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International Immunology, Vol. 13, No. 9, 1109-1120, September 2001
© 2001 Japanese Society for Immunology

Reversal of experimental allergic encephalomyelitis with non-mitogenic, non-depleting anti-CD3 mAb therapy with a preferential effect on Th1 cells that is augmented by IL-4

Giang T. Tran, Nicole Carter, Xiao Y. He, Timothy S. Spicer, Karen M. Plain, Mark Nicolls1, Bruce M. Hall and Suzanne J. Hodgkinson

Department of Medicine, University of New South Wales, Liverpool Hospital, Lock Mail Bag 7103, Liverpool BC, NSW 1871, Australia
1 Department of Medicine, University of Colorado, Denver, CO 80262 USA

Correspondence to: S. J. Hodgkinson

This study examined whether therapy with a non-mitogenic, non-activating anti-CD3 mAb (G4.18) alone, or in combination with the Th2 cytokines, could inhibit induction or facilitate recovery from experimental allergic encephalomyelitis (EAE) in Lewis rats. G4.18, but not rIL-4, rIL-5 or anti-IL-4 mAb, reduced the severity and accelerated recovery from active EAE. A combination of rIL-4 with G4.18 was more effective than G4.18 alone. The infiltrate of CD4+ and CD8+ T cells, B cells, dendritic cells, and macrophages in the brain stem was less with combined G4.18 and IL-4 than G4.18 therapy or no treatment. Residual cells had preferential sparing of Tr1 cytokines IL-5 and transforming growth factor-ß with loss of Th1 markers IL-2, IFN-{gamma} and IL-12Rß2, and the Th2 cytokine IL-4 as well as macrophage cytokines IL-10 and tumor necrosis factor-{alpha}. Lymph nodes draining the site of immunization had less mRNA for Th1 cytokines, but Th2 and Tr1 cytokine expression was spared. Treatment with G4.18, rIL-4 or rIL-5 from the time of immunization had no effect on the course of active EAE. MRC OX-81, a mAb that blocks IL-4, delayed onset by 2 days, but had no effect on severity of active EAE. G4.18 also inhibited the ability of activated T cells from rats with active EAE to transfer passive EAE. This study demonstrated that T cell-mediated inflammation was rapidly reversed by a non-activating anti-CD3 mAb that blocked effector Th1 cells, and spared cells expressing Th2 and Tr1 cytokines.

Keywords: anti-CD3, autoimmunity, experimental allergic encephalomyelitis, immunotherapy, multiple sclerosis, neuroimmunology, regulatory T cells, Th1, Th2

Transmitting editor: L. Steinman


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