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基于非耗竭型抗 CD40 的治疗可延长非人灵长类动物同种异体移植物的存活时间。

Nondepleting anti-CD40-based therapy prolongs allograft survival in nonhuman primates.

机构信息

Emory Transplant Center, Emory University, Atlanta, GA, USA.

出版信息

Am J Transplant. 2012 Jan;12(1):126-35. doi: 10.1111/j.1600-6143.2011.03736.x. Epub 2011 Sep 15.

Abstract

Costimulation blockade of the CD40/CD154 pathway has been effective at preventing allograft rejection in numerous transplantation models. This strategy has largely depended on mAbs directed against CD154, limiting the potential for translation due to its association with thromboembolic events. Though targeting CD40 as an alternative to CD154 has been successful at preventing allograft rejection in preclinical models, there have been no reports on the effects of CD40-specific agents in human transplant recipients. This delay in clinical translation may in part be explained by the presence of cellular depletion with many CD40-specific mAbs. As such, the optimal biologic properties of CD40-directed immunotherapy remain to be determined. In this report, we have characterized 3A8, a human CD40-specific mAb and evaluated its efficacy in a rhesus macaque model of islet cell transplantation. Despite partially agonistic properties and the inability to block CD40 binding of soluble CD154 (sCD154) in vitro, 3A8-based therapy markedly prolonged islet allograft survival without depleting B cells. Our results indicate that the allograft-protective effects of CD40-directed costimulation blockade do not require sCD154 blockade, complete antagonism or cellular depletion, and serve to support and guide the continued development of CD40-specific agents for clinical translation.

摘要

阻断 CD40/CD154 通路的共刺激已被证明在许多移植模型中能有效预防移植物排斥反应。这一策略在很大程度上依赖于针对 CD154 的 mAb,由于其与血栓栓塞事件相关,因此限制了其转化的潜力。虽然靶向 CD40 作为替代 CD154 在临床前模型中已成功预防移植物排斥反应,但尚未有关于 CD40 特异性药物在人类移植受者中的作用的报道。这种临床转化的延迟可能部分归因于许多 CD40 特异性 mAb 具有细胞耗竭作用。因此,CD40 定向免疫治疗的最佳生物学特性仍有待确定。在本报告中,我们对 3A8 进行了表征,3A8 是一种人源 CD40 特异性 mAb,并在恒河猴胰岛细胞移植模型中评估了其疗效。尽管 3A8 具有部分激动剂特性和无法在体外阻断可溶性 CD154(sCD154)与 CD40 的结合,但基于 3A8 的治疗方案显著延长了胰岛移植物的存活时间,而不会耗竭 B 细胞。我们的结果表明,CD40 定向共刺激阻断的移植物保护作用不需要阻断 sCD154、完全拮抗或细胞耗竭,这为 CD40 特异性药物的临床转化提供了支持和指导。

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