Targeting IL-15 receptor-bearing cells with an antagonist mutant IL-15/Fc protein prevents disease development and progression in murine collagen-induced arthritis

J Immunol. 2004 Nov 1;173(9):5818-26. doi: 10.4049/jimmunol.173.9.5818.

Abstract

It has been suggested that the inflammatory cytokine IL-15 plays an important role in the development of several autoimmune diseases, including rheumatoid arthritis. We have generated a unique lytic and antagonistic IL-15 mutant/Fcgamma2a fusion protein (CRB-15) that targets the IL-15R. In the present study we examined the effects of targeting the IL-15R on the prevention and treatment of collagen-induced arthritis (CIA) in mice and probed the possible mechanisms of action of this IL-15 mutant/Fcgamma2a protein. Upon immunization with type II collagen, DBA/1 mice develop severe articular inflammation and destruction. Treatment of DBA/1 mice with a brief course of CRB-15 at the time of type II collagen challenge markedly inhibited the incidence and severity of arthritis. Moreover, in animals with ongoing established arthritis, treatment with CRB-15 effectively blocked disease progression compared with that in control-treated animals. The therapeutic effect of CRB-15 on either disease development or disease progression is remarkably stable, because withdrawal of treatment did not lead to disease relapse. A detailed analysis revealed that treatment with CRB-15 decreased synovitis in the joints; reduced bone erosion and cartilage destruction; reduced in situ production of the proinflammatory cytokines TNF-alpha, IL-1beta, IL-6, and IL-17; and decreased the responder frequency of autoreactive T cells. Our study suggests that the effective targeting of IL-15R-triggered events with CRB-15 can be of therapeutic importance in the treatment of rheumatoid arthritis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Arthritis, Experimental / genetics
  • Arthritis, Experimental / immunology
  • Arthritis, Experimental / pathology
  • Arthritis, Experimental / prevention & control*
  • Cell Migration Inhibition
  • Collagen Type II / immunology*
  • Cytokines / antagonists & inhibitors
  • Cytokines / biosynthesis
  • Disease Progression
  • Gene Targeting / methods*
  • Genetic Vectors
  • Growth Inhibitors / antagonists & inhibitors
  • Growth Inhibitors / genetics
  • Immunoglobulin Fc Fragments / administration & dosage
  • Immunoglobulin Fc Fragments / genetics*
  • Immunoglobulin G / administration & dosage
  • Immunoglobulin G / genetics
  • Incidence
  • Inflammation Mediators / antagonists & inhibitors
  • Inflammation Mediators / metabolism
  • Interleukin-15 / administration & dosage
  • Interleukin-15 / antagonists & inhibitors*
  • Interleukin-15 / genetics*
  • Interleukin-15 / immunology
  • Male
  • Mice
  • Mice, Inbred DBA
  • Mutagenesis, Site-Directed*
  • Receptors, Interleukin-15
  • Receptors, Interleukin-2 / metabolism*
  • Recombinant Fusion Proteins / administration & dosage
  • Recombinant Fusion Proteins / immunology
  • Recombinant Fusion Proteins / therapeutic use
  • Severity of Illness Index
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocyte Subsets / metabolism
  • T-Lymphocyte Subsets / pathology

Substances

  • Collagen Type II
  • Cytokines
  • Growth Inhibitors
  • Il15ra protein, mouse
  • Immunoglobulin Fc Fragments
  • Immunoglobulin G
  • Inflammation Mediators
  • Interleukin-15
  • Receptors, Interleukin-15
  • Receptors, Interleukin-2
  • Recombinant Fusion Proteins