Department of Chemical Physiology, The Scripps Research Institute, La Jolla, California, USA.
J Clin Invest. 2013 Jul;123(7):3074-83. doi: 10.1172/JCI69187. Epub 2013 Jun 3.
Antibodies confer humoral immunity but can also be harmful when they target an autoantigen, alloantigen, allergen, or biotherapeutic. New strategies are needed for antigen-specific suppression of undesired antibody responses, particularly to T cell-dependent protein antigens, because they elicit T cell help. Here we show that liposomal nanoparticles, displaying both antigen and glycan ligands of the inhibitory coreceptor CD22, induce a tolerogenic program that selectively causes apoptosis in mouse and human B cells. These SIGLEC-engaging tolerance-inducing antigenic liposomes (STALs, where SIGLEC is defined as sialic acid-binding Ig-like lectin) induced robust antigen-specific tolerance to protein antigens in mice, preventing subsequent immune response to challenge with the same antigen. Since development of inhibitory antibodies to FVIII is a serious problem in treatment of hemophilia A patients, we investigated the potential of this approach for inducing tolerance to FVIII in a hemophilia mouse model. STALs prevented formation of inhibitory FVIII antibodies, allowing for effective administration of FVIII to hemophilia mice to prevent bleeding. These findings suggest that STALs could be used to eliminate or prevent harmful B cell-mediated immune responses.
抗体赋予体液免疫,但当它们针对自身抗原、同种抗原、过敏原或生物治疗药物时,也可能造成伤害。需要新的策略来特异性抑制不需要的抗体反应,特别是针对 T 细胞依赖性蛋白质抗原的反应,因为它们会引发 T 细胞辅助。在这里,我们展示了同时展示抗原和抑制性共受体 CD22 的聚糖配体的脂质体纳米颗粒,诱导一种耐受程序,该程序选择性地导致小鼠和人 B 细胞凋亡。这些与 SIGLEC 结合的诱导抗原性脂质体(STAL,其中 SIGLEC 定义为唾液酸结合 Ig 样凝集素)在小鼠中诱导对蛋白质抗原的强烈抗原特异性耐受,防止随后对相同抗原的免疫反应。由于在治疗 A 型血友病患者时对 FVIII 产生抑制性抗体是一个严重的问题,我们研究了这种方法在血友病小鼠模型中诱导对 FVIII 耐受的潜力。STAL 可防止形成抑制性 FVIII 抗体,从而允许有效给予 FVIII 血友病小鼠以预防出血。这些发现表明,STAL 可用于消除或预防有害的 B 细胞介导的免疫反应。