PMID- 23725283 OWN - NLM STAT- MEDLINE DCOM- 20140113 LR - 20130603 IS - 1750-7448 (Electronic) IS - 1750-743X (Linking) VI - 5 IP - 6 DP - 2013 Jun TI - The potential role of dendritic cells in the therapy of Type 1 diabetes. PG - 591-606 LID - 10.2217/imt.13.48 [doi] AB - Type 1 diabetes (T1D) is the result of T-cell mediated autoimmune destruction of pancreatic islet beta-cells. The two current treatments for T1D are based on insulin or islet-cell replacement rather than the pathogenesis of T1D and remain problematic. Islet/pancreas transplantation does not cater for the majority of sufferers due to the lack of supply of organs and the need for continuous immunosuppression regimens. The mainstay treatment is insulin replacement, but this is disruptive to lifestyle and does not protect against severe long-term complications. An early vaccination and long-term restoration of immune tolerance to self-antigens in T1D patients (reversing the immunopathogenesis of the disease) would be preferable. Dendritic cells (DCs) are potent APCs and play an important role in inducing and maintaining immune tolerance. Targeting DCs through different DC surface molecules shows effective modulation of immune responses. Their feasibility for immunotherapy to prolong transplant survival and cancer immunotherapy has been demonstrated. Therefore, DCs could potentially be used in the treatment of autoimmune diseases. This review summarizes new insights into DCs as a potential therapeutic target for the treatment of T1D. FAU - Lee, Chin-Nien AU - Lee CN AD - Molecular Immunology Division, The Walter & Eliza Hall Institute of Medical Research, Parkville, VIC 3052, Australia. FAU - Lew, Andrew M AU - Lew AM FAU - Wu, Li AU - Wu L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Immunotherapy JT - Immunotherapy JID - 101485158 SB - IM MH - Animals MH - Antigen Presentation MH - Dendritic Cells/*immunology MH - Diabetes Mellitus, Type 1/*immunology/*therapy MH - Humans MH - *Immune Tolerance MH - Immunotherapy/*methods MH - T-Lymphocytes/immunology EDAT- 2013/06/04 06:00 MHDA- 2014/01/15 06:00 CRDT- 2013/06/04 06:00 PHST- 2013/06/04 06:00 [entrez] PHST- 2013/06/04 06:00 [pubmed] PHST- 2014/01/15 06:00 [medline] AID - 10.2217/imt.13.48 [doi] PST - ppublish SO - Immunotherapy. 2013 Jun;5(6):591-606. doi: 10.2217/imt.13.48.