Vedolizumab, a monoclonal antibody to the gut homing 01.4137 integrin, does not affect cerebrospinal fluid T-lymphocyte immunophenotype

被引:58
作者
Milch, Catherine [1 ]
Wyant, Tim [1 ]
Xu, Jing [1 ]
Parikh, Asit [2 ]
Kent, Whitney [1 ]
Fox, Irving [1 ]
Berger, Joseph [3 ]
机构
[1] Millennium Pharmaceut Inc, Cambridge, MA 02139 USA
[2] Takeda Pharmaceut Int Inc, Deerfield, IL 60015 USA
[3] Univ Kentucky, Dept Neurol, Coll Med, Kentucky Clin, Lexington, KY 40536 USA
关键词
Vedolizumab; Inflammatory bowel disease; Cerebrospinal fluid; Immune surveillance; PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY; CENTRAL-NERVOUS-SYSTEM; MULTIPLE-SCLEROSIS; MAINTENANCE THERAPY; NATALIZUMAB; ALPHA(4)BETA(7); ANTAGONISM; INDUCTION;
D O I
10.1016/j.jneuroim.2013.08.011
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Vedolizumab, a gut-homing ot4137 integrin antagonist, has demonstrated efficacy in ulcerative colitis and Crohn's disease. Development of progressive multifocal leukoencephalopathy, a serious brain infection associated with natalizumab (an ot437 and 0t4(2,1 integrin antagonist), has raised concern that vedolizumab may convey a similar risk. Natalizumab is believed to impair central nervous system immune surveillance by affecting cerebrospinal fluid (CSF) lymphocyte counts and the CD4:CD8 ratio. To determine if vedolizumab elicits similar effects, we examined CSF of healthy volunteers by flow cytometry for T-lymphocyte surface markers 5 weeks after administration of intravenous vedolizumab 450 mg. No significant changes were observed in CSF T-lymphocyte populations. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:123 / 126
页数:4
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