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INS-DRiP neoantigen-specific regulatory T cells are an investigational autologous cell therapy consisting of regulatory T cells (Tregs) induced against the islet neoantigen INS-DRiP (insulin defective ribosomal product). Developed by researchers at the Leiden University Medical Center (LUMC), these Tregs are generated in vitro by co-culturing naïve CD4+ T cells with autologous tolerogenic dendritic cells (tolDCs) pulsed with the INS-DRiP neoantigen. INS-DRiP is an immunogenic polypeptide produced by translational misreading of insulin mRNA in pancreatic beta cells under endoplasmic reticulum (ER) stress. By targeting this neoantigen, the induced Tregs are designed to suppress the autoimmune destruction of beta cells, offering a potential therapeutic approach for the prevention and treatment of type 1 diabetes (T1D).
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