Table 1.
A comparison of current protocols for ex vivo generated tDC and Treg and their clinical application.
Cell source | PBMC | PBMC | PBMC | PBMC | PBMC | Umbilical cord blood | PBMC |
---|---|---|---|---|---|---|---|
Target cell | DC | DC | DC | DC | Treg | Treg | Treg/Tr1 |
Cell generation | GM-CSF+ IL-4 & Anti-sense CD40, CD80, CD86 | GM-CSF+ IL-4 & BAY 11-7082 Auto-antigens | GM-CSF+ IL-4 & Dex Vitamin D3 MPLA | GM-CSF+ IL-4 & Dex Vitamin A Cytokines | IL-2 Anti-CD3 & CD28 Beads | IL-2 Anti-CD3 & CD28 Beads | IL-2 IL-4 Anti-CD3 antibody Ovalbumin |
Added auto-antigens | No | Yes | No | Yes | No | No | No |
Ex vivo Cell characterization | Low CD40 CD80 CD86 IL-12 | Low CD40 CD80 | Low CD83 IL-12 High CD86 IL-10 | Low CD83 IL-12 High CD80 CD86 IL-10 | Low CD127 High CD25 Foxp3 | Low CD127 IL-2 IFNγ High CD25 Foxp3 CD39 | Low CD62L CD127 IL-4 IFNγ High Foxp3 CD25+ IL-10 IL-13 |
In vivo application | Increased Foxp3 Tregs IL-10 Bregs IL-4 IL-10 No Change DC | Increased Foxp3 Tregs Decreased IL-15 IL-29 | No Change Foxp3 Treg | Increased Foxp3 Tregs | Increased Foxp3 Tregs Not Examined DC | X | X |
A brief listing of reported cellular characteristics of generated cells are shown, but have not been uniformly examined across all studies. Post-administration changes in cell populations and plasma cytokines in vivo, in patients, are listed. Increased Treg numbers are reported in a majority of trials that utilize either ex vivo generated autologous tDC or Treg. Techniques marked as “X” are in clinical trials but have only been published under conditions with pre-clinical settings.