Treatment of experimental autoimmune myasthenia gravis with recombinant human tumor necrosis factor receptor Fc protein

被引:37
作者
Christadoss, P [1 ]
Goluszko, E [1 ]
机构
[1] Univ Texas, Med Branch, Dept Microbiol & Immunol, Galveston, TX 77555 USA
关键词
myasthenia gravis; autoimmunity; cytokine; TNF receptor; therapy;
D O I
10.1016/S0165-5728(01)00473-8
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Lymphotoxin-alpha (TNF-beta) and TNF receptor p55 gene knockout mice are resistant to the development of antibody and complement mediated experimental autoimmune myasthenia gravis (EAMG), suggesting a possible role of TNF in mediating EAMG. Therefore, we tested the hypothesis that blocking the functional interaction of TNF with their receptors by soluble recombinant human TNFR:Fc would suppress the ongoing clinical EAMG. Recombinant human TNFR:Fc administered daily for 2 weeks to C57BL6 mice with ongoing clinical EAMG significantly improved clinical EAMG when compared with placebo-treated mice. A clinical trial of selected myasthenia gravis patients with recombinant human TNFR:Fc could be attempted. (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:186 / 190
页数:5
相关论文
共 32 条
[1]   UNRAVELING FUNCTION IN THE TNF LIGAND AND RECEPTOR FAMILIES [J].
BEUTLER, B ;
VANHUFFEL, C .
SCIENCE, 1994, 264 (5159) :667-668
[2]  
BOFILL M, 1985, AM J PATHOL, V119, P462
[3]   T-lymphocyte interferon-γ receptor binding in patients with myasthenia gravis [J].
Bongioanni, P ;
Ricciardi, R ;
Romano, MR .
ARCHIVES OF NEUROLOGY, 1999, 56 (08) :933-938
[4]   Animal models of myasthenia gravis [J].
Christadoss, P ;
Poussin, M ;
Deng, CS .
CLINICAL IMMUNOLOGY, 2000, 94 (02) :75-87
[5]   Neutralizing TNF-alpha activity modulates T-cell phenotype and function in experimental autoimmune uveoretinitis [J].
Dick, AD ;
Duncan, L ;
Hale, G ;
Waldmann, H ;
Isaacs, J .
JOURNAL OF AUTOIMMUNITY, 1998, 11 (03) :255-264
[6]   Inhibition of tumor necrosis factor activity minimizes target organ damage in experimental autoimmune uveoretinitis despite quantitatively normal activated T cell traffic to the retina [J].
Dick, AD ;
McMenamin, PG ;
Korner, H ;
Scallon, BJ ;
Ghrayeb, J ;
Forrester, JV ;
Sedgwick, JD .
EUROPEAN JOURNAL OF IMMUNOLOGY, 1996, 26 (05) :1018-1025
[7]   Taming TNF: strategies to restrain this proinflammatory cytokine [J].
Eigler, A ;
Sinha, B ;
Hartmann, G ;
Endres, S .
IMMUNOLOGY TODAY, 1997, 18 (10) :487-492
[8]   RANDOMIZED DOUBLE-BLIND COMPARISON OF CHIMERIC MONOCLONAL-ANTIBODY TO TUMOR-NECROSIS-FACTOR-ALPHA (CA2) VERSUS PLACEBO IN RHEUMATOID-ARTHRITIS [J].
ELLIOTT, MJ ;
MAINI, RN ;
FELDMANN, M ;
KALDEN, JR ;
ANTONI, C ;
SMOLEN, JS ;
LEEB, B ;
BREEDVELD, FC ;
MACFARLANE, JD ;
BIJL, H ;
WOODY, JN .
LANCET, 1994, 344 (8930) :1105-1110
[9]   DECREASED SENSITIVITY TO TUMOR-NECROSIS-FACTOR BUT NORMAL T-CELL DEVELOPMENT IN TNF RECEPTOR-2-DEFICIENT MICE [J].
ERICKSON, SL ;
DESAUVAGE, FJ ;
KIKLY, K ;
CARVERMOORE, K ;
PITTSMEEK, S ;
GILLETT, N ;
SHEEHAN, KCF ;
SCHREIBER, RD ;
GOEDDEL, DV ;
MOORE, MW .
NATURE, 1994, 372 (6506) :560-563
[10]   Tumor necrosis factor receptor p55 and p75 deficiency protects mice from developing experimental autoimmune myasthenia gravis [J].
Goluszko, E ;
Deng, CS ;
Poussin, MA ;
Christadoss, P .
JOURNAL OF NEUROIMMUNOLOGY, 2002, 122 (1-2) :85-93