CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs

IntroductionSecondary and tertiary lymphoid structures are a critical target of suppression in many autoimmune disorders, protein replacement therapies, and in transplantation. Although antigen-specific regulatory T cells (Tregs), such as chimeric antigen receptor (CAR) Tregs, generally persist long...

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Main Authors: Matteo Doglio, Jyoti Rana, Adriana Stucchi, Maite-Muñoz Melero, Alessia Ugolini, Tatiana Jofra, Cristiano Toma, Clara Bercher-Brayer, Pierluigi Carulli, Sandeep Kumar, Paolo Monti, Elisa Martini, Senthilkumar Thirumurugan, Moanaro Biswas, Chiara Bonini, Georgia Fousteri
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Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1513009/full
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author Matteo Doglio
Jyoti Rana
Adriana Stucchi
Maite-Muñoz Melero
Alessia Ugolini
Tatiana Jofra
Cristiano Toma
Clara Bercher-Brayer
Pierluigi Carulli
Sandeep Kumar
Paolo Monti
Elisa Martini
Senthilkumar Thirumurugan
Moanaro Biswas
Chiara Bonini
Georgia Fousteri
author_facet Matteo Doglio
Jyoti Rana
Adriana Stucchi
Maite-Muñoz Melero
Alessia Ugolini
Tatiana Jofra
Cristiano Toma
Clara Bercher-Brayer
Pierluigi Carulli
Sandeep Kumar
Paolo Monti
Elisa Martini
Senthilkumar Thirumurugan
Moanaro Biswas
Chiara Bonini
Georgia Fousteri
author_sort Matteo Doglio
collection DOAJ
description IntroductionSecondary and tertiary lymphoid structures are a critical target of suppression in many autoimmune disorders, protein replacement therapies, and in transplantation. Although antigen-specific regulatory T cells (Tregs), such as chimeric antigen receptor (CAR) Tregs, generally persist longer and localize to target tissues more effectively than polyclonal Tregs in animal models, their numbers still progressively decline over time. A potential approach to maximize Treg activity in vivo is the expression of chemokine receptors such as CXCR5, which would enable localization of a greater number of engineered cells at sites of antigen presentation. Indeed, CXCR5 expression on follicular T helper cells and follicular Tregs enables migration toward lymph nodes, B cell zones, and tertiary lymphoid structures that appear in chronically inflamed non-lymphoid tissues.MethodsIn this study, we generated human and murine CXCR5 co-expressing engineered receptor Tregs and tested them in preclinical mouse models of allo-immunity and hemophilia A, respectively. Additionally, we engineered a murine CXCR5 co-expressing clotting factor VIII (FVIII) specific T cell receptor fusion construct epsilon (FVIII TRuCe CXCR5) Treg to suppress anti-drug antibody development in a model of FVIII protein replacement therapy for hemophilia A.ResultsIn vitro, anti-HLA-A2 CXCR5+ CAR-Tregs showed enhanced migratory and antigen-specific suppressive capacities compared to untransduced Tregs. When injected into an NSG mouse model of HLA-A2+ pancreatic islet transplantation, anti-HLA-A2 CXCR5+ CAR-Tregs maintained a good safety profile allowing for long-term graft survival in contrast to anti-HLA-A2 CXCR5+ conventional CAR-T (Tconv) cells that eliminated the graft. Similarly, FVIII TRuCe CXCR5 Treg demonstrated increased in vivo persistence and suppressive capacity in a murine model of hemophilia A.DiscussionCollectively, our findings indicate that CXCR5 co-expression is safe and enhances in vivo localization and persistence in target tissues. This strategy can potentially promote targeted tolerance without the risk of off-target effects in multiple disease models.
