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Journal article : Review

Regulatory cell therapy for kidney transplantation and autoimmune kidney diseases

Abstract:
Regulatory cell therapies, including regulatory T cells and mesenchymal stromal cells, have shown promise in early clinical trials for reducing immunosuppression burden in transplantation. While regulatory cell therapies may also offer potential for treating autoimmune kidney diseases, data remains sparse, limited mainly to preclinical studies. This review synthesises current literature on the application of regulatory cell therapies in these fields, highlighting the safety and efficacy shown in existing clinical trials. We discuss the need for further clinical validation, optimisation of clinical and immune monitoring protocols, and the challenges of manufacturing and quality control under Good Manufacturing Practice conditions, particularly for investigator-led trials. Additionally, we explore the potential for expanding clinical indications and the unique challenges posed in paediatric applications. Future directions include scaling up production, refining protocols to ensure consistent quality across manufacturing sites, and extending applications to other immune-mediated diseases.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1007/s00467-024-06514-2

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Surgical Sciences
Role:
Author
ORCID:
0000-0002-0884-7076
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Surgical Sciences
Role:
Author
ORCID:
0000-0002-7466-3849
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Surgical Sciences
Oxford college:
Exeter College
Role:
Author
ORCID:
0000-0002-8279-7732


Publisher:
Springer
Journal:
Pediatric Nephrology More from this journal
Volume:
40
Issue:
1
Pages:
39-52
Publication date:
2024-09-16
Acceptance date:
2024-08-18
DOI:
EISSN:
1432-198X
ISSN:
0931-041X
Pmid:
39278988


Language:
English
Keywords:
Subtype:
Review
Pubs id:
2031704
Local pid:
pubs:2031704
Deposit date:
2024-09-22

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