se1072021 Engineered cells successfuly reat cardiovascular and pulmonary disease: Proof-o-conceptsludy shows possibilies of more cost.
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Engineered cells successfully treat cardiovascular and
pulmonary disease
Proof-of-concept study shows possibilities of more cost-effective cell therapy using
‘universal’ stem cells
Date: July 6, 2021
Source: University of California - San Francisco
Summary: Ina study in mice, scientists have shown that gene-edited cellular therapeutics can be used to
successfully treat cardiovascular and pulmonary diseases, potentially paving the way for
developing less expensive cellular therapies to treat diseases for which there are currently few
viable options.
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FULL STORY
Scientists at UC San Francisco have shown that gene-edited cellular therapeutics can
be used to successfully treat cardiovascular and pulmonary diseases, potentially
paving the way for developing less expensive cellular therapies to treat diseases for
which there are currently few viable options.
The study, in mice, is the first in the emerging field of regenerative cell therapy to show that products from
specially engineered induced pluripotent stom cells called "HIP" cells can successfully be employed to treat
major diseases while evading the immune system. The findings subvert the immune response that is a major
cause of transplant failure and poses a barrier to using engineered cells as therapy.
“We showed that immune-engineered HIP cells reliably evade immune rejection in mice with different tissue
types, a situation similar to the transplantation between unrelated human individuals. This immune evasion
was maintained in diseased tissue and tissue with poor blood supply without the use of any
immunosuppressive drugs.” said Tobias Deuse, MD, the Julien I.E, Hoffman, M.D. Endowed Chair in Cardiac
Surgery and a first author of the study.
Deuse’s research is an example of "living therapeutics," an emerging pillar of medicine in which treatments are
broadly defined as living human and microbial cells that are selected, modified, or engineered to treat or cure
disease.
The study appears in Proceedings of the National Academy of Sciences.
"Universal Stem Cells” Avoid Immune Detection
hitps:slwwu.sciencedally.comireleases/2021107/210706115323,him 481610772021 Engineered calls successful ret cardiovascular and pulmonary disease: Prook-o-concept sud shows possibile of more cos.
The prospects of generating specialized cells in a dish that can be transplanted into patients to treat various
diseases are encouraging, the scientists report. However, the immune system would immediately recognize
cells that were recovered from another individual and would reject the cells. Hence, some scientists believe
that custom cell therapeutics need to be generated from scratch using a blood sample from every individual
patient as starting material
The research group at UCSF followed a different approach, using gene editing to create ‘universal stem cells’
(named HIP cells) that are not recognized by the immune system and can be used to make “universal cell
therapeutics.”
The team tested the abilty of these cells to treat three major diseases affecting different organ systems:
Peripheral artery disease; chronic obstructive pulmonary disease from alphat-antitrypsin deficiency; and heart
failure, increasingly a global epidemic with more than 5.7 milion patients in the United States alone and some
870,000 new cases annually
The scientists transplanted specialized, immune-engineered HIP cells into mice with each of these conditions
and were able to show that the cell therapeutics could alleviate peripheral artery disease in hindlimbs, prevent
the development of lung disease in mice with alphat-antitrypsin deficiency, and alleviate heart failure in mice
after myocardial infarction
To enhance the translational aspect of this proof-of-concept study, the researchers assessed the treatment's
efficacy using standard parameters for human clinical trials focusing on outcome and organ function
The Promise of an Affordable Option
Deuse, who is also surgical director of the Transcatheter Valve Program and directs Minimally Invasive Cardiac
‘Surgery, plans to explore the potential of these universal stems cells for treating other endocrine and
cardiovascular conditions. He noted that, because of the novelty of the approach, a careful and measured
introduction into clinical trials will be crucial. Once more is known about human safety, he said, it wll be easier
to estimate when treatments using HIP cells might be approved and available for patients.
One of the great benefits of this approach, said Deuse, is that the strategy of immune engineering comes with
a reasonable price tag. It would make the manufacturing of universal, high-quality cell therapeutics more cost
effective, could allow future treatment of larger patient populations, and facilitate access for patients from
underserved communities.
“In order for a therapeutic to have a broad impact, it needs to be affordable,” said Deuse. "That's why we focus
‘50 much on immune-engineering and the development of universal cells. Once the costs come down, the
access for all patients in need increases.”
‘Sonja Schrepfer, MD, PhD, a senior author on the paper, is a UCSF professor who has joined Sana
Biotechnology Inc. for the translation of the HIP technology into human therapeutics. She is a pioneer of
immune engineering and co-inventor of the HIP cells The other co-senior author of the paper is Lewis L.
Lanier, PhD, a UCSF professor of Microbiology and Immunology, and co-leader of the Cancer Immunology &
Immunotherapy Program at the UCSF Helen Diller Family Comprehensive Cancer Center.
Story Source:
Materials provided by University of California - San Francisco. Note: Content may be edited for style and
length.
Journal Reference:
1, Tobias Deuse, Grigol Tediashvili, Xiaomeng Hu, Alessia Gravina, Annika Tamenang, Dong Wang, Andrew
Connolly, Christian Mueller, Befiat Mallavia, Mark R. Looney, Malik Alawi, Lewis L. Lanier, Sonja Schrepfer.
hitps:slwwu.sciencedally.comireleases/2021107/210706115323,him 215se1072021 Enginesred cells successfully reat cardiovascular ané pulmonary disease: Proot-
concept study shows possibltes of more cost-
Hypoimmune induced pluripotent stem cell-derived cell therapeutics treat cardiovascular and
pulmonary diseases in immunocompetent allogeneic mice. Proceedings of the National Academy of
Sciences, 2021; 118 (28): €2022091118 DOL: 10.1073/pnas.2022091118
This P:
Cite This Page: MLA APA Chicago
University of California - San Francisco. "Engineered cells successfully treat cardiovascular and pulmonary
disease: Proof-of-concept study shows possibilities of more cost-effective cell therapy using ‘universal stem
cells.” ScienceDaily, ScienceDaily, 6 July 2021.
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