Tkaczuk Jean, Yu Chao-Lan, Baksh Shairaz, Milford Edgar L, Carpenter Charles B, Burakoff Steven J, McKay Dianne B
Department of Pediatric Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Am J Transplant. 2002 Jan;2(1):31-40. doi: 10.1034/j.1600-6143.2002.020107.x.
Acute allograft rejection is driven by production of cytokines such as interleukin-2 (IL-2) that activate and expand alloreactive T cells by ligating high-affinity IL-2 receptors composed of three subunit chains: alpha, beta, gamma The alpha chain, expressed only on activated T cells, has become an important therapeutic target. Monoclonal antibodies (mAbs) that bind IL-2Ralpha chains significantly decrease transplant rejection. We examined the ability of the humanized anti-IL-2Ralpha antibody daclizumab to block high-affinity IL-2Rs and interrupt T-lymphocyte signaling. Our evaluation focused on a pathway critical for T-cell proliferation, the Jak/STAT pathway. Daclizumab markedly inhibited phosphorylation of the Jak1, Jak3 and STAT5a/b components of the IL-2R-dependent pathway. Suppression by daclizumab was associated with internalization of IL-2Ralpha but not IL-2Rbetagamma chains. High IL-2 doses overcame daclizumab-induced blockade of Jak/STAT phosphorylation despite absent cell surface highaffinity IL-2Rs. Under these circumstances, IL-2-mediated Jak/STAT pathway activation might be generated through residual intermediate affinity IL-2Rbetagamma receptors, and this was demonstrated by complete blockade of signaling when anti-IL-2Rbeta monoclonal antibody was added. Humanized antibodies are an important part of strategies to induce alloantigen tolerance. Understanding the molecular events associated with their beneficial clinical effect is critical to design of future immunosuppressive strategies.
急性同种异体移植排斥反应是由细胞因子如白细胞介素-2(IL-2)的产生所驱动的,IL-2通过与由α、β、γ三条亚基链组成的高亲和力IL-2受体结合来激活和扩增同种异体反应性T细胞。仅在活化T细胞上表达的α链已成为一个重要的治疗靶点。结合IL-2Rα链的单克隆抗体(mAb)可显著降低移植排斥反应。我们研究了人源化抗IL-2Rα抗体达利珠单抗阻断高亲和力IL-2受体并中断T淋巴细胞信号传导的能力。我们的评估集中在对T细胞增殖至关重要的一条途径,即Jak/STAT途径。达利珠单抗显著抑制IL-2R依赖性途径的Jak1、Jak3和STAT5a/b成分的磷酸化。达利珠单抗的抑制作用与IL-2Rα链的内化有关,但与IL-2Rβγ链无关。尽管细胞表面不存在高亲和力IL-2受体,但高剂量IL-2可克服达利珠单抗诱导的Jak/STAT磷酸化阻断。在这些情况下,IL-2介导的Jak/STAT途径激活可能是通过残留的中等亲和力IL-2Rβγ受体产生的,当加入抗IL-2Rβ单克隆抗体时信号传导被完全阻断证明了这一点。人源化抗体是诱导同种抗原耐受策略的重要组成部分。了解与其有益临床效果相关的分子事件对于未来免疫抑制策略的设计至关重要。