Interleukin 7 receptor α as a potential therapeutic target in transplantation

M Racapé, B Vanhove, JP Soulillou… - Archivum immunologiae et …, 2009 - Springer
M Racapé, B Vanhove, JP Soulillou, S Brouard
Archivum immunologiae et therapiae experimentalis, 2009Springer
Drugs targeting memory lymphocytes may allow for a better control of rejection in
transplantation, particularly in immunized patients. In this article the rationale of targeting
interleukin 7 receptor a (IL-7Rα), a molecule expressed by both memory and naive T cells, is
reviewed in the context of transplantation. Whereas naive T cells are partly responsible for
acute rejection and are targeted by current immunosuppressive drugs that block
costimulatory signals (cyclosporine A, anti-CD3 antibody, anti-CD52 antibody, anti …
Abstract
Drugs targeting memory lymphocytes may allow for a better control of rejection in transplantation, particularly in immunized patients. In this article the rationale of targeting interleukin 7 receptor a (IL-7Rα), a molecule expressed by both memory and naive T cells, is reviewed in the context of transplantation. Whereas naive T cells are partly responsible for acute rejection and are targeted by current immunosuppressive drugs that block costimulatory signals (cyclosporine A, anti-CD3 antibody, anti-CD52 antibody, anti-thymocyte globulin, etc.), memory T cells are resistant to costimulation blockade. As such, memory cells are an obstacle to experimental tolerance induction and may be involved in chronic rejection. There is thus much scientific interest in developing molecules able to target these cells. The role of the IL-7/IL-7Rα pathway in transplantation rejection has been suggested by the effect of an anti-IL-7 monoclonal antibody which, when associated with costimulation blockade, prolonged heart allograft survival in mice. Here the hypothesis that targeting IL-7Rα would preserve effector T cells that are less dependent on IL-7 for survival while sparing regulatory CD4+ CD25high IL-7Rαlow T cells is discussed. An anti-IL-7Rα antibody could also help achieve allograft tolerance by reducing alloreactive cells.
Springer