Treatment of multiple sclerosis with peptide-coupled red blood cells induces antigen-specific T regulatory cells.

Proc Natl Acad Sci U S AAug 31, 2026 (epub)
Clinical ResearchNeurologyMedical Genetics

Andreas Lutterotti, Thomas Ludersdorfer, María José Docampo et al.

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In 30 seconds

This phase Ib clinical trial evaluated the safety and efficacy of peptide-coupled red blood cells (pcRBCs) in patients with multiple sclerosis (MS). The treatment was well tolerated, with stable clinical and imaging outcomes, and a reduction in neurofilament light chain, indicating decreased brain inflammation. Notably, there was an expansion of antigen-specific CD4+ memory T regulatory cells three months post-treatment.

Key findings

  • pcRBCs were safe and well tolerated in the trial.
  • Neurofilament light chain levels decreased, indicating reduced brain inflammation.
  • Expansion of antigen-specific CD4+ memory T regulatory cells was observed three months after treatment.
  • A reduction in autoreactive CD4+ T cell responses was noted post-treatment.

Why it matters

The study highlights a novel approach to inducing antigen-specific immune tolerance in multiple sclerosis, which could lead to improved management of this autoimmune condition. Understanding the mechanisms of tolerance may inform future therapies.

Source

Published in Proc Natl Acad Sci U S A. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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