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Mohammed Javeed Ansari, Mohamed H. Sayegh
Published in Volume 116, Issue 8
J Clin Invest. 2006; 116(8):2080–2083 doi:10.1172/JCI29455
Abstract | Full text | PDF
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Figure 1
Schematic of potential approaches to harnessing negative regulatory pathways for the prevention or cure of autoimmune diseases.

(A) Potential strategies operating within the lymphoid organs include the following: biologicals delivering a negative signal through the inhibitory receptors (IRs) on activated T cells (i); antibodies targeting other molecules (ii), which in turn enhance expression and function of negative costimulatory receptors on activated T cells; bispecific antibodies (iii) targeting TCR and inhibitory receptors simultaneously, thereby delivering a negative signal; gene therapy (iv) or “coating” (v) of APCs using ligands or antibodies targeting inhibitory receptors. (B) Potential strategies operating within the parenchyma of target organs include the following: gene therapy of target tissue (e.g., islets) and passenger APCs, with ligands or antibodies targeting inhibitory receptors (i); coating or “decoration” of target tissue (e.g., islets) and passenger APCs with ligands of inhibitory receptors (ii).