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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0007806,
umls-concept:C0026769,
umls-concept:C0030705,
umls-concept:C0030956,
umls-concept:C0032659,
umls-concept:C0034790,
umls-concept:C0042153,
umls-concept:C0042196,
umls-concept:C0042210,
umls-concept:C0330390,
umls-concept:C0683941,
umls-concept:C0920321,
umls-concept:C1274040,
umls-concept:C1413296
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pubmed:issue |
1-2
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pubmed:dateCreated |
1997-7-3
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pubmed:abstractText |
We report here the results of a phase I trial of a T-cell receptor (TCR) V beta 6 CDR2 region peptide vaccine in 10 patients with multiple sclerosis who showed biased over-representations of V beta 6 mRNA among T-cells in their cerebrospinal fluids (CSF). One group of 5 patients was immunized twice during a four week period with 100 micrograms of the TCRV beta 6 peptide 39-LGQGPEF LTYFQNEAQLEKS-58 emulsified in incomplete Freund's adjuvant (IFA); the second group of 5 MS patients received 300 micrograms of the same peptide in IFA over a similar time period. Patients were monitored for adverse events, immunogenicity of the peptide and changes in their CSF T-cell populations. The results indicate that this peptide was immunogenic (T-cell proliferation assays and recall DTH responses) in some of the patients, although none of the immunized patients produced detectable anti-peptide antibodies. More importantly, we show that the 5 patients treated with higher doses of the vaccine displayed a slight decrease in CSF cellularity, a lack of growth of CSF cells in cytokine supplemented expansion cultures that implies a significant absence of a subset of activated CD4 T-cells and a marked diminution in V beta 6 mRNA levels among T-cells in these cultures. By comparison, in 5 patients receiving the lower dosage of the vaccine, CSF cellularity was the same or slightly increased over pre-vaccination levels, CSF cells from 1 patient failed to grow in expansion cultures and cultured CSF cells from 2 patients underwent a change from an oligoclonal V beta 6 pattern to one that was more polyclonal. These results justify a more through exploration of the use of TCR peptide vaccines as a possible therapeutic treatment for MS.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0165-5728
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pubmed:author |
pubmed-author:BrostoffS WSW,
pubmed-author:CarloD JDJ,
pubmed-author:DafashyTT,
pubmed-author:DiveleyJJ,
pubmed-author:GoldD PDP,
pubmed-author:GoldingA BAB,
pubmed-author:LaskyR ERE,
pubmed-author:MorganE EEE,
pubmed-author:NelsonJJ,
pubmed-author:RichieriS PSP,
pubmed-author:SmithLL,
pubmed-author:SmithR ARA,
pubmed-author:WilsonD BDB
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pubmed:issnType |
Print
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pubmed:volume |
76
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
29-38
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9184630-Adult,
pubmed-meshheading:9184630-Aged,
pubmed-meshheading:9184630-Amino Acid Sequence,
pubmed-meshheading:9184630-Female,
pubmed-meshheading:9184630-Humans,
pubmed-meshheading:9184630-Middle Aged,
pubmed-meshheading:9184630-Molecular Sequence Data,
pubmed-meshheading:9184630-Multiple Sclerosis,
pubmed-meshheading:9184630-Receptors, Antigen, T-Cell, alpha-beta,
pubmed-meshheading:9184630-T-Lymphocytes,
pubmed-meshheading:9184630-Vaccination
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pubmed:year |
1997
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pubmed:articleTitle |
Results of a phase I clinical trial of a T-cell receptor vaccine in patients with multiple sclerosis. II. Comparative analysis of TCR utilization in CSF T-cell populations before and after vaccination with a TCRV beta 6 CDR2 peptide.
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pubmed:affiliation |
Sidney Kimmel Cancer Center, San Diego, CA 92121, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Clinical Trial, Phase I
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