Nicolls M R, Aversa G G, Pearce N W, Spinelli A, Berger M F, Gurley K E, Hall B M
Department of Medicine, Stanford University Medical Center, California 94305.
Transplantation. 1993 Mar;55(3):459-68. doi: 10.1097/00007890-199303000-00001.
Monoclonal antibodies to CD3 have been shown to activate T cells in vivo and in vitro but have also been shown to render T cells anergic in vitro. In this study G4.18, a mouse IgG3 mAb, was produced that appeared to recognize CD3 by its binding to all peripheral T cells, including a population not recognized by mAb to TCR-alpha/beta that was presumed to be TCR-gamma/delta cells. It precipitated molecules in the 24-26 kd region consistent with the CD3 complex as well as molecules approximately 45 and approximately 49 kd that corresponded to TCR alpha and beta chains and a 92-kd complex. Incubating T cells for 24 hr with saturating concentrations of G4.18 caused modulation of the TCR complex. In vitro, it activated T cells but only if prebound to plastic. In solution it inhibited MLC and CML, but not PHA or Con A activation. In vivo, G4.18 was not toxic even in high doses, and this was thought to be due to the inability of this mAb to activate T cells in vitro because the rat lacks Fc receptors for mouse IgG3. Therapy with G4.18 resulted in transient modulation of TCR/CD3 on T cells and depletion of these cells from blood. G4.18 had no depleting effects by lymph node or spleen cells but caused marked, transient thymic involution. Therapy with G4.18 also induced indefinite survival (> 100 days) of PVG (RTIc) heart grafts but not skin grafts in DA (RTIa) hosts. These hosts with long-surviving cardiac transplants, when grafted from PVG skin, accepted these grafts but rejected third-party skin in first-set. Thus G4.18 was shown to induce long-term specific tolerance to an organ allograft.
抗CD3单克隆抗体已被证明在体内和体外均可激活T细胞,但也被证明在体外可使T细胞无反应性。在本研究中,制备了一种小鼠IgG3单克隆抗体G4.18,它似乎通过与所有外周T细胞结合来识别CD3,包括一类不被抗TCR-α/β单克隆抗体识别的细胞群体,推测为TCR-γ/δ细胞。它沉淀出24 - 26kd区域与CD3复合物一致的分子,以及约45kd和约49kd的分子,分别对应TCRα和β链以及一个92kd的复合物。用饱和浓度的G4.18孵育T细胞24小时会导致TCR复合物的调节。在体外,它能激活T细胞,但前提是预先结合在塑料上。在溶液中,它抑制混合淋巴细胞培养(MLC)和细胞介导的淋巴细胞毒试验(CML),但不抑制PHA或Con A激活。在体内,即使高剂量的G4.18也无毒,这被认为是由于该单克隆抗体无法在体外激活T细胞,因为大鼠缺乏小鼠IgG3的Fc受体。用G4.18治疗导致T细胞上TCR/CD3的短暂调节以及这些细胞从血液中耗竭。G4.18对淋巴结或脾细胞没有耗竭作用,但会引起明显的、短暂的胸腺萎缩。用G4.18治疗还能使DA(RTIa)宿主中PVG(RTIc)心脏移植物无限期存活(>100天),但不能使皮肤移植物存活。这些具有长期存活心脏移植的宿主,当移植PVG皮肤时,会接受这些移植物,但在初次移植时会排斥第三方皮肤。因此,G4.18被证明可诱导对器官同种异体移植的长期特异性耐受。