Ruzek Melanie C, Hawes Michael, Pratt Bruce, McPherson John, Ledbetter Steve, Richards Susan M, Garman Richard D
Cell and Protein Therapeutics R&D, Genzyme Corporation, Framingham, Massachusetts 01701-9322, USA.
Immunopharmacol Immunotoxicol. 2003 May;25(2):235-57. doi: 10.1081/iph-120020473.
Mice genetically deficient in TGF-beta1 or TGF-beta signaling capacity in T or B cells demonstrate profound immune dysregulation, as evidenced by increased lymph node size, expression of markers of memory/activation on T cells, inflammation in a variety of tissues and development of autoantibodies. However, this constant and complete lack of TGF-beta1 or TGF-betaR signaling may not reflect effects of TGF-beta neutralization using antibodies in mature animals. Thus, the present studies were designed to determine if administration of an anti-TGF-beta monoclonal antibody (neutralizes TGF-beta1, 2 and 3) to mature, normal mice results in evidence of immune dysregulation or immune-mediated pathology. An initial study examined daily administration of 0.25, 0.75 and 2.5 mg/kg of anti-TGF-beta to mice for three weeks, achieving blood levels of as high as 9 mg/ml. Comprehensive hematological and histopathological evaluation showed no evidence of pathology. A second study was designed to extend the antibody treatment period and further examine the functional status of the immune system. Mice were injected with 1 mg/mouse (approximately 50 mg/kg) of anti-TGF-beta (1D11) three times per week achieving circulating blood levels of 1-2 mg/ml. Many parameters of immune status were assessed, including natural killer (NK) cell activity, lymphocyte proliferative responses, phagocytic activity, phenotypic assessment of leukocyte subsets, and serum measurements of proinflammatory cytokines, autoantibodies and immunoglobulin isotypes. In addition, histopathological assessment of heart, lungs, liver, kidney, salivary glands, skin, spleen and lymph nodes was also performed. Very few of the multiple immune parameters examined showed detectable changes in anti-TGF-beta-treated mice. Changes that were observed were primarily restricted to the spleen and included increased spleen cell recoveries, increased percentages of macrophages, decreased percentages of NK cells, decreased phagocytic activity, decreased proliferative responses to mitogens and slight increases in T and B cells displaying an activated phenotype. Many of these same parameters examined in the lymph nodes were not altered by the anti-TGF-beta treatment. The thymus was decreased in size, but altered only slightly in one population of developing T cells. Most of the changes observed were modest and returned to control levels after discontinuation of treatments. The only serological finding was an increase in IgA levels in anti-TGF-beta-treated mice, but not in any other isotype. Finally, there was no evidence of increased inflammation in any of the peripheral tissues examined in the anti-TGF-beta-treated mice. In conclusion, although there were changes in some of the immunological parameters examined in these studies, they were few and typically reversed following discontinuation of treatment. The modest nature of the changes observed in these studies is particularly evident when compared to published data of those same parameters examined in mice genetically deficient in TGF-beta1 or mice having TGF-beta unresponsive T or B cells. Thus, there does not appear to be any significant immune dysregulation detectable after long-term antibody-mediated neutralization of TGF-beta in normal mice.
在T细胞或B细胞中基因缺乏TGF-β1或TGF-β信号传导能力的小鼠表现出严重的免疫失调,这表现为淋巴结肿大、T细胞上记忆/激活标志物的表达、多种组织中的炎症以及自身抗体的产生。然而,这种持续且完全缺乏TGF-β1或TGF-βR信号传导的情况可能无法反映在成熟动物中使用抗体中和TGF-β的效果。因此,本研究旨在确定向成熟的正常小鼠施用抗TGF-β单克隆抗体(中和TGF-β1、2和3)是否会导致免疫失调或免疫介导病理的证据。一项初步研究检查了每天以0.25、0.75和2.5mg/kg的剂量给小鼠施用抗TGF-β,持续三周,使血液水平高达9mg/ml。全面的血液学和组织病理学评估未发现病理证据。第二项研究旨在延长抗体治疗期并进一步检查免疫系统的功能状态。每周给小鼠注射1mg/只(约50mg/kg)的抗TGF-β(1D11)三次,使循环血液水平达到1-2mg/ml。评估了许多免疫状态参数,包括自然杀伤(NK)细胞活性、淋巴细胞增殖反应、吞噬活性、白细胞亚群的表型评估以及促炎细胞因子、自身抗体和免疫球蛋白同种型的血清测量。此外,还对心脏、肺、肝、肾、唾液腺、皮肤、脾脏和淋巴结进行了组织病理学评估。在接受抗TGF-β治疗的小鼠中,所检查的多个免疫参数中只有极少数显示出可检测到的变化。观察到的变化主要局限于脾脏,包括脾细胞回收率增加、巨噬细胞百分比增加、NK细胞百分比降低、吞噬活性降低、对有丝分裂原的增殖反应降低以及显示激活表型的T细胞和B细胞略有增加。在淋巴结中检查的许多相同参数并未因抗TGF-β治疗而改变。胸腺体积减小,但仅在一个发育中的T细胞群体中略有改变。观察到的大多数变化都很轻微,在停止治疗后恢复到对照水平。唯一的血清学发现是抗TGF-β治疗的小鼠中IgA水平升高,但其他同种型均未升高。最后,在抗TGF-β治疗的小鼠中,在所检查的任何外周组织中均未发现炎症增加的证据。总之,尽管在这些研究中检查的一些免疫参数有变化,但数量很少,并且在停止治疗后通常会逆转。与在TGF-β1基因缺陷的小鼠或TGF-β无反应的T或B细胞的小鼠中检查的相同参数的已发表数据相比,这些研究中观察到的变化的轻微性质尤为明显。因此,在正常小鼠中通过抗体介导长期中和TGF-β后,似乎没有可检测到的明显免疫失调。