I expressed some skepticism on the approach of Sentcell. The claim is that under defined circumstances CD4+ T cells will secrete structured extracellular telomere fragments (named "telomere rivers") that produce broadly beneficial effects to extend life span in mice. The very large size of reported extension of life and the small number of mice in the published study were red flags - we've seen this sort of thing before and it doesn't tend to replicate. To the team's credit, it appears that they are moving towards an academic phase 1 trial of this technology to commence this year, so someone is sufficiently convinced to fund this exercise.
A first-in-human clinical trial of an immune rejuvenation therapy developed by biotech company Sentcell and designed to restore the function of worn-out T cells is expected to begin later this year, building on research into the mechanisms of immune ageing. The Phase 1 trial will focus on exhausted or senescent T cells, which accumulate with age and in chronic disease and become less effective at coordinating immune protection. The treatment is administered by intramuscular injection, similar to many commonly used vaccines. Once delivered, it is designed to reprogramme key pathways that drive immune dysfunction, helping immune cells regain characteristics of younger, healthier cells.
The trial builds on research suggesting that some dysfunctional T cells - a type of white blood cell that helps coordinate the body's immune response - can be restored to a more youthful, functional state. Researchers are focusing on CD4+ T cells, often described as the "conductors" of the immune system because they help direct other immune cells to respond to infection, cancer, and disease. Previous laboratory studies suggest that rejuvenated CD4+ T cells may be able to release telomere-containing structures into the bloodstream. Researchers have termed these structures "telomere rivers" and are investigating whether they could help explain how rejuvenated immune cells influence the health and function of other tissues throughout the body. This idea remains under active investigation and has not yet been demonstrated in humans.
Researchers are preparing for Phase 1 of the trial, which will carefully select adult participants and is expected to focus initially on people with evidence of immune dysfunction, including immune ageing and chronic viral infection. Participants will undergo detailed immune profiling before and after treatment. Investigators will look at whether the therapy can restore features of healthy immune function. As an early-stage trial, the primary goals are safety and biological activity rather than demonstrating clinical benefit.
Link: https://www.eurekalert.org/news-releases/1132420
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