Pediatric refractory Inflammatory Bowel Disease (IBD) is a chronic inflammatory condition of the gastrointestinal tract, not responsive to current treatments. Since hematopoietic stem and progenitor cells (HSPCs) in the bone marrow display immunomodulatory functions and IL-10-producing regulatory cells regulate gut homeostasis, by combining state-of-the-art strategies for the ex-vivo manipulation and expansion of HSPCs and gene delivery systems to drive HLA-class II-restricted antigen presentation and expression of tolerogenic molecules, the investigators propose to dissect the antigen- (Ag-) presenting capacity of HSPCs and to exploit their tolerogenic potential to induce IL-10-mediated tolerance in the intestinal mucosa of IBD patients. The investigators hypothesize that HSPCs can be engineered using commensal-derived Ags w/wo IL-10 to drive the differentiation of Tr1 cells with the desired Ag-specificity to control intestinal inflammation in IBD. The results of this study will pave the way for defining innovative cell-based approaches for treating refractory pediatric IBD.
Inclusion Criteria:
For all groups:
For study group 1:
- Subjects with suspected or confirmed IBD diagnosis.
For study group 2:
- Subjects with rectal bleeding w/o inflammatory disorders of the gastrointestinal tract.
For study group 3:
Exclusion Criteria:
For all groups:
For study group 1:
- patients without IBD diagnosis or suspect;
For study group 2:
- Subjects without rectal bleeding or with known inflammatory/autoimmune disorders of the gastrointestinal tract.
For all groups:
For study group 1:
- patients without IBD diagnosis or suspect;
For study group 2:
- Subjects without rectal bleeding or with known inflammatory/autoimmune disorders of the gastrointestinal tract.
For study group 3:
gregori.silvia@hsr.it+390226434894
IBD patients: pediatric patients with chronic intestinal inflammation (i.e., inflammatory bowel disease (IBD), including Crohn Disease, Ulcerative Colitis) at diagnosis or follow-up (including responders to standard of care and refractory to treatment)
Non-IBD patients: patients with rectal bleeding with a negative colonoscopy and the exclusion of any inflammatory disorders of the gastrointestinal tract
Healthy volunteers (controls)
passerini.laura@hsr.it+390226439303
giovanni.dinardo@uniroma1.it+390633775971
Intralesional Tolerogenic Dendritic Cells in Crohn's Disease Treatment
Ex Vivo Study of hAMSC Secretome in Inflammatory Bowel Disease: Effects on Inflammation and Fibrosis (TARGET)
Autologous Stem Cell Transplant for Refractory Crohn's Disease
Safety and Tolerability Of Allogeneic Mesenchymal Stromal Cells in Pediatric Inflammatory Bowel Disease
Fecal Microbiota Transplantation in Pediatric Patients
Pilot Study of Stem Cell Transplantation for Children and Young Adults With Refractory Crohn's Disease.
Stem Cell Transplantation in Crohn's Disease
Treg Immunotherapy in Crohn's Disease