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PDL1-eBrg is an engineered regulatory B cell (eBreg) therapy being developed for the treatment of autoimmune diseases, specifically multiple sclerosis (MS). These cells are primary B cells engineered using CRISPR/Cas9 to constitutively express Programmed Death-Ligand 1 (PD-L1) as a regulatory cargo and a B cell receptor (BCR) specific for myelin oligodendrocyte glycoprotein (MOG) from the endogenous IgH locus. Additionally, the cells are modified with a Blimp1 knockout to prevent differentiation into antibody-secreting plasma cells, allowing them to function as non-differentiating decoy B cells that outcompete endogenous B cells for T cell help. In preclinical models of experimental autoimmune encephalomyelitis (EAE), PDL1-eBregs have demonstrated the ability to suppress MOG-specific CD4 T cell activation and inflammatory cytokine secretion (IFN-γ, TNF-α, IL-17), promoting immune tolerance and potentially facilitating CNS repair.
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