Sawchuk S S, Gates R, Hirsch R
William S. Rowe Division of Rheumatology, Children's Hospital Medical Center, University of Cincinnati, Ohio 45229, USA.
Transplantation. 1995 Dec 15;60(11):1331-7.
Anti-CD3 mAbs are potent inhibitors of T cell function; however, administration of mitogenic mAb can cause significant morbidity secondary to T cell activation and cytokine release. Nonmitogenic anti-CD3 mAb is immunosuppressive in mice without inducing detectable morbidity, and may thus be preferable for in vivo T cell immunosuppression. The precise mechanisms of action of these two forms of mAb have not been fully defined. To further characterize and compare the in vivo functional effects of mitogenic and nonmitogenic anti-CD3 mAbs, mice were treated with the intact (mitogenic) form of the anti-murine CD3 mAb, 2C11, or with F(ab')2 fragments (nonmitogenic). Effects on T cell phenotypes and the secretion of Th1-derived cytokines were compared. Nonmitogenic mAb induced a prolonged downregulation of secretion of interleukin (IL)-2 and interferon (IFN)-gamma from CD4+ T cells, and of IL-2 secretion from CD8+ T cells, and preferential depletion of CD4+ T cells. In marked contrast, mitogenic mAb induced a prolonged upregulation of IL-2 and IFN-gamma secretion from both CD4+ and CD8+ cells, and preferential depletion of CD8+ T cells. Both forms of mAb induced a shift in the T cell populations from a naive to a memory phenotype; however, this shift was not responsible for the observed changes in cytokine secretion. These results demonstrate that mitogenic and nonmitogenic forms of 2C11, while binding to the identical epitope, differentially affect T cell functions, and have implications for the use of anti-CD3 mAbs in the clinical setting.
抗CD3单克隆抗体是T细胞功能的有效抑制剂;然而,促有丝分裂单克隆抗体的给药可导致继发于T细胞活化和细胞因子释放的显著发病率。非促有丝分裂抗CD3单克隆抗体在小鼠中具有免疫抑制作用,且不会引起可检测到的发病率,因此可能更适合用于体内T细胞免疫抑制。这两种形式的单克隆抗体的确切作用机制尚未完全明确。为了进一步表征和比较促有丝分裂和非促有丝分裂抗CD3单克隆抗体的体内功能效应,用抗小鼠CD3单克隆抗体2C11的完整(促有丝分裂)形式或F(ab')2片段(非促有丝分裂)处理小鼠。比较了对T细胞表型和Th1衍生细胞因子分泌的影响。非促有丝分裂单克隆抗体诱导CD4+ T细胞中白细胞介素(IL)-2和干扰素(IFN)-γ分泌以及CD8+ T细胞中IL-2分泌的长期下调,以及CD4+ T细胞的优先耗竭。与之形成鲜明对比的是,促有丝分裂单克隆抗体诱导CD4+和CD8+细胞中IL-2和IFN-γ分泌的长期上调,以及CD8+ T细胞的优先耗竭。两种形式的单克隆抗体均诱导T细胞群体从幼稚表型向记忆表型转变;然而,这种转变并不是观察到的细胞因子分泌变化的原因。这些结果表明,2C11的促有丝分裂和非促有丝分裂形式虽然结合相同的表位,但对T细胞功能有不同影响,这对临床环境中抗CD3单克隆抗体的使用具有启示意义。