Division of Rheumatology, Department of Internal Medicine, The Catholic University of Korea, School of Medicine, Seoul, South Korea.
J Autoimmun. 2010 Mar;34(2):111-20. doi: 10.1016/j.jaut.2009.07.006. Epub 2009 Aug 8.
Cytotoxic T lymphocyte antigen-4 (CTLA4) and IgG fusion protein, CTLA4-Ig, is a therapeutic agent used for rheumatoid arthritis. It binds B7 molecules on dendritic cells (DCs) and thereby blocks B7/CD28 costimulatory interaction and inhibits effective T cell proliferation. However, the effect of CTLA4-Ig on the regulatory T cell (Treg) is still not known. In this study, we investigated the influence of CTLA4-Ig on the CD4+CD25+Foxp3+ Treg population in collagen-induced arthritis (CIA) mouse model. CTLA4-Ig suppressed CIA and increased the CD4+CD25+Foxp3+ Treg population in joint and spleen. When CD11c + DCs and CD4+T cells from CIA mice were cultured with anti-CD3, CTLA4-Ig increased the CD4+CD25 + Foxp3+ Treg population in a TGF-beta-dependent manner. When CD11c + DCs from CIA mice were treated with CTLA4-Ig and adoptively transferred into CIA-induced mice, arthritis did not develop in association with the increase in CD4+CD25+Foxp3+ Treg population. However, in CTLA4-Ig-untreated DC-transferred CIA mice, arthritis developed and then rapidly progressed. Our study demonstrated that CTLA4-Ig suppressed CIA by modifying DCs from CIA mice into tolerogenic DCs to increase the CD4+CD25+Foxp3+ Treg population and this seems to be the new immune regulatory mechanism of CTLA4-Ig.
细胞毒性 T 淋巴细胞相关抗原 4(CTLA4)和 IgG 融合蛋白,CTLA4-Ig,是一种用于类风湿关节炎的治疗药物。它与树突状细胞(DC)上的 B7 分子结合,从而阻断 B7/CD28 共刺激相互作用并抑制有效的 T 细胞增殖。然而,CTLA4-Ig 对调节性 T 细胞(Treg)的影响尚不清楚。在这项研究中,我们研究了 CTLA4-Ig 对胶原诱导性关节炎(CIA)小鼠模型中 CD4+CD25+Foxp3+Treg 群体的影响。CTLA4-Ig 抑制 CIA 并增加关节和脾脏中的 CD4+CD25+Foxp3+Treg 群体。当 CIA 小鼠的 CD11c+DC 和 CD4+T 细胞与抗 CD3 共培养时,CTLA4-Ig 以 TGF-β依赖性方式增加 CD4+CD25+Foxp3+Treg 群体。当 CIA 小鼠的 CD11c+DC 用 CTLA4-Ig 处理并过继转移到 CIA 诱导的小鼠中时,关节炎不会发展,同时 CD4+CD25+Foxp3+Treg 群体增加。然而,在未用 CTLA4-Ig 处理的 DC 转移 CIA 小鼠中,关节炎发展并迅速进展。我们的研究表明,CTLA4-Ig 通过将 CIA 小鼠的 DC 转化为耐受性 DC 来抑制 CIA,从而增加 CD4+CD25+Foxp3+Treg 群体,这似乎是 CTLA4-Ig 的新免疫调节机制。
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