Wan Yang, Li Meng, Zhang Hailong, Zheng Xiuran, Yu Chaoheng, He Gu, Luo Yan, Yang Li, Wei Yuquan
Department of Geriatric Medicine, No. 4 West China Teaching Hospital, Sichuan University, Chengdu, People's Republic of China State Key Laboratory of Biotherapy/Collaborative Innovation Center for Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, People's Republic of China.
State Key Laboratory of Biotherapy/Collaborative Innovation Center for Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, People's Republic of China.
Clin Vaccine Immunol. 2015 Dec;22(12):1269-75. doi: 10.1128/CVI.00331-15. Epub 2015 Oct 14.
Previous studies have highlighted the efficacy of tumor necrosis factor alpha (TNF-α) inhibitors, including monoclonal antibodies and soluble receptors, in the treatment and management of intestinal bowel disease (IBD). However, because of the immunogenicity of xenogeneic TNF-α inhibitors, antidrug antibodies (ADAs) can be triggered after repeated administration. An alternative way to target TNF-α is active immunization to elicit the production of high titers of neutralizing antibodies. In this study, we prepared a xenogeneic TNF-α protein vaccine and studied the protective effects in experimental colitis models. The xenogeneic TNF-α protein vaccine could overcome self-tolerance and induce TNF-α-specific neutralizing antibody. Moreover, the xenogeneic TNF-α protein vaccine could protect mice from acute and chronic colitis induced by dextran sodium sulfate (DSS). One possible explanation for this protective effect is the production of TNF-α-specific neutralizing antibody, which absorbed the biological activity of mouse TNF-α (mTNF-α) and failed to induce T lymphocyte apoptosis. In summary, use of the xenogeneic TNF-α protein vaccine may be a potent therapeutic strategy for IBD.
先前的研究强调了肿瘤坏死因子α(TNF-α)抑制剂(包括单克隆抗体和可溶性受体)在治疗和管理炎症性肠病(IBD)方面的疗效。然而,由于异种TNF-α抑制剂具有免疫原性,重复给药后可能会引发抗药物抗体(ADA)。靶向TNF-α的另一种方法是主动免疫,以引发高滴度中和抗体的产生。在本研究中,我们制备了一种异种TNF-α蛋白疫苗,并研究了其在实验性结肠炎模型中的保护作用。异种TNF-α蛋白疫苗可以克服自身耐受性并诱导TNF-α特异性中和抗体。此外,异种TNF-α蛋白疫苗可以保护小鼠免受葡聚糖硫酸钠(DSS)诱导的急性和慢性结肠炎的影响。这种保护作用的一种可能解释是产生了TNF-α特异性中和抗体,该抗体吸收了小鼠TNF-α(mTNF-α)的生物活性,未能诱导T淋巴细胞凋亡。总之,使用异种TNF-α蛋白疫苗可能是治疗IBD的有效策略。