Reversal of experimental allergic encephalomyelitis with non-mitogenic, non-depleting anti-CD3 mAb therapy with a preferential effect on T(h)1 cells that is augmented by IL-4

Int Immunol. 2001 Sep;13(9):1109-20. doi: 10.1093/intimm/13.9.1109.

Abstract

This study examined whether therapy with a non-mitogenic, non-activating anti-CD3 mAb (G4.18) alone, or in combination with the T(h)2 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 T(r)1 cytokines IL-5 and transforming growth factor-beta with loss of T(h)1 markers IL-2, IFN-gamma and IL-12Rbeta2, and the T(h)2 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 T(h)1 cytokines, but T(h)2 and T(r)1 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 T(h)1 cells, and spared cells expressing T(h)2 and T(r)1 cytokines.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use*
  • Brain Stem / immunology
  • Brain Stem / pathology
  • CD3 Complex / immunology*
  • Drug Synergism
  • Encephalomyelitis, Autoimmune, Experimental / therapy*
  • Immunization, Passive
  • Interleukin-4 / immunology
  • Interleukin-4 / therapeutic use*
  • Interleukin-5 / therapeutic use
  • Leukocytes, Mononuclear / pathology
  • Mice
  • Mice, Inbred BALB C
  • Myelin Basic Protein / immunology
  • Rats
  • Rats, Inbred Lew
  • Recombinant Proteins / therapeutic use
  • Spinal Cord / immunology
  • Spinal Cord / pathology
  • Th1 Cells / drug effects*

Substances

  • Antibodies, Monoclonal
  • CD3 Complex
  • Interleukin-5
  • Myelin Basic Protein
  • Recombinant Proteins
  • Interleukin-4