Abstract
Systemic lupus erythematosus (SLE) is a chronic autoimmune illness with an unclear etiology and a range of clinical manifestations. The therapeutic results of current conventional treatments are frequently unsatisfactory. Many B-cell-directed immunotherapies have recently been discovered, as B cells play a key role in the pathogenesis of SLE. However, large-scale rituximab trials found that the antibody against CD20 was no better than a placebo. Autologous CAR T-cell therapy has garnered considerable interest and is considered a potential treatment option for SLE. CD19+CD20- B cells are thought to play an essential role in the onset and progression of SLE. CD19-targeted CAR T-cells destroy B cells without requiring an accessory cell type, thereby decreasing B cells more efficiently. Preclinical trials of CAR T-cells in mice have shown promising results against SLE. The review aimed to shed light on autologous CD19-targeted CAR T-cells as a potential treatment for SLE.
Graphical Abstract
[http://dx.doi.org/10.1097/BOR.0000000000000480] [PMID: 29251660]
[http://dx.doi.org/10.1056/NEJMoa021933] [PMID: 14561795]
[http://dx.doi.org/10.1136/annrheumdis-2019-215089] [PMID: 30926722]
[http://dx.doi.org/10.1056/NEJMra071297] [PMID: 18305268]
[http://dx.doi.org/10.3389/fmed.2020.00316] [PMID: 32754605]
[http://dx.doi.org/10.1155/2014/381418] [PMID: 24692849]
[http://dx.doi.org/10.33590/emjhematol/20-00079]
[http://dx.doi.org/10.1136/annrheumdis-2018-eular.5711]
[http://dx.doi.org/10.3389/fmed.2020.00303] [PMID: 32695790]
[http://dx.doi.org/10.1056/NEJMoa2001180] [PMID: 32937045]
[http://dx.doi.org/10.1038/s41584-019-0214-x] [PMID: 30948844]
[http://dx.doi.org/10.7759/cureus.3407] [PMID: 30533341]
[http://dx.doi.org/10.1191/0961203303lu502oa] [PMID: 14714911]
[http://dx.doi.org/10.1016/j.biocel.2009.10.011] [PMID: 19850148]
[http://dx.doi.org/10.4049/jimmunol.172.6.3422] [PMID: 15004141]
[http://dx.doi.org/10.1002/1529-0131(200008)43:8<1790:AID-ANR15>3.0.CO;2-2] [PMID: 10943869]
[http://dx.doi.org/10.1136/annrheumdis-2013-205144] [PMID: 24748629]
[http://dx.doi.org/10.1007/s00296-010-1755-0] [PMID: 21258801]
[http://dx.doi.org/10.1038/nrneph.2012.141] [PMID: 22801948]
[http://dx.doi.org/10.1002/art.27233] [PMID: 20039413]
[http://dx.doi.org/10.1002/art.34359] [PMID: 22231479]
[http://dx.doi.org/10.1177/1756286418761697] [PMID: 29593838]
[http://dx.doi.org/10.1007/s10067-020-05220-2] [PMID: 32542581]
[http://dx.doi.org/10.1038/cmi.2012.64] [PMID: 23455017]
[http://dx.doi.org/10.1093/emboj/17.8.2319] [PMID: 9545244]
[http://dx.doi.org/10.1038/ni1454] [PMID: 17440452]
[http://dx.doi.org/10.1186/ar3909] [PMID: 23281743]
[http://dx.doi.org/10.1016/j.jaut.2009.11.002] [PMID: 19963348]
[http://dx.doi.org/10.1111/j.1600-065X.2008.00748.x] [PMID: 19290925]
[http://dx.doi.org/10.1056/NEJMoa051568] [PMID: 16672701]
[http://dx.doi.org/10.1182/blood-2003-08-2694] [PMID: 14630796]
