Decoding autoimmune disease with single-cell immune repertoire and transcriptome sequencing: mechanisms and therapeutic opportunities - Summary - MDSpire

Decoding autoimmune disease with single-cell immune repertoire and transcriptome sequencing: mechanisms and therapeutic opportunities

  • By

  • Shuqing Wang

  • Zhao Dong

  • Yuefang Liu

  • Xianhe Ren

  • Xin Wang

  • Hongsong Yu

  • June 16, 2026

  • 0 min

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Objective:

To synthesize single-cell T- and B-cell receptor sequencing (scTCR/BCR-seq) methodologies and discuss their implications for understanding autoimmune diseases and developing targeted therapies, highlighting their significance in current research.

Approach:
    Key Findings:
    • scTCR/BCR-seq allows for the identification of pathogenic clones and their functional states at single-cell resolution, which can directly inform clinical decision-making.
    • The methodology reveals clonal dynamics that can inform prognosis and predict responses to therapies, enhancing personalized treatment approaches.
    • Reconstructing autoantibodies from BCR clones and mapping epitopes through TCR analysis supports antigen-specific tolerance strategies, paving the way for innovative therapies.
    Interpretation:

    The advancements in scTCR/BCR-seq provide a framework for precision subtyping and biomarker development in autoimmune diseases, potentially leading to novel immunotherapies that are tailored to individual patient profiles.

    Limitations:
    • Therapeutic strategies targeting T or B cells may show variable efficacy due to inter-individual heterogeneity, as seen in differing responses to standard treatments.
    • Current therapies often lack specificity and can incur substantial side effects, highlighting the need for more targeted approaches.
    Conclusion:

    The review highlights the potential of scTCR/BCR-seq in advancing autoimmune research and developing targeted therapies, with implications for improving patient outcomes across various autoimmune conditions.

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