Hirsch R, Eckhaus M, Auchincloss H, Sachs D H, Bluestone J A
Transplantation Biology Section, National Cancer Institute, Bethesda, MD 20892.
J Immunol. 1988 Jun 1;140(11):3766-72.
Anti-T3 mAb are being increasingly used clinically in the treatment of organ graft rejection. However, there has not previously been a murine model in which the effects of these mAb on the immune system could be studied in vivo. We have established such a model using the anti-murine-T3 mAb, 145-2C11. Administration of 145-2C11 led to rapid depletion of T cells from peripheral blood and suppression of skin graft rejection. However, depletion of T cells from spleen and lymph node was both delayed and incomplete. Full recovery of T cell number was dependent on the presence of a thymus, but treatment of thymectomized animals revealed that depletion was not the mechanism by which the mAb induced immunosuppression. Rather, alterations in TCR expression may play a more important role. TCR had modulated from T cells in spleen and lymph node early after treatment, and TCR expression remained subnormal for at least 51 days posttreatment. However, subnormal TCR expression alone could not fully explain the observed T cell dysfunction, inasmuch as a period of time existed after TCR re-expression during which T cells appeared to be anergic to CTL and MLR reactivity. These findings implicate T cell dysfunction as an important element in the induction of immunosuppression after anti-T3 administration.
抗T3单克隆抗体在临床上越来越多地用于治疗器官移植排斥反应。然而,以前尚未有过一种小鼠模型,能够在体内研究这些单克隆抗体对免疫系统的影响。我们使用抗小鼠T3单克隆抗体145-2C11建立了这样一种模型。给予145-2C11导致外周血T细胞迅速耗竭,并抑制皮肤移植排斥反应。然而,脾脏和淋巴结中T细胞的耗竭既延迟又不完全。T细胞数量的完全恢复依赖于胸腺的存在,但对胸腺切除动物的治疗表明,耗竭不是单克隆抗体诱导免疫抑制的机制。相反,TCR表达的改变可能起更重要的作用。治疗后早期,脾脏和淋巴结中的T细胞TCR已发生调节,且治疗后至少51天TCR表达仍低于正常水平。然而,仅TCR表达低于正常水平并不能完全解释所观察到的T细胞功能障碍,因为在TCR重新表达后的一段时间内,T细胞似乎对CTL和MLR反应呈无反应状态。这些发现表明,T细胞功能障碍是抗T3给药后诱导免疫抑制的一个重要因素。