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The AuToDeCRA-2 study aims to reprogram dendritic cells (immune system "generals") to stop attacking healthy joints.
Led by Prof. John Isaacs at Newcastle University and Newcastle Hospitals, funded by Versus Arthritis and the European Commission.
The process involves isolating patient white blood cells, "training" them in a lab to be calm, and re-injecting them.
Currently in Phase 2, testing the optimal injection method (joint, skin, or lymph nodes). Around 32 patients involved across phases.
Why this matters:: Current treatments often involve lifelong immunosuppressants with side effects. This approach could offer a long-term solution by addressing the root cause, potentially leading to a cure and improving quality of life for 18 million worldwide sufferers (450,000 in England).
Rheumatoid arthritis is an autoimmune disease where the immune system mistakenly attacks the body's own tissues, primarily the joints, causing inflammation, pain, and potential damage.
Prof. Isaacs describes the dendritic cells as the "generals" that command the immune system's "soldiers". In autoimmune diseases, these generals mistakenly order attacks on healthy tissue.
The trial cultivates these dendritic cells in a lab environment, encouraging them to adopt a "calm" state. When reintroduced, these modified cells instruct the immune system to tolerate the body's own tissues, effectively halting the attack.
Patient testimonials highlight the debilitating nature of the disease. Carol Robson, 70, describes constant pain and needing frozen peas for relief before diagnosis. Jane Sutton, 54, experienced pain so severe she couldn't stand. Both express hope and feel privileged to participate. Carol notes feeling less pain since receiving the treatment.
If successful, this immune re-education technique could potentially be adapted for other autoimmune conditions like type 1 diabetes or multiple sclerosis.
While promising, the treatment is still experimental. Even if current and subsequent larger trials are successful, widespread availability could be 5-10 years away.
Q: What is rheumatoid arthritis?
It's a chronic autoimmune condition where the immune system attacks the joints, causing pain, swelling, and stiffness.
Q: How does this new trial treatment work?
It involves taking a patient's immune cells (dendritic cells), modifying them in a lab to be non-aggressive towards body tissues, and re-injecting them to "re-educate" the immune system.
Q: Is this treatment available now?
No, it is still in clinical trials. If proven safe and effective in larger studies, it might become available in 5 to 10 years.
This research offers significant hope for a future where rheumatoid arthritis could be effectively "switched off," reducing reliance on lifelong medications and their side effects.
It highlights the potential of immunotherapy to treat autoimmune diseases by retraining the immune system rather than just suppressing it.
For the approximately 450,000 people in England and 18 million worldwide with rheumatoid arthritis, this trial represents a potential paradigm shift in treatment.
Patients interested in future trials should consult their rheumatologist and look for updates from Newcastle University/Hospitals and Versus Arthritis.
This research could revolutionize treatment for autoimmune diseases. Do you think this immune re-education approach holds the key? Let us know!
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Chronicle Live: 'Pioneering' Newcastle study sees top doctors trial therapy which could 'switch off' arthritis
Versus Arthritis: Homepage
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