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NLM AIDSLINE

The in vivo mechanism of action of CTLA4Ig.




 

J Immunol. 1996 Mar 15;156(6):2294-9. Unique Identifier : AIDSLINE

A single dose of CTLA4Ig, an inhibitor of CD28-mediated T cell costimulation, given 2 days after transplantation induces specific unresponsiveness to alloantigens in vivo. However, the mechanisms responsible are unknown. Using pigeon cytochrome c as a model Ag, we monitored the effect of CTLA4Ig on the fate of Ag-reactive T cells in normal mice and on pigeon cytochrome c-specific TCR transgenic cells adoptively transferred into congenic mice. CTLA4Ig significantly inhibits immunization with pigeon cytochrome c. In particular, ELISA and ELISPOT assays indicate an 80 to 90% reduction in Th1 (i.e, IL-2 and IFN-gamma) cytokine production and in the numbers of cytokine-producing cells. Interestingly, despite this profound reduction in cytokine-producing cells, Ag-reactive T cells expand in CTLA4Ig-treated animals, although the degree of expansion is reduced by 50% compared with that in control Ig-treated animals. Thus, loss of Th1 cytokine production in CTLA4Ig-treated animals is not fully explained by the decreased expansion of Ag-specific T cells. These results suggest two mechanisms of action for CTLA4Ig in vivo: inhibition of expansion of Ag-reactive cells and induction of anergy in the residual population.

Animal Antigens, Differentiation/ADMINISTRATION & DOSAGE/*PHARMACOLOGY Cytochrome c/IMMUNOLOGY Cytokines/ANTAGONISTS & INHIB Dose-Response Relationship, Immunologic Hypersensitivity, Delayed/IMMUNOLOGY/PREVENTION & CONTROL Immune Tolerance/DRUG EFFECTS Immunosuppressive Agents/ADMINISTRATION & DOSAGE/*PHARMACOLOGY Immunotherapy, Adoptive Lymphocyte Transformation/DRUG EFFECTS Mice Mice, Inbred C57BL Mice, Transgenic Pigeons Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. Th1 Cells/*DRUG EFFECTS/METABOLISM JOURNAL ARTICLE



 




Information in this article was accurate in October 30, 1996. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.