Immune checkpoint modulators in early clinical development for the treatment of type 1 diabetes

INTRODUCTION: Despite the improvements of insulin therapy, people with type 1 diabetes (T1D) still suffer from a decreased quality of life and life expectancy. The search toward a cure for T1D is therefore still a scorching open field of research.

AREAS COVERED: Tackling the immune checkpoint signaling pathways has gained importance in the field of cancer immunotherapy. The same pathways can be targeted in autoimmunity with an opposite principle: to dampen the exaggerated immune response. In this review, we report a comprehensive excursus on the cellular and molecular mechanisms that lead to loss of immunological tolerance, and recent evidence on the role of immune checkpoint molecules in the development of T1D and their potential application for the mitigation of autoimmune diabetes.

EXPERT OPINION: Contrasting results about the efficacy of immune checkpoint modulators for T1D have been published, with very few molecules from preclinical studies eligible for use in humans. The heterogeneous and complex pathophysiology of T1D may explain the conflicting evidence. Designing clinical trials that acknowledge the pathophysiological and clinical complexity of T1D and that forecast the need of simultaneously tackling different disease pathways will be crucial to enhance the benefits which may be gained by such compounds.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Expert opinion on investigational drugs - 33(2024), 4 vom: 08. Apr., Seite 303-318

Sprache:

Englisch

Beteiligte Personen:

Maddaloni, Ernesto [VerfasserIn]
Amendolara, Rocco [VerfasserIn]
Balena, Angela [VerfasserIn]
Latino, Alessandro [VerfasserIn]
Sessa, Rosario Luigi [VerfasserIn]
Buzzetti, Raffaella [VerfasserIn]

Links:

Volltext

Themen:

Abatacept
Autoimmunity
Belatacept
Immune checkpoints
Immune intervention
Immunologic Factors
Insulin
Journal Article
Prevention
Review
Type 1 diabetes

Anmerkungen:

Date Completed 08.04.2024

Date Revised 08.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543784.2024.2326036

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369177932