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CTLA4-Ig在诱导期和效应期均能抑制实验性自身免疫性葡萄膜炎的发展:与白细胞介素-6阻断的比较。

CTLA4-Ig suppresses development of experimental autoimmune uveitis in the induction and effector phases: Comparison with blockade of interleukin-6.

作者信息

Iwahashi Chiharu, Fujimoto Minoru, Nomura Shintaro, Serada Satoshi, Nakai Kei, Ohguro Nobuyuki, Nishida Kohji, Naka Tetsuji

机构信息

Laboratory for Immune Signal, National Institute of Biomedical Innovation, 7-6-8 Saito-asagi, Ibaraki, Osaka 567-0085, Japan; Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan.

Laboratory for Immune Signal, National Institute of Biomedical Innovation, 7-6-8 Saito-asagi, Ibaraki, Osaka 567-0085, Japan.

出版信息

Exp Eye Res. 2015 Nov;140:53-64. doi: 10.1016/j.exer.2015.08.012. Epub 2015 Aug 20.

Abstract

Recently, a number of biologics have been used in the treatment of autoimmune diseases. However, in the treatment of severe autoimmune uveitis, only TNF-alpha inhibitors are preferably used and the effect of other biologics such as interleukin-6 (IL-6) signaling blockade or cytotoxic T-lymphocyte antigen-4-immunoglobulin fusion protein (CTLA4-Ig) has not been well studied. Previously, we reported that IL-6 blockade effectively suppresses the development of experimental autoimmune uveitis (EAU), a mouse model for uveitis, by inhibiting Th17 cell development. In this study, we investigated the effect of CTLA4-Ig on EAU development and compared it with the effect of anti-IL-6 receptor monoclonal antibody (MR16-1). C57BL/6J mice were immunized with interphotoreceptor retinoid-binding protein (IRBP) and treated once with CTLA4-Ig or MR16-1. Both CTLA4-Ig and MR16-1 administered in the induction phase (the same day as immunization) significantly reduced the clinical and histopathological scores of EAU. Fluorescence-activated cell sorting studies using draining lymph node (LN) cells from EAU mice 10 days after immunization showed that CTLA4-Ig can suppress early T-helper cell activation. CTLA4-Ig administered in the effector phase of the disease (one week after immunization), when IRBP-reactive T cells have been primed, also significantly reduced the clinical and histopathological scores of EAU. In contrast, MR16-1 administered in the effector phase did not ameliorate EAU. To investigate the differences between these biologics in the effector phase, in vitro restimulation analysis of LN cells obtained from EAU mice one week after immunization was performed and revealed that CTLA4-Ig, but not MR16-1, added to culture media could inhibit the proliferation of IRBP-specific CD4(+) T cells which possessed capacities of producing IFN-gamma and/or IL-17. Collectively, CTLA4-Ig ameliorated EAU through preventing initial T-cell activation in the induction phase and suppressing proliferation of IRBP-specific T cells in the effector phase. Blockade of IL-6 signaling did not have such inhibitory effects after T-cell priming. CTLA4-Ig may have therapeutic effects on human chronic uveitis.

摘要

最近,多种生物制剂已被用于治疗自身免疫性疾病。然而,在治疗严重的自身免疫性葡萄膜炎时,仅优先使用肿瘤坏死因子-α(TNF-α)抑制剂,而其他生物制剂如白细胞介素-6(IL-6)信号阻断剂或细胞毒性T淋巴细胞抗原4-免疫球蛋白融合蛋白(CTLA4-Ig)的效果尚未得到充分研究。此前,我们报道IL-6阻断可通过抑制Th17细胞发育有效抑制实验性自身免疫性葡萄膜炎(EAU,一种葡萄膜炎小鼠模型)的发展。在本研究中,我们调查了CTLA4-Ig对EAU发展的影响,并将其与抗IL-6受体单克隆抗体(MR16-1)的效果进行比较。用视网膜色素上皮结合蛋白(IRBP)免疫C57BL/6J小鼠,并给予一次CTLA4-Ig或MR16-1治疗。在诱导期(免疫当天)给予CTLA4-Ig和MR16-1均显著降低了EAU的临床和组织病理学评分。对免疫后10天的EAU小鼠引流淋巴结(LN)细胞进行荧光激活细胞分选研究表明,CTLA4-Ig可抑制早期T辅助细胞活化。在疾病的效应期(免疫后一周)给予CTLA4-Ig,此时IRBP反应性T细胞已被致敏,也显著降低了EAU的临床和组织病理学评分。相比之下,在效应期给予MR16-1并不能改善EAU。为了研究这些生物制剂在效应期的差异,对免疫后一周的EAU小鼠获得的LN细胞进行体外再刺激分析,结果显示添加到培养基中的CTLA4-Ig可抑制具有产生干扰素-γ(IFN-γ)和/或IL-17能力的IRBP特异性CD4(+) T细胞的增殖,而MR16-1则无此作用。总体而言,CTLA4-Ig通过在诱导期防止初始T细胞活化和在效应期抑制IRBP特异性T细胞增殖来改善EAU。T细胞致敏后,IL-6信号阻断没有这种抑制作用。CTLA4-Ig可能对人类慢性葡萄膜炎有治疗作用。

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