, E. Immunotherapy Strategy for Systemic Autoimmune Diseases: Betting on CAR-T. Preprints 2023, 2023091136. https://doi.org/10.20944/preprints202309.1136.v1

Abstract

Systemic autoimmune diseases (SAIDs) such as systemic lupus erythematosus (SLE), systemic sclerosis (SSc) and rheumatoid arthritis (RA) are fully related to the unregulated innate and adaptive immune systems involved in their pathogenesis. They have similar pathogenic characteristics including the interferon signature, loss of tolerance to self-nuclear antigens, and enhanced tissue damage like necrosis and fibrosis. Glucocorticoids and immunosuppressants, which have limited specificity and are prone to tolerance, are used as the first-line therapy. A plethora of novel immunotherapies have been developed including monoclonal and bispecific antibodies, and other biological agents to target cellular and soluble factors involved in disease pathogenesis such as B cells, co-stimulatory molecules, cytokines or their receptors, and signalling molecules. Many of these have shown encouraging results in clinical trials. CAR-T cell therapy is considered the most promising technique for curing autoimmune diseases, with recent successes in the treatment of SLE and SSc.

Keywords

Immunotherapy; autoimmune diseases; monoclonal antibodies; bispecific antibodies; CAR-T cells

Subject

Biology and Life Sciences, Immunology and Microbiology

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