Papotto Pedro Henrique, Marengo Eliana Blini, Sardinha Luiz Roberto, Carvalho Karina Inácio, de Carvalho Ana Eduarda Zulim, Castillo-Mendez Sheyla, Jank Carina Calixto, Vanhove Bernard, Goldberg Anna Carla, Rizzo Luiz Vicente
Hospital Israelita Albert Einstein, São Paulo, Brazil.
OSE Immunotherapeutics SA, Nantes, France.
PLoS One. 2017 Mar 1;12(3):e0171822. doi: 10.1371/journal.pone.0171822. eCollection 2017.
Autoimmune Uveitis is an important chronic inflammatory disease and a leading cause of impaired vision and blindness. This ocular autoimmune disorder is mainly mediated by T CD4+ lymphocytes poising a TH1 phenotype. Costimulatory molecules are known to play an important role on T cell activation and therefore represent interesting therapeutical targets for autoimmune disorders. CD28 is the prototypical costimulatory molecule for T lymphocytes, and plays a crucial role in the initiation, and maintenance of immune responses. However, previous attempts to use this molecule in clinical practice achieved no success. Thus, we evaluated the efficacy of mPEG PV1-Fab' (PV1), a novel selective CD28 antagonist monovalent Fab fragment in the treatment of Experimental Autoimmune Uveitis (EAU). Here, we showed that PV1 treatment decreases both average disease score and incidence of EAU. A decrease in the activation profile of both T CD4+ and T CD8+ eye-infiltrating lymphocytes was evidenced. In the periphery, T CD4+ cells from PV1-treated mice also showed a decrease in their activation status, with reduced expression of CD69, CD25, and PD-1 molecules. This suppression was not dependent on Treg cells, as both their frequency and absolute number were lower in PV1-treated mice. In addition, frequency of CD4+IFN-γ+ T cells was significantly lower in PV1-treated group, but not of IL-17-producing T cells. Moreover, after specific restimulation, PV1 blockade selectively blocked IFN-γ production by CD4+ lymphocytes Taken together, our data suggest that mPEG PV1-Fab' acts mainly on IFN-γ-producing CD4+ T cells and emphasize that this specific CD28 blockade strategy is a potential specific and alternative tool for the treatment of autoimmune disorders in the eye.
自身免疫性葡萄膜炎是一种重要的慢性炎症性疾病,也是视力受损和失明的主要原因。这种眼部自身免疫性疾病主要由具有TH1表型的CD4 + T淋巴细胞介导。已知共刺激分子在T细胞活化中起重要作用,因此是自身免疫性疾病有趣的治疗靶点。CD28是T淋巴细胞的典型共刺激分子,在免疫反应的启动和维持中起关键作用。然而,先前在临床实践中使用该分子的尝试并未成功。因此,我们评估了新型选择性CD28拮抗剂单价Fab片段mPEG PV1-Fab'(PV1)在治疗实验性自身免疫性葡萄膜炎(EAU)中的疗效。在这里,我们表明PV1治疗可降低EAU的平均疾病评分和发病率。有证据表明CD4 + T和CD8 +眼浸润淋巴细胞的活化谱均降低。在周围,来自PV1处理小鼠的CD4 + T细胞的活化状态也有所降低,CD69、CD25和PD-1分子的表达减少。这种抑制不依赖于调节性T细胞,因为在PV1处理的小鼠中它们的频率和绝对数量都较低。此外,PV1处理组中CD4 + IFN-γ+ T细胞的频率显著降低,但产生IL-17的T细胞频率未降低。此外,经过特异性再刺激后,PV1阻断选择性地阻断了CD4 +淋巴细胞产生的IFN-γ。综上所述,我们的数据表明mPEG PV1-Fab'主要作用于产生IFN-γ的CD4 + T细胞,并强调这种特异性CD28阻断策略是治疗眼部自身免疫性疾病的潜在特异性和替代工具。