Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China.
BioDrugs. 2023 May;37(3):331-352. doi: 10.1007/s40259-023-00594-6. Epub 2023 May 13.
Type 1 diabetes mellitus (T1DM) has been defined as an autoimmune disease characterised by immune-mediated destruction of the pancreatic β cells, leading to absolute insulin deficiency and hyperglycaemia. Current research has increasingly focused on immunotherapy based on immunosuppression and regulation to rescue T-cell-mediated β-cell destruction. Although T1DM immunotherapeutic drugs are constantly under clinical and preclinical development, several key challenges remain, including low response rates and difficulty in maintaining therapeutic effects. Advanced drug delivery strategies can effectively harness immunotherapies and improve their potency while reducing their adverse effects. In this review, we briefly introduce the mechanisms of T1DM immunotherapy and focus on the current research status of the integration of the delivery techniques in T1DM immunotherapy. Furthermore, we critically analyse the challenges and future directions of T1DM immunotherapy.
1 型糖尿病(T1DM)已被定义为一种自身免疫性疾病,其特征是免疫介导的胰腺β细胞破坏,导致绝对胰岛素缺乏和高血糖。目前的研究越来越关注基于免疫抑制和调节的免疫疗法,以挽救 T 细胞介导的β细胞破坏。尽管 T1DM 免疫治疗药物不断处于临床和临床前开发阶段,但仍存在几个关键挑战,包括低反应率和难以维持治疗效果。先进的药物输送策略可以有效地利用免疫疗法并提高其效力,同时降低其不良反应。在这篇综述中,我们简要介绍了 T1DM 免疫疗法的机制,并重点介绍了在 T1DM 免疫疗法中整合输送技术的当前研究现状。此外,我们还批判性地分析了 T1DM 免疫疗法的挑战和未来方向。