Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2006-5-19
pubmed:abstractText
In the setting of autoimmunity, one of the goals of successful therapeutic immune modulation is the induction of peripheral tolerance, a large part of which is mediated by regulatory/suppressor T cells. In this report, we demonstrate a novel immunomodulatory mechanism by an FDA-approved, exogenous peptide-based therapy that incites an HLA class I-restricted, cytotoxic suppressor CD8+ T cell response. We have shown previously that treatment of multiple sclerosis (MS) with glatiramer acetate (GA; Copaxone) induces differential up-regulation of GA-reactive CD8+ T cell responses. We now show that these GA-induced CD8+ T cells are regulatory/suppressor in nature. Untreated patients show overall deficit in CD8+ T cell-mediated suppression, compared with healthy subjects. GA therapy significantly enhances this suppressive ability, which is mediated by cell contact-dependent mechanisms. CD8+ T cells from GA-treated patients and healthy subjects, but not those from untreated patients with MS, exhibit potent, HLA class I-restricted, GA-specific cytotoxicity. We further show that these GA-induced cytotoxic CD8+ T cells can directly kill CD4+ T cells in a GA-specific manner. Killing is enhanced by preactivation of target CD4+ T cells and may depend on presentation of GA through HLA-E. Thus, we demonstrate that GA therapy induces a suppressor/cytotoxic CD8+ T cell response, which is capable of modulating in vivo immune responses during ongoing therapy. These studies not only explain several prior observations relating to the mechanism of this drug but also provide important insights into the natural immune interplay underlying this human immune-mediated disease.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0022-1767
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
176
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
7119-29
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:16709875-Adult, pubmed-meshheading:16709875-CD4-Positive T-Lymphocytes, pubmed-meshheading:16709875-Cell Adhesion, pubmed-meshheading:16709875-Cell Death, pubmed-meshheading:16709875-Cell Proliferation, pubmed-meshheading:16709875-Cells, Cultured, pubmed-meshheading:16709875-Cytotoxicity, Immunologic, pubmed-meshheading:16709875-Female, pubmed-meshheading:16709875-HLA Antigens, pubmed-meshheading:16709875-Histocompatibility Antigens Class I, pubmed-meshheading:16709875-Humans, pubmed-meshheading:16709875-Immunosuppression, pubmed-meshheading:16709875-Lymphocyte Activation, pubmed-meshheading:16709875-Male, pubmed-meshheading:16709875-Middle Aged, pubmed-meshheading:16709875-Multiple Sclerosis, pubmed-meshheading:16709875-Myelin Sheath, pubmed-meshheading:16709875-Peptides, pubmed-meshheading:16709875-T-Lymphocytes, Cytotoxic, pubmed-meshheading:16709875-Up-Regulation
pubmed:year
2006
pubmed:articleTitle
Therapeutic induction of regulatory, cytotoxic CD8+ T cells in multiple sclerosis.
pubmed:affiliation
Department of Pathology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural