NALBANTOĞLU Ö. U., AKALIN H., GÖNEN Z. B., YAY A. H., DOĞAN M. E., BORLU M., et al.
TÜBİTAK Uluslararası Çoklu İşbirliği Projesi , 2021 - 2023
Adoptive Treg cell transfer has emerged as a treatment modality in autoimmune diseases, however, the
issues regarding the instability/and plasticity of ex vivo expanded Treg cells following transfer into patients
have surfaced as one of the disadvantages of such therapy. Thus, there is a need for improved Treg cell
therapies. Treg cells have been shown to suppress T and other immune cells at least in part through
exosome mediated mechanisms. In this project we aim to test the therapeutic potential of cell-free Treg cellderived
exosomes in the treatment of two distinct autoimmune diseases whose pathogenesis have been
shown to be mediated by TH17 cells. In the first model, exosomes will be delivered systemically, in the latter
locally (topically and intradermally). Therapeutic potential of systemically delivered exosomes will be tested
in a multiple sclerosis mouse model Induced by MOG35-55 immunization. Exosomes will be given to mice
before and after the onset of the disease to test the preventative and therapeutic impact of Treg cell-derived
exosomes. The disease development will be monitored by scoring EAE, quantifying demyelination in the
brain/spinal cord and characterizing immune cell response in the lymph node during priming and in the
central nervous system at the peak of the disease. To test the therapeutic potential of locally delivered Tregderived
exosomes, psoriasis model will be developed by topical application of imiquimod in C57BL/6 mice.
Skin pathology will be assessed by histological staining and measuring dermal thickness, as well as
quantification of inflammatory cytokines by real time qPCR or of CD4+ T cells subsets by flow cytometry. The
use of Treg derived cell-free exosomes has so far only been tested in a transplant model. Therefore, the
proposed project will be a proof of concept for use of exosomes in this regard and will allow us to apply this
therapy to two distinct autoimmune disease settings as systemic and topical applications.