Ameloot Paul, Takahashi Nozomi, Everaerdt Bart, Hostens Jeroen, Eugster Hans-Pietro, Fiers Walter, Brouckaert Peter
Department for Molecular Biomedical Research, Unit of Molecular Pathophysiology and Experimental Therapy, Flanders Interuniversity Institute for Biotechnology and Ghent University, K.L. Ledeganckstraat 35, B-9000 Ghent, Belgium.
Eur J Immunol. 2002 Oct;32(10):2759-65. doi: 10.1002/1521-4141(2002010)32:10<2759::AID-IMMU2759>3.0.CO;2-L.
In mice, tumor necrosis factor (TNF) displays a selective species specificity. In contrast to murine TNF (mTNF), human TNF (hTNF) only induces lethality at extremely high doses of about 500 microg/mouse, whereas it still has a powerful antitumor activity in combination with interferon-gamma. The observation that hTNF does not interact with the p75 mTNF receptor seemed to provide a plausible explanation for these species-specific biological effects. Experiments in TNF receptor knockout mice and tests with hTNF muteins in baboons did not, however, support this hypothesis. We here show that an mTNF mutein selective for the p55 mTNF receptor induces lethality in a manner comparable to wild-type mTNF, and conclude that other differences between hTNF and mTNF must account for the reduced lethality of hTNF. Pharmacokinetics showed that hTNF is cleared much faster than mTNF or the mTNF mutein used. In contrast to the hardly lethal effect(s) of a bolus administration of hTNF, fractionated repetitive administration of the same total hTNF dose induced lethality. This suggests that prolonged exposure rather than peak levels determine the lethal effects of hTNF in mice. Experiments with receptor and ligand knockouts demonstrated that the difference in pharmacokinetics is independent of an interaction with (soluble) TNF receptor, TNF-induced effects or induction of endogenous TNF. These results show that manipulation of the clearance rate of TNF may broaden the therapeutic range of systemic treatments with TNF.
在小鼠中,肿瘤坏死因子(TNF)表现出选择性的物种特异性。与鼠TNF(mTNF)不同,人TNF(hTNF)仅在约500微克/小鼠的极高剂量下才会诱导致死性,而它与干扰素-γ联合时仍具有强大的抗肿瘤活性。hTNF不与p75 mTNF受体相互作用这一观察结果似乎为这些物种特异性生物学效应提供了一个合理的解释。然而,在TNF受体敲除小鼠中的实验以及在狒狒中对hTNF突变体的测试并不支持这一假设。我们在此表明,对p55 mTNF受体具有选择性的mTNF突变体以与野生型mTNF相当的方式诱导致死性,并得出结论,hTNF和mTNF之间的其他差异必定是hTNF致死性降低的原因。药代动力学表明,hTNF的清除速度比mTNF或所使用的mTNF突变体快得多。与一次性注射hTNF几乎不产生致死效应相反,相同总剂量的hTNF分次重复给药会诱导致死性。这表明延长暴露时间而非峰值水平决定了hTNF在小鼠中的致死效应。受体和配体敲除实验表明,药代动力学的差异与(可溶性)TNF受体的相互作用、TNF诱导的效应或内源性TNF的诱导无关。这些结果表明,操纵TNF的清除率可能会拓宽TNF全身治疗的治疗范围。