Amelioration of murine immune thrombocytopenia by CD44 antibodies: a potential therapy for ITP?

被引:22
|
作者
Crow, Andrew R. [1 ,2 ,3 ,4 ]
Song, Seng [2 ,3 ,4 ]
Suppa, Sara J. [2 ,3 ,4 ]
Ma, Shuhua [2 ,3 ,4 ]
Reilly, Michael P. [5 ]
Andre, Pierrette [5 ]
McKenzie, Steven E. [5 ]
Lazarus, Alan H. [1 ,2 ,3 ,4 ,6 ]
机构
[1] Canadian Blood Serv, Toronto, ON, Canada
[2] Li Ka Shing Knowledge Inst St Michaels, Dept Lab Med, Toronto, ON, Canada
[3] Li Ka Shing Knowledge Inst St Michaels, Keenan Res Ctr, Toronto, ON, Canada
[4] Toronto Platelet Immunobiol Grp, Toronto, ON, Canada
[5] Thomas Jefferson Univ, Cardeza Fdn Hematol Res, Philadelphia, PA 19107 USA
[6] Univ Toronto, Dept Med, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
ANTIINFLAMMATORY ACTIVITY; MONOCLONAL-ANTIBODIES; INDUCED ARTHRITIS; IMMUNOGLOBULIN-G; DENDRITIC CELLS; FC-RECEPTOR; MOUSE MODEL; IVIG; INVOLVEMENT; INDUCTION;
D O I
10.1182/blood-2010-05-280115
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To explore the potential for monoclonal antibodies as a treatment for immune thrombocytopenia (ITP) and to further explore their mechanisms of action, we tested 8 monoclonal CD44 antibodies in murine ITP and found 4 antibodies that could successfully ameliorate ITP; 2 of these antibodies function at a full 3-log fold lower dosage compared with IVIg. Further characterization of the 2 most successful antibodies (5035-41.1D and KM114) demonstrated that, similar to IVIg: (1) the presence of the inhibitory IgG receptor Fc gamma RIIB was required for their ameliorative function, (2) complement-deficient mice responded to anti-CD44 treatment, and (3) human transgenic Fc gamma RIIA-expressing mice also responded to the CD44 therapeutic modality. Dissimilar to IVIg, the Fc portion of the CD44 antibody was not required. These data demonstrate that CD44 antibodies can function therapeutically in murine ITP and that they could potentially provide a verylow-dose recombinant therapy for the amelioration of human ITP. (Blood. 2011; 117(3): 971-974)
引用
收藏
页码:971 / 974
页数:4
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