Costimulation and autoimmune diabetes in BB rats

Autor: Aldo A. Rossini, Danny Zipris, Jean Leif, HA Drexhage, Dale L. Greiner, Mohammed Javeed I. Ansari, Jan Rozing, T Hunig, Christopher D. Benjamin, Hideo Yagita, Britte C. Beaudette-Zlatanova, Barbara J. Whalen, Henk Groen, Mohamed H. Sayegh, John P. Mordes
Přispěvatelé: Internal Medicine, Erasmus MC other, Immunology
Rok vydání: 2006
Předmět:
Zdroj: American Journal of Transplantation, 6(5), 894-902. Wiley-Blackwell Publishing Ltd
American Journal of Transplantation, 6(5), 894-902. Wiley
ISSN: 1600-6135
Popis: Costimulatory signals regulate T-cell activation. To investigate the role of costimulation in autoimmunity and transplantation, we studied the BB rat model of type 1 diabetes. Diabetes-prone BB (BBDP) rats spontaneously develop disease when 55-120 days of age. We observed that two anti-CD28 monoclonal antibodies (mAb) with different functional activities completely prevented diabetes in BBDP rats. Anti-CD154 mAb delayed diabetes, whereas treatment with CTLA4-Ig or anti-CD80 mAb accelerated disease. Anti-CD86 or anti-CD134L mAbs had no effect. Diabetes resistant BB (BBDR) rats are disease-free, but >95% of them develop diabetes after treatment with polyinosinic-polycytidylic acid and an mAb that depletes Treg cells. In the induced BBDR model, anti-CD154 mAb delayed onset of diabetes, whereas CTLA4-Ig, anti-CD134L or either of the anti-CD28 mAbs had little or no effect. In contrast, blockade of the CD134-CD134L pathway was highly effective for preventing autoimmune recurrence against syngeneic islet grafts in diabetic BBDR hosts. Blockade of the CD40-CD154 pathway was also effective, but less so. These data suggest that the effectiveness of costimulation blockade in the treatment of type 1 diabetes is dependent on both the costimulatory pathway targeted and the mechanism of induction, stage, intensity and duration of the pathogenic process.
Databáze: OpenAIRE