Antibody-mediated blockade of IL-15 reverses the autoimmune intestinal damage in transgenic mice that overexpress IL-15 in enterocytes

S Yokoyama, N Watanabe, N Sato… - Proceedings of the …, 2009 - National Acad Sciences
S Yokoyama, N Watanabe, N Sato, PY Perera, L Filkoski, T Tanaka, M Miyasaka
Proceedings of the National Academy of Sciences, 2009National Acad Sciences
Celiac disease (CD) is an autoimmune inflammatory disease with a relatively high
prevalence especially in the western hemisphere. A strong genetic component is involved in
the pathogenesis of CD with virtually all individuals that develop the disease carrying HLA-
DQ alleles that encode specific HLA-DQ2 or HLA-DQ8 heterodimers. Consumption of
cereals rich in gluten triggers a chronic intestinal inflammation in genetically susceptible
individuals leading to the development of CD. Emerging evidence has implicated a central …
Celiac disease (CD) is an autoimmune inflammatory disease with a relatively high prevalence especially in the western hemisphere. A strong genetic component is involved in the pathogenesis of CD with virtually all individuals that develop the disease carrying HLA-DQ alleles that encode specific HLA-DQ2 or HLA-DQ8 heterodimers. Consumption of cereals rich in gluten triggers a chronic intestinal inflammation in genetically susceptible individuals leading to the development of CD. Emerging evidence has implicated a central role for IL-15 in the orchestration and perpetuation of inflammation and tissue destruction in CD. Therefore, IL-15 represents an attractive target for development of new therapies for CD. Transgenic mice that express human IL-15 specifically in enterocytes (T3b-hIL-15 Tg mice) develop villous atrophy and severe duodeno-jejunal inflammation with massive accumulation of NK-like CD8+ lymphocytes in the affected mucosa. We used these mice to demonstrate that blockade of IL-15 signaling with an antibody (TM-β1) that binds to murine IL-2/IL-15Rbeta (CD122) leads to a reversal of the autoimmune intestinal damage. The present study, along with work of others, provides the rationale to explore IL-15 blockade as a test of the hypothesis that uncontrolled expression of IL-15 is critical in the pathogenesis and maintenance of refractory CD.
National Acad Sciences