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  4. Synthetically glycosylated antigens induce antigen-specific tolerance and prevent the onset of diabetes
 
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Synthetically glycosylated antigens induce antigen-specific tolerance and prevent the onset of diabetes

Wilson, D. Scott
•
Damo, Martina
•
Hirosue, Sachiko  
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October 1, 2019
Nature Biomedical Engineering

Homeostatic antigen presentation by hepatic antigen-presenting cells, which results in tolerogenic T-cell education, could be exploited to induce antigen-specific immunological tolerance. Here we show that antigens modified with polymeric forms of either N-acetylgalactosamine or N-acetylglucosamine target hepatic antigen-presenting cells, increase their antigen presentation and induce antigen-specific tolerance, as indicated by CD4(+) and CD8(+) T-cell deletion and anergy. These synthetically glycosylated antigens also expanded functional regulatory Tcells, which are necessary for the durable suppression of antigen-specific immune responses. In an adoptive-transfer mouse model of type-1 diabetes, treatment with the glycosylated autoantigens prevented T-cell-mediated diabetes, expanded antigen-specific regulatory T cells and resulted in lasting tolerance to a subsequent challenge with activated diabetogenic T cells. Glycosylated autoantigens targeted to hepatic antigen-presenting cells might enable therapies that promote immune tolerance in patients with autoimmune diseases.

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