Immune status following alemtuzumab treatment in human CD52 transgenic mice

被引:49
作者
Turner, Michael J. [1 ]
LaMorte, Michael J. [1 ]
Chretien, Nathalie [1 ]
Havari, Evis [1 ]
Roberts, Bruce L. [1 ]
Kaplan, Johanne M. [1 ]
Siders, William M. [1 ]
机构
[1] Genzyme Corp, Neuroimmunol Res, Framingham, MA 01701 USA
关键词
Alemtuzumab; Immune status; CD52; Multiple sclerosis; THERAPEUTIC LYMPHOCYTE DEPLETION; CONTROLLED PHASE-3 TRIAL; MULTIPLE-SCLEROSIS; T-CELLS; CAMPATH-1H; DISEASE;
D O I
10.1016/j.jneuroim.2013.04.018
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Alemtuzumab is a monoclonal antibody against the CD52 antigen present at high levels on the surface of lymphocytes. While treatment of multiple sclerosis patients with alemtuzumab results in marked depletion of lymphocytes from the circulation, it has not been associated with a high incidence of serious infections. In a human CD52 transgenic mouse, alemtuzumab treatment showed minimal impact on the number and function of innate immune cells. A transient decrease in primary adaptive immune responses was observed post-alemtuzumab but there was little effect on memory responses. These results potentially help explain the level of immunocompetence observed in alemtuzumab-treated MS patients. (C) 2013 The Authors. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:29 / 36
页数:8
相关论文
共 20 条
[1]   Skin Effector Memory T Cells Do Not Recirculate and Provide Immune Protection in Alemtuzumab-Treated CTCL Patients [J].
Clark, Rachael A. ;
Watanabe, Rei ;
Teague, Jessica E. ;
Schlapbach, Christoph ;
Tawa, Marianne C. ;
Adams, Natalie ;
Dorosario, Andrew A. ;
Chaney, Keri S. ;
Cutler, Corey S. ;
LeBoeuf, Nicole R. ;
Carter, Joi B. ;
Fisher, David C. ;
Kupper, Thomas S. .
SCIENCE TRANSLATIONAL MEDICINE, 2012, 4 (117)
[2]   Alemtuzumab versus interferon beta 1a as first-line treatment for patients with relapsing-remitting multiple sclerosis: a randomised controlled phase 3 trial [J].
Cohen, Jeffrey A. ;
Coles, Alasdair J. ;
Arnold, Douglas L. ;
Confavreux, Christian ;
Fox, Edward J. ;
Hartung, Hans-Peter ;
Havrdova, Eva ;
Selmaj, Krzysztof W. ;
Weiner, Howard L. ;
Fisher, Elizabeth ;
Brinar, Vesna V. ;
Giovannoni, Gavin ;
Stojanovic, Miroslav ;
Ertik, Bella I. ;
Lake, Stephen L. ;
Margolin, David H. ;
Panzara, Michael A. ;
Compston, D. Alastair S. .
LANCET, 2012, 380 (9856) :1819-1828
[3]   Alemtuzumab more effective than interferon β-1a at 5-year follow-up of CAMMS223 Clinical Trial [J].
Coles, A. J. ;
Fox, E. ;
Vladic, A. ;
Gazda, S. K. ;
Brinar, V. ;
Selmaj, K. W. ;
Skoromets, A. ;
Stolyarov, I. ;
Bass, A. ;
Sullivan, H. ;
Margolin, D. H. ;
Lake, S. L. ;
Moran, S. ;
Palmer, J. ;
Smith, M. S. ;
Compston, D. A. S. .
NEUROLOGY, 2012, 78 (14) :1069-1078
[4]  
Coles A.J., 2010, LEUKOCYTE DYNAMICS F
[5]  
Coles AJ, 2008, NEW ENGL J MED, V359, P1786, DOI 10.1056/NEJMoa0802670
[6]   Alemtuzumab for patients with relapsing multiple sclerosis after disease-modifying therapy: a randomised controlled phase 3 trial [J].
Coles, Alasdair J. ;
Twyman, Cary L. ;
Arnold, Douglas L. ;
Cohen, Jeffrey A. ;
Confavreux, Christian ;
Fox, Edward J. ;
Hartung, Hans-Peter ;
Havrdova, Eva ;
Selmaj, Krzysztof W. ;
Weiner, Howard L. ;
Miller, Tamara ;
Fisher, Elizabeth ;
Sandbrink, Rupert ;
Lake, Stephen L. ;
Margolin, David H. ;
Oyuela, Pedro ;
Panzara, Michael A. ;
Compston, D. Alastair S. .
LANCET, 2012, 380 (9856) :1829-1839
[7]   Autoimmune disease after alemtuzumab treatment for multiple sclerosis in a multicenter cohort [J].
Cossburn, M. ;
Pace, A. A. ;
Jones, J. ;
Ali, R. ;
Ingram, G. ;
Baker, K. ;
Hirst, C. ;
Zajicek, J. ;
Scolding, N. ;
Boggild, M. ;
Pickersgill, T. ;
Ben-Shlomo, Y. ;
Coles, A. ;
Robertson, N. P. .
NEUROLOGY, 2011, 77 (06) :573-579
[8]  
Costelloe L, 2012, EXPERT REV NEUROTHER, V12, P335, DOI [10.1586/ERN.12.5, 10.1586/ern.12.5]
[9]   Lymphocyte homeostasis following therapeutic lymphocyte depletion in multiple sclerosis [J].
Cox, AL ;
Thompson, SAJ ;
Jones, JL ;
Robertson, VH ;
Haley, G ;
Waldmann, H ;
Compston, DAS ;
Coles, AJ .
EUROPEAN JOURNAL OF IMMUNOLOGY, 2005, 35 (11) :3332-3342
[10]  
GILLEECE MH, 1993, BLOOD, V82, P807