PMID- 33995848 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210518 IS - 1948-9358 (Print) IS - 1948-9358 (Electronic) IS - 1948-9358 (Linking) VI - 12 IP - 5 DP - 2021 May 15 TI - Current advances in using tolerogenic dendritic cells as a therapeutic alternative in the treatment of type 1 diabetes. PG - 603-615 LID - 10.4239/wjd.v12.i5.603 [doi] AB - Type 1 diabetes (T1D) is an autoimmune disease characterized by the destruction of insulin-producing beta-cells of the pancreatic islets by autoreactive T cells, leading to high blood glucose levels and severe long-term complications. The typical treatment indicated in T1D is exogenous insulin administration, which controls glucose levels; however, it does not stop the autoimmune process. Various strategies have been implemented aimed at stopping beta-cell destruction, such as cellular therapy. Dendritic cells (DCs) as an alternative in cellular therapy have gained great interest for autoimmune disease therapy due to their plasticity to acquire immunoregulatory properties both in vivo and in vitro, performing functions such as anti-inflammatory cytokine secretion and suppression of autoreactive lymphocytes, which are dependent of their tolerogenic phenotype, displayed by features such as semimature phenotype, low surface expression of stimulatory molecules to prime T cells, as well as the elevated expression of inhibitory markers. DCs may be obtained and propagated easily in optimal amounts from peripheral blood or bone marrow precursors, such as monocytes or hematopoietic stem cells, respectively; therefore, various protocols have been established for tolerogenic (tol)DCs manufacturing for therapeutic research in the treatment of T1D. In this review, we address the current advances in the use of tolDCs for T1D therapy, encompassing protocols for their manufacturing, the data obtained from preclinical studies carried out, and the status of clinical research evaluating the safety, feasibility, and effectiveness of tolDCs. CI - (c)The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Rios-Rios, William de Jesus AU - Rios-Rios WJ AD - Department of Biochemical Sciences Faculty, Universidad Autonoma "Benito Juarez" de Oaxaca, Oaxaca 68120, Mexico. FAU - Sosa-Luis, Sorely Adelina AU - Sosa-Luis SA AD - Department of Molecular Biomedicine, Centro de Investigacion y de Estudios Avanzados del Instituto Politecnico Nacional, Mexico City 07360, Mexico. FAU - Torres-Aguilar, Honorio AU - Torres-Aguilar H AD - Department of Biochemical Sciences Faculty, Universidad Autonoma "Benito Juarez" de Oaxaca, Oaxaca 68120, Mexico. qbhonorio@hotmail.com. LA - eng PT - Journal Article PT - Review PL - United States TA - World J Diabetes JT - World journal of diabetes JID - 101547524 PMC - PMC8107985 OTO - NOTNLM OT - Autoimmunity OT - Cell therapy OT - Dendritic cells OT - Immune tolerance OT - Immunotherapy. OT - Type 1 diabetes COIS- Conflict-of-interest statement: The authors have declared having no conflicts of interest. EDAT- 2021/05/18 06:00 MHDA- 2021/05/18 06:01 PMCR- 2021/05/15 CRDT- 2021/05/17 06:08 PHST- 2021/01/21 00:00 [received] PHST- 2021/02/26 00:00 [revised] PHST- 2021/04/20 00:00 [accepted] PHST- 2021/05/17 06:08 [entrez] PHST- 2021/05/18 06:00 [pubmed] PHST- 2021/05/18 06:01 [medline] PHST- 2021/05/15 00:00 [pmc-release] AID - 10.4239/wjd.v12.i5.603 [doi] PST - ppublish SO - World J Diabetes. 2021 May 15;12(5):603-615. doi: 10.4239/wjd.v12.i5.603.