Publications by authors named "Grigol Tediashvili"

Allogeneic, immune-evasive hypoimmune (HIP) cell therapeutics that are HLA-depleted and overexpress CD47 create the opportunity to treat immunocompetent patients with cancer, degenerative, or autoimmune diseases. However, HIP cell therapy has not yet been established for xenotransplantation. Here we engineer, for human-to-non-human primate studies, human HIP* endothelial cells (EC) that are HLA-depleted and express macaque CD47 to allow compatibility with the macaque SIRPα immune checkpoint.

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Background: Cardiac allograft vasculopathy (CAV) remains the leading cause of long-term graft failure and mortality after heart transplantation. Effective preventive and treatment options are not available to date, largely because underlying mechanisms remain poorly understood. We studied the potential role of leukotriene B4 (LTB4), an inflammatory lipid mediator, in the development of CAV.

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Immune rejection of allogeneic cell therapeutics remains a major problem for immuno-oncology and regenerative medicine. Allogeneic cell products so far have inferior persistence and efficacy when compared with autologous alternatives. Engineering of hypoimmune cells may greatly improve their therapeutic benefit.

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Allogeneic cell therapeutics for cancer therapy or regenerative medicine are susceptible to antibody-mediated killing, which diminishes their efficacy. Here we report a strategy to protect cells from antibody-mediated killing that relies on engineered overexpression of the IgG receptor CD64. We show that human and mouse iPSC-derived endothelial cells (iECs) overexpressing CD64 escape antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity from IgG antibodies in vitro and in ADCC-enabled mice.

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Article Synopsis
  • The study highlights advancements in regenerative cell therapy, emphasizing the potential of gene-edited, immune-evasive cell grafts to treat diseases in fully allogeneic recipients.
  • Transplanted endothelial cells were shown to improve blood flow and limb preservation in mice with critical limb ischemia, while also restoring necessary protein levels in a mouse model of genetic deficiency.
  • The combination of endothelial cells and cardiomyocytes injected into damaged hearts resulted in improved heart function, indicating that hypoimmune, universal cell therapies could offer cost-effective solutions for significant health issues.
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  • Researchers identified the immune checkpoint SIRPα in NK cells, which can be targeted to enhance cell therapy.
  • SIRPα levels increase with IL-2 stimulation and bind to CD47 on target cells, inhibiting NK cell activity against certain tumors.
  • Blocking SIRPα improves NK cell function against tumor cells, suggesting that manipulating this pathway could enhance anti-tumor responses in therapies.
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Article Synopsis
  • * Strategies include gene editing to reduce cell antigenicity, immunosuppression of the recipient, and using histocompatibility-matched cells from banks.
  • * Research focused on H-Y antigens, which come from the Y chromosome and may be influenced by the donor's gender, found that these antigens elicit immune responses in female mice receiving embryonic or endothelial stem cells.
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The use of animal models is essential for developing new therapeutic strategies for acute coronary syndrome and its complications. In this article, we demonstrate a murine cryoinjury infarct model that generates precise infarct sizes with high reproducibility and replicability. In brief, after intubation and sternotomy of the animal, the heart is lifted from the thorax.

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Autologous induced pluripotent stem cells (iPSCs) constitute an unlimited cell source for patient-specific cell-based organ repair strategies. However, their generation and subsequent differentiation into specific cells or tissues entail cell line-specific manufacturing challenges and form a lengthy process that precludes acute treatment modalities. These shortcomings could be overcome by using prefabricated allogeneic cell or tissue products, but the vigorous immune response against histo-incompatible cells has prevented the successful implementation of this approach.

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The use of animal models is essential for a better understanding of MH, one major cause for arterial stenosis.In this article, we demonstrate a murine balloon denudation model, which is comparable with established vessel injury models in large animals. The aorta denudation model with balloon catheters mimics the clinical setting and leads to comparable pathobiological and physiological changes.

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Bypass grafting is an established treatment method for coronary artery disease. Graft patency continues to be the Achilles heel of saphenous vein grafts. Research models for bypass graft failure are essential for a better understanding of pathobiological and pathophysiological processes during graft patency loss.

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