IFN-γ is a therapeutic target in paraneoplastic cerebellar degeneration

Autor: Roland S. Liblau, Béatrice Pignolet, Emilie Mauré, Monika C. Brunner-Weinzierl, L. M. Yshii, Jan Bauer, Mandy Pierau, Oliver Hartley
Přispěvatelé: Centre de Physiopathologie Toulouse Purpan (CPTP), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Otto-von-Guericke-Universität Magdeburg = Otto-von-Guericke University [Magdeburg] (OVGU), Université de Genève = University of Geneva (UNIGE), Medizinische Universität Wien = Medical University of Vienna, ANR-13-BSV3-0003,T cell Mig,Migration des lymp^hocytes T CD8 T dans le système nerveux central(2013), Pistre, Karine, Blanc 2013 - Migration des lymp^hocytes T CD8 T dans le système nerveux central - - T cell Mig2013 - ANR-13-BSV3-0003 - Blanc 2013 - VALID
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0301 basic medicine
Cerebellum
Tumor/transplantation
Integrin alpha4
T-Lymphocytes
Autoimmune diseases
MESH: Integrin alpha4 / metabolism
[SDV]Life Sciences [q-bio]
Autoimmunity
ddc:616.07
medicine.disease_cause
Autoantigens
MESH: Mice
Knockout

Mice
Purkinje Cells
0302 clinical medicine
Breast cancer
MESH: Mammary Neoplasms
Experimental / immunology

MESH: Interferon-gamma / metabolism
Cancer
Mice
Knockout

biology
Neoplasm/immunology
Experimental/complications/immunology
Purkinje Cells/immunology/metabolism/pathology
General Medicine
Paraneoplastic cerebellar degeneration
Integrin alpha4/antagonists & inhibitors/immunology/metabolism
[SDV] Life Sciences [q-bio]
medicine.anatomical_structure
MESH: Paraneoplastic Cerebellar Degeneration / drug therapy
030220 oncology & carcinogenesis
MESH: Autoantigens / immunology
[SDV.IMM]Life Sciences [q-bio]/Immunology
Female
Antibody
Autoantibodies/immunology
Research Article
MESH: T-Lymphocytes / metabolism
MESH: Interferon-gamma / immunology
MESH: Interferon-gamma / antagonists & inhibitors
MESH: Paraneoplastic Cerebellar Degeneration / pathology
MESH: T-Lymphocytes / immunology
[SDV.IMM] Life Sciences [q-bio]/Immunology
Knockout
Integrin
Immunology
MESH: Purkinje Cells / metabolism
[SDV.CAN]Life Sciences [q-bio]/Cancer
Interferon-gamma/antagonists & inhibitors/immunology/metabolism
Paraneoplastic Cerebellar Degeneration
Cell Line
MESH: Integrin alpha4 / immunology
03 medical and health sciences
Interferon-gamma
T-Lymphocytes/drug effects/immunology/metabolism
[SDV.CAN] Life Sciences [q-bio]/Cancer
Autoantigens/immunology
Immunity
Antigens
Neoplasm

Cell Line
Tumor

medicine
Animals
MESH: Cell Line
Tumor / transplantation

Antigens
MESH: Mice
Autoantibodies
business.industry
Mammary Neoplasms
Autoantibody
MESH: Purkinje Cells / pathology
Mammary Neoplasms
Experimental

MESH: Integrin alpha4 / antagonists & inhibitors
medicine.disease
Immune checkpoint
030104 developmental biology
MESH: Paraneoplastic Cerebellar Degeneration / immunology
Cancer research
biology.protein
MESH: Mammary Neoplasms
Experimental / complications

MESH: Purkinje Cells / immunology
MESH: T-Lymphocytes / drug effects
business
Paraneoplastic Cerebellar Degeneration/drug therapy/immunology/pathology
MESH: Female
Zdroj: JCI Insight
JCI Insight, 2019, 4 (7), pp.1-12. ⟨10.1172/jci.insight.127001⟩
JCI Insight, Vol. 4, No 7 (2019) P. e127001
ISSN: 2379-3708
DOI: 10.1172/jci.insight.127001⟩
Popis: International audience; Paraneoplastic neurological disorders result from an autoimmune response against neural self-antigens that are ectopically expressed in neoplastic cells. In paraneoplastic disorders associated to autoantibodies against intracellular proteins, such as paraneoplastic cerebellar degeneration (PCD), current data point to a major role of cell-mediated immunity. In an animal model, in which a neo-self-antigen was expressed in both Purkinje neurons and implanted breast tumor cells, immune checkpoint blockade led to complete tumor control at the expense of cerebellum infiltration by T cells and Purkinje neuron loss, thereby mimicking PCD. Here, we identify 2 potential therapeutic targets expressed by cerebellum-infiltrating T cells in this model, namely α4 integrin and IFN-γ. Mice with PCD were treated with anti-α4 integrin antibodies or neutralizing anti-IFN-γ antibodies at the onset of neurological signs. Although blocking α4 integrin had little or no impact on disease development, treatment using the anti-IFN-γ antibody led to almost complete protection from PCD. These findings strongly suggest that the production of IFN-γ by cerebellum-invading T cells plays a major role in Purkinje neuron death. Our successful preclinical use of neutralizing anti-IFN-γ antibody for the treatment of PCD offers a potentially new therapeutic opportunity for cancer patients at the onset of paraneoplastic neurological disorders.
Databáze: OpenAIRE