4-1BB-mediated immunotherapy of rheumatoid arthritis

SK Seo, JH Choi, YH Kim, WJ Kang, HY Park, JH Suh… - Nature medicine, 2004 - nature.com
SK Seo, JH Choi, YH Kim, WJ Kang, HY Park, JH Suh, BK Choi, DS Vinay, BS Kwon
Nature medicine, 2004nature.com
Collagen type II–induced arthritis is a CD4+ T-cell–dependent chronic inflammation in
susceptible DBA/1 mice and represents an animal model of human rheumatoid arthritis. We
found that development of this condition, and even established disease, are inhibited by an
agonistic anti-4-1BB monoclonal antibody. Anti-4-1BB suppressed serum antibodies to
collagen type II and CD4+ T-cell recall responses to collagen type II. Crosslinking of 4-1BB
evoked an antigen-specific, active suppression mechanism that differed from the results of …
Abstract
Collagen type II–induced arthritis is a CD4+ T-cell–dependent chronic inflammation in susceptible DBA/1 mice and represents an animal model of human rheumatoid arthritis. We found that development of this condition, and even established disease, are inhibited by an agonistic anti-4-1BB monoclonal antibody. Anti-4-1BB suppressed serum antibodies to collagen type II and CD4+ T-cell recall responses to collagen type II. Crosslinking of 4-1BB evoked an antigen-specific, active suppression mechanism that differed from the results of blocking the interaction between 4-1BB and its ligand, 4-1BBL. Anti-4-1BB monoclonal antibodies induced massive, antigen-dependent clonal expansion of CD11c+CD8+ T cells and accumulation of indoleamine 2,3-dioxygenase in CD11b+ monocytes and CD11c+ dendritic cells. Both anti-interferon-γ and 1-methyltryptophan, a pharmacological inhibitor of indoleamine 2,3-dioxygenase, reversed the anti-4-1BB effect. We conclude that the suppression of collagen-induced arthritis was caused by an expansion of new CD11c+CD8+ T cells, and that interferon-γ produced by these cells suppresses antigen-specific CD4+ T cells through an indoleamine 2,3-dioxygenase–dependent mechanism.
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