[http://dx.doi.org/10.1016/j.jaut.2007.11.001] [PMID: 18155417]
[http://dx.doi.org/10.1002/art.20274] [PMID: 15188368]
[http://dx.doi.org/10.1016/j.jaut.2018.10.025] [PMID: 30396745]
[http://dx.doi.org/10.1016/j.clim.2018.11.015] [PMID: 30502542]
[http://dx.doi.org/10.4049/jimmunol.1700555]
[http://dx.doi.org/10.1111/j.1365-3083.2007.02008.x] [PMID: 17868260]
[http://dx.doi.org/10.1038/s41577-018-0042-2] [PMID: 30046149]
[http://dx.doi.org/10.1056/NEJMoa1407222] [PMID: 25317870]
[http://dx.doi.org/10.1093/immadv/ltaa006]
[http://dx.doi.org/10.1155/2019/5727516] [PMID: 32083141]
[http://dx.doi.org/10.1517/14712598.2015.1046430] [PMID: 25985798]
[http://dx.doi.org/10.1126/scitranslmed.aav1648]
[http://dx.doi.org/10.1111/imr.12131] [PMID: 24329793]
[http://dx.doi.org/10.3390/biom10020263] [PMID: 32050611]
[http://dx.doi.org/10.1016/j.omtm.2018.12.009] [PMID: 30666307]
[http://dx.doi.org/10.1186/s13045-017-0405-3] [PMID: 28143567]
[http://dx.doi.org/10.1016/j.bbrc.2020.03.071] [PMID: 32216966]
[http://dx.doi.org/10.1182/blood-2010-01-265041] [PMID: 20631379]
[http://dx.doi.org/10.1002/cti2.1049] [PMID: 31110702]
[http://dx.doi.org/10.1038/nm.3838] [PMID: 25939063]
[http://dx.doi.org/10.1016/j.celrep.2017.09.015] [PMID: 28978471]
[http://dx.doi.org/10.1186/1756-8722-6-33] [PMID: 23656794]
[http://dx.doi.org/10.3389/fimmu.2018.03180] [PMID: 30713539]
[http://dx.doi.org/10.1038/s41571-019-0297-y] [PMID: 31848460]
[http://dx.doi.org/10.1517/14712598.2011.573476] [PMID: 21463133]
[http://dx.doi.org/10.3389/fimmu.2020.603237] [PMID: 33324420]
[http://dx.doi.org/10.3390/cancers14184452] [PMID: 36139611]
[http://dx.doi.org/10.3389/fonc.2020.00849] [PMID: 32670869]
[http://dx.doi.org/10.1182/blood.2019001641] [PMID: 31650176]
[http://dx.doi.org/10.1172/jci.insight.122627] [PMID: 30938714]
[http://dx.doi.org/10.1056/NEJMc2107725] [PMID: 34347960]
[http://dx.doi.org/10.1186/s40364-017-0102-y] [PMID: 28652918]
[http://dx.doi.org/10.1126/sciadv.abf1333] [PMID: 33853779]
[http://dx.doi.org/10.1089/hum.2021.173] [PMID: 34662233]
[http://dx.doi.org/10.1038/mto.2016.15] [PMID: 27347557]
[http://dx.doi.org/10.1182/blood-2013-10-535245] [PMID: 24986688]
[http://dx.doi.org/10.1016/j.jim.2017.08.004] [PMID: 28827189]
[http://dx.doi.org/10.1038/nature23270] [PMID: 28723893]
[http://dx.doi.org/10.2215/CJN.01070118] [PMID: 30089664]
[http://dx.doi.org/10.1371/journal.pone.0061338] [PMID: 23585892]
[http://dx.doi.org/10.2217/imt-2017-0062] [PMID: 28971751]
[http://dx.doi.org/10.1016/j.retram.2018.03.003] [PMID: 29625831]
[http://dx.doi.org/10.1200/EDBK_238691] [PMID: 31099694]
[http://dx.doi.org/10.1111/bjh.15644] [PMID: 30407609]
[http://dx.doi.org/10.1182/blood-2016-04-703751] [PMID: 27207799]
[http://dx.doi.org/10.1158/2159-8290.CD-16-0040] [PMID: 27076371]
[http://dx.doi.org/10.1007/s11940-019-0580-3] [PMID: 31327064]
[http://dx.doi.org/10.1097/HS9.0000000000000186] [PMID: 31723825]