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Predicting clinical response to costimulation blockade in autoimmunity.

ABSTRACT: Curbing unwanted T cell responses by costimulation blockade has been a recognised immunosuppressive strategy for the last 15 years. However, our understanding of how best to deploy this intervention is still evolving. A key challenge has been the heterogeneity in the clinical response to costimulation blockade, and an inability to predict which individuals are likely to benefit most. Here, we discuss our recent findings based on the use of costimulation blockade in people with type 1 diabetes (T1D) and place them in the context of the current literature. We discuss how profiling follicular helper T cells (Tfh) in pre-treatment blood samples may have value in predicting which individuals are likely to benefit from costimulation blockade drugs such as abatacept.

SUBMITTER: Edner NM

PROVIDER: S-EPMC7613378 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Predicting clinical response to costimulation blockade in autoimmunity.

Edner Natalie M NM Wang Chun Jing CJ Petersone Lina L Walker Lucy S K LSK

Immunotherapy advances 20201125 1

Curbing unwanted T cell responses by costimulation blockade has been a recognised immunosuppressive strategy for the last 15 years. However, our understanding of how best to deploy this intervention is still evolving. A key challenge has been the heterogeneity in the clinical response to costimulation blockade, and an inability to predict which individuals are likely to benefit most. Here, we discuss our recent findings based on the use of costimulation blockade in people with type 1 diabetes (T ...[more]

PMID: 36017489

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