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spelling doaj-art-6b37c4fdd8d64269bbc324fdc492f8212025-08-20T03:15:58ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.15130091513009CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organsMatteo Doglio0Jyoti Rana1Adriana Stucchi2Maite-Muñoz Melero3Alessia Ugolini4Tatiana Jofra5Cristiano Toma6Clara Bercher-Brayer7Pierluigi Carulli8Sandeep Kumar9Paolo Monti10Elisa Martini11Senthilkumar Thirumurugan12Moanaro Biswas13Chiara Bonini14Georgia Fousteri15Experimental Hematology Unit, Division of Immunology Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyHerman B Wells Center for Pediatric Research, Indiana University, Indianapolis, IN, United StatesDiabetes Research Institute, Division of Immunology, Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyHerman B Wells Center for Pediatric Research, Indiana University, Indianapolis, IN, United StatesExperimental Hematology Unit, Division of Immunology Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyDiabetes Research Institute, Division of Immunology, Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyExperimental Hematology Unit, Division of Immunology Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyExperimental Hematology Unit, Division of Immunology Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyExperimental Hematology Unit, Division of Immunology Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyHerman B Wells Center for Pediatric Research, Indiana University, Indianapolis, IN, United StatesDiabetes Research Institute, Division of Immunology, Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyExperimental Hematology Unit, Division of Immunology Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyHerman B Wells Center for Pediatric Research, Indiana University, Indianapolis, IN, United StatesHerman B Wells Center for Pediatric Research, Indiana University, Indianapolis, IN, United StatesExperimental Hematology Unit, Division of Immunology Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyDiabetes Research Institute, Division of Immunology, Transplantation and Infectious Diseases (DITID), IRCCS San Raffaele Scientific Institute, Milan, ItalyIntroductionSecondary and tertiary lymphoid structures are a critical target of suppression in many autoimmune disorders, protein replacement therapies, and in transplantation. Although antigen-specific regulatory T cells (Tregs), such as chimeric antigen receptor (CAR) Tregs, generally persist longer and localize to target tissues more effectively than polyclonal Tregs in animal models, their numbers still progressively decline over time. A potential approach to maximize Treg activity in vivo is the expression of chemokine receptors such as CXCR5, which would enable localization of a greater number of engineered cells at sites of antigen presentation. Indeed, CXCR5 expression on follicular T helper cells and follicular Tregs enables migration toward lymph nodes, B cell zones, and tertiary lymphoid structures that appear in chronically inflamed non-lymphoid tissues.MethodsIn this study, we generated human and murine CXCR5 co-expressing engineered receptor Tregs and tested them in preclinical mouse models of allo-immunity and hemophilia A, respectively. Additionally, we engineered a murine CXCR5 co-expressing clotting factor VIII (FVIII) specific T cell receptor fusion construct epsilon (FVIII TRuCe CXCR5) Treg to suppress anti-drug antibody development in a model of FVIII protein replacement therapy for hemophilia A.ResultsIn vitro, anti-HLA-A2 CXCR5+ CAR-Tregs showed enhanced migratory and antigen-specific suppressive capacities compared to untransduced Tregs. When injected into an NSG mouse model of HLA-A2+ pancreatic islet transplantation, anti-HLA-A2 CXCR5+ CAR-Tregs maintained a good safety profile allowing for long-term graft survival in contrast to anti-HLA-A2 CXCR5+ conventional CAR-T (Tconv) cells that eliminated the graft. Similarly, FVIII TRuCe CXCR5 Treg demonstrated increased in vivo persistence and suppressive capacity in a murine model of hemophilia A.DiscussionCollectively, our findings indicate that CXCR5 co-expression is safe and enhances in vivo localization and persistence in target tissues. This strategy can potentially promote targeted tolerance without the risk of off-target effects in multiple disease models.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1513009/fullregulatory T cells (Tregs)C-X-C chemokine receptor type 5 (CXCR5)type 1 diabetes (T1D)pancreatic islet transplantationhemophiliachimeric antigen receptor (CAR)
spellingShingle Matteo Doglio
Jyoti Rana
Adriana Stucchi
Maite-Muñoz Melero
Alessia Ugolini
Tatiana Jofra
Cristiano Toma
Clara Bercher-Brayer
Pierluigi Carulli
Sandeep Kumar
Paolo Monti
Elisa Martini
Senthilkumar Thirumurugan
Moanaro Biswas
Chiara Bonini
Georgia Fousteri
CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs
Frontiers in Immunology
regulatory T cells (Tregs)
C-X-C chemokine receptor type 5 (CXCR5)
type 1 diabetes (T1D)
pancreatic islet transplantation
hemophilia
chimeric antigen receptor (CAR)
title CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs
title_full CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs
title_fullStr CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs
title_full_unstemmed CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs
title_short CXCR5 engineered human and murine Tregs for targeted suppression in secondary and tertiary lymphoid organs
title_sort cxcr5 engineered human and murine tregs for targeted suppression in secondary and tertiary lymphoid organs
topic regulatory T cells (Tregs)
C-X-C chemokine receptor type 5 (CXCR5)
type 1 diabetes (T1D)
pancreatic islet transplantation
hemophilia
chimeric antigen receptor (CAR)
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1513009/full
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