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
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-
and IL-12Rß2, and the Th2 cytokine IL-4 as well as macrophage cytokines IL-10 and tumor necrosis factor-
. 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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