Targeting the TCR: T-cell receptor and peptide-specific tolerance-based strategies for restoring self-tolerance in CNS autoimmune disease

Int Rev Immunol. 2005 Sep-Dec;24(5-6):361-92. doi: 10.1080/08830180500371207.

Abstract

A principal theme in autoimmunity is the breakdown of central tolerance resulting in the persistence and eventual activation of autoreactive T cells. Because CD4(+) T cells are key contributors to the underlying pathogenic mechanisms responsible for the onset and progression of most autoimmune diseases, they are a logical target for therapeutic interventions. One technique for restoring self-tolerance is to exploit the endogenous regulatory mechanisms that govern CD4(+) T-cell activation. In this review, we discuss promising techniques with the common goal of inducing antigen (Ag)-specific tolerance. Emphasis is given to the use of non-mitogenic anti-CD3 and peptide-specific tolerance strategies that specifically target the T-cell receptor (TCR) in the absence of costimulatory signals. These approaches produce a TCR signal of insufficient strength to cause CD4(+) T-cell activation and instead induce functional T-cell anergy or deletion while avoiding generalized long-term immunosuppression.

Publication types

  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / therapeutic use
  • Autoimmune Diseases of the Nervous System / immunology
  • Autoimmune Diseases of the Nervous System / therapy*
  • CD3 Complex / immunology
  • Clinical Trials as Topic
  • Cytokines / immunology
  • Humans
  • Immunosuppression Therapy / methods
  • Immunotherapy / methods*
  • Models, Immunological
  • Multiple Sclerosis / immunology
  • Multiple Sclerosis / therapy
  • Peptides / immunology*
  • Peptides / therapeutic use
  • Receptors, Antigen, T-Cell / immunology*
  • Receptors, Interleukin-2 / immunology
  • Self Tolerance / immunology*
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocytes, Regulatory / immunology

Substances

  • Antibodies, Monoclonal
  • CD3 Complex
  • Cytokines
  • Peptides
  • Receptors, Antigen, T-Cell
  • Receptors, Interleukin-2