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Mesenchymal stromal cell-mediated immunomodulation of T cells (null)

Target
null
Molecular classification
Other (Cell-based therapy mechanism), Not a single molecule/receptor; function is mediated by a network of cytokines (e.g., TGF-β, IL-10, PGE2), enzymes (e.g., indoleamine 2,3-dioxygenase), and direct cell–cell interactions[2][1][5].
01

Overview

Mesenchymal stromal/stem cell (MSC)-mediated immunomodulation describes the process by which MSCs suppress T-cell proliferation and promote regulatory T cell (Treg) induction and activity, primarily through the secretion of anti-inflammatory cytokines (such as TGF-β and IL-10), production of metabolites (e.g., prostaglandin E2, indoleamine 2,3-dioxygenase), and direct cell–cell contact mechanisms (e.g., via CD80/Notch/Jagged1 interactions)[2][1][4][6]. This immunoregulatory capacity is a major contributor to the therapeutic potential of MSCs in treating inflammatory, autoimmune, and transplant-related diseases, though it does not map to a discrete molecular target but rather a multifactorial cellular function[2][5][1].

Other names
MSC-mediated immune modulationMesenchymal stem cell immunosuppressionMSC-induced Treg promotionMesenchymal stromal/stem cell therapy (in context of immune modulation)
02

Mechanism of action

Paracrine secretion of immunosuppressive factors (e.g., TGF-β, PGE2, IL-10). Direct cell-to-cell contact with T cells, involving costimulatory molecules (e.g., CD80/CD86)[4]. Induction and expansion of regulatory T cells via Notch signaling pathways and secreted extracellular vesicles[2][6]. Enzymatic degradation of pro-inflammatory mediators and tryptophan catabolism by IDO[1].

03

Biological functions

Immune response regulationInhibition of T-cell proliferationPromotion of regulatory T cell (Treg) activity and stabilitySuppression of inflammation[2][5][1]
04

Disease associations

InflammationAutoimmune diseaseGraft-versus-host disease (GvHD)Transplant rejection[5][4]Other immune-mediated conditions
05

Safety considerations

Risk of infection due to generalized immunosuppressionTheoretical risk of promoting tumor progression in some settingsPoor engraftment or persistence of administered MSCsVariability in efficacy depending on MSC source and manufacturing[5]
06

Interacting drugs

No single drug directly interacts with this "target," but: MSCs are used as advanced therapy medicinal products (ATMPs) or cell therapies.

1 more in the full profile.

07

Biomarkers

Increased circulating or tissue Treg numbers/FOXP3 expression[6][4]Decreased T-cell proliferation in vitroExpression of immunomodulatory molecules (TGF-β, IL-10, IDO)

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