PMID- 34445143 OWN - NLM STAT- MEDLINE DCOM- 20210915 LR - 20210915 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 16 DP - 2021 Aug 5 TI - Tolerogenic Dendritic Cell-Based Approaches in Autoimmunity. LID - 10.3390/ijms22168415 [doi] LID - 8415 AB - Dendritic cells (DCs) dictate the outcomes of tissue-specific immune responses. In the context of autoimmune diseases, DCs instruct T cells to respond to antigens (Ags), including self-Ags, leading to organ damage, or to becoming regulatory T cells (Tregs) promoting and perpetuating immune tolerance. DCs can acquire tolerogenic properties in vitro and in vivo in response to several stimuli, a feature that opens the possibility to generate or to target DCs to restore tolerance in autoimmune settings. We present an overview of the different subsets of human DCs and of the regulatory mechanisms associated with tolerogenic (tol)DC functions. We review the role of DCs in the induction of tissue-specific autoimmunity and the current approaches exploiting tolDC-based therapies or targeting DCs in vivo for the treatment of autoimmune diseases. Finally, we discuss limitations and propose future investigations for improving the knowledge on tolDCs for future clinical assessment to revert and prevent autoimmunity. The continuous expansion of tolDC research areas will lead to improving the understanding of the role that DCs play in the development and treatment of autoimmunity. FAU - Passeri, Laura AU - Passeri L AD - San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy. AD - San Raffaele Scientific Institute IRCCS, University Vita-Salute San Raffaele, 20132 Milan, Italy. FAU - Marta, Fortunato AU - Marta F AD - San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy. FAU - Bassi, Virginia AU - Bassi V AD - San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy. AD - San Raffaele Scientific Institute IRCCS, University Vita-Salute San Raffaele, 20132 Milan, Italy. FAU - Gregori, Silvia AU - Gregori S AD - San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy. LA - eng GR - Tele21-G1/Fondazione Telethon/ GR - RF-2016-02361372/The Italian Ministry of Health/ PT - Journal Article PT - Review DEP - 20210805 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Animals MH - Autoimmune Diseases/*immunology MH - Autoimmunity/*immunology MH - Dendritic Cells/*immunology MH - Humans MH - Immune Tolerance/*immunology MH - T-Lymphocytes, Regulatory/immunology PMC - PMC8395087 OTO - NOTNLM OT - autoimmune diseases OT - dendritic cells OT - tolerance COIS- The authors declare no conflict of interest. EDAT- 2021/08/28 06:00 MHDA- 2021/09/16 06:00 PMCR- 2021/08/05 CRDT- 2021/08/27 01:23 PHST- 2021/06/05 00:00 [received] PHST- 2021/08/02 00:00 [revised] PHST- 2021/08/03 00:00 [accepted] PHST- 2021/08/27 01:23 [entrez] PHST- 2021/08/28 06:00 [pubmed] PHST- 2021/09/16 06:00 [medline] PHST- 2021/08/05 00:00 [pmc-release] AID - ijms22168415 [pii] AID - ijms-22-08415 [pii] AID - 10.3390/ijms22168415 [doi] PST - epublish SO - Int J Mol Sci. 2021 Aug 5;22(16):8415. doi: 10.3390/ijms22168415.