PMID- 35867788 OWN - NLM STAT- MEDLINE DCOM- 20220726 LR - 20240923 IS - 2375-2548 (Electronic) IS - 2375-2548 (Linking) VI - 8 IP - 29 DP - 2022 Jul 22 TI - Engineered immunomodulatory accessory cells improve experimental allogeneic islet transplantation without immunosuppression. PG - eabn0071 LID - 10.1126/sciadv.abn0071 [doi] LID - eabn0071 AB - Islet transplantation has been established as a viable treatment modality for type 1 diabetes. However, the side effects of the systemic immunosuppression required for patients often outweigh its benefits. Here, we engineer programmed death ligand-1 and cytotoxic T lymphocyte antigen 4 immunoglobulin fusion protein-modified mesenchymal stromal cells (MSCs) as accessory cells for islet cotransplantation. The engineered MSCs (eMSCs) improved the outcome of both syngeneic and allogeneic islet transplantation in diabetic mice and resulted in allograft survival for up to 100 days without any systemic immunosuppression. Immunophenotyping revealed reduced infiltration of CD4(+) or CD8(+) T effector cells and increased infiltration of T regulatory cells within the allografts cotransplanted with eMSCs compared to controls. The results suggest that the eMSCs can induce local immunomodulation and may be applicable in clinical islet transplantation to reduce or minimize the need of systemic immunosuppression and ameliorate its negative impact. FAU - Wang, Xi AU - Wang X AUID- ORCID: 0000-0003-3415-7092 AD - Department of Biological and Environmental Engineering, Cornell University, Ithaca, NY 14853, USA. FAU - Wang, Kai AU - Wang K AUID- ORCID: 0000-0001-6240-0147 AD - Department of Cardiac Surgery, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Surgery, Harvard Medical School, Boston, MA 02115, USA. FAU - Yu, Ming AU - Yu M AD - Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA. FAU - Velluto, Diana AU - Velluto D AD - Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA. FAU - Hong, Xuechong AU - Hong X AUID- ORCID: 0000-0002-0804-672X AD - Department of Cardiac Surgery, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Surgery, Harvard Medical School, Boston, MA 02115, USA. FAU - Wang, Bo AU - Wang B AD - Department of Biological and Environmental Engineering, Cornell University, Ithaca, NY 14853, USA. FAU - Chiu, Alan AU - Chiu A AD - Department of Biological and Environmental Engineering, Cornell University, Ithaca, NY 14853, USA. FAU - Melero-Martin, Juan M AU - Melero-Martin JM AUID- ORCID: 0000-0002-4689-8149 AD - Department of Cardiac Surgery, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Surgery, Harvard Medical School, Boston, MA 02115, USA. AD - Harvard Stem Cell Institute, Cambridge, MA 02138, USA. FAU - Tomei, Alice A AU - Tomei AA AUID- ORCID: 0000-0002-5059-6303 AD - Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA. AD - Department of Biomedical Engineering, University of Miami, Miami, FL 33146, USA. AD - Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA. FAU - Ma, Minglin AU - Ma M AUID- ORCID: 0000-0002-9553-7526 AD - Department of Biological and Environmental Engineering, Cornell University, Ithaca, NY 14853, USA. LA - eng GR - R01 DK105967/DK/NIDDK NIH HHS/United States GR - S10 OD025049/OD/NIH HHS/United States PT - Journal Article DEP - 20220722 PL - United States TA - Sci Adv JT - Science advances JID - 101653440 SB - IM MH - Animals MH - *Diabetes Mellitus, Experimental/therapy MH - *Hematopoietic Stem Cell Transplantation MH - Immunomodulation MH - Immunosuppression Therapy MH - *Islets of Langerhans Transplantation/methods MH - Mice MH - Mice, Inbred BALB C PMC - PMC9307254 EDAT- 2022/07/23 06:00 MHDA- 2022/07/27 06:00 PMCR- 2022/07/22 CRDT- 2022/07/22 14:04 PHST- 2022/07/22 14:04 [entrez] PHST- 2022/07/23 06:00 [pubmed] PHST- 2022/07/27 06:00 [medline] PHST- 2022/07/22 00:00 [pmc-release] AID - abn0071 [pii] AID - 10.1126/sciadv.abn0071 [doi] PST - ppublish SO - Sci Adv. 2022 Jul 22;8(29):eabn0071. doi: 10.1126/sciadv.abn0071. Epub 2022 Jul 22.