诱导免疫耐受的耐受性纳米颗粒:预防和逆转FVIII抑制剂的形成。

Tolerogenic nanoparticles to induce immunologic tolerance: Prevention and reversal of FVIII inhibitor formation.

作者信息

Zhang Ai-Hong, Rossi Robert J, Yoon Jeongheon, Wang Hong, Scott David W

机构信息

Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

出版信息

Cell Immunol. 2016 Mar;301:74-81. doi: 10.1016/j.cellimm.2015.11.004. Epub 2015 Dec 11.

Abstract

The immune response of hemophilia A patients to administered FVIII is a major complication that obviates this very therapy. We have recently described the use of synthetic, biodegradable nanoparticles carrying rapamycin and FVIII peptide antigens, to induce antigen-specific tolerance. Herein we test the tolerogenicity of nanoparticles that contains full length FVIII protein in hemophilia A mice, focusing on anti-FVIII humoral immune response. As expected, recipients of tolerogenic nanoparticles remained unresponsive to FVIII despite multiple challenges for up to 6 months. Furthermore, therapeutic treatments in FVIII-immunized mice with pre-existing anti-FVIII antibodies resulted in diminished antibody titers, albeit efficacy required longer therapy with the tolerogenic nanoparticles. Interestingly, durable FVIII-specific tolerance was also achieved in animals co-administered with FVIII admixed with nanoparticles encapsulating rapamycin alone. These results suggest that nanoparticles carrying rapamycin and FVIII can be employed to induce specific tolerance to prevent and even reverse inhibitor formation.

摘要

甲型血友病患者对所给予的FVIII的免疫反应是一种主要并发症,这使得这种治疗方法无法实施。我们最近描述了使用携带雷帕霉素和FVIII肽抗原的合成可生物降解纳米颗粒来诱导抗原特异性耐受。在此,我们在甲型血友病小鼠中测试含有全长FVIII蛋白的纳米颗粒的耐受性,重点关注抗FVIII体液免疫反应。正如预期的那样,耐受性纳米颗粒的接受者在长达6个月的多次挑战后对FVIII仍无反应。此外,对已存在抗FVIII抗体的FVIII免疫小鼠进行治疗,抗体滴度降低,尽管使用耐受性纳米颗粒需要更长时间的治疗才能产生疗效。有趣的是,在同时给予FVIII与单独包裹雷帕霉素的纳米颗粒混合的动物中也实现了持久的FVIII特异性耐受。这些结果表明,携带雷帕霉素和FVIII的纳米颗粒可用于诱导特异性耐受,以预防甚至逆转抑制剂的形成。

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