[T lymphocyte activation induced by monoclonal anti-CD3 antibodies: physiopathology of cytokine release]

C R Seances Soc Biol Fil. 1991;185(5):268-77.
[Article in French]

Abstract

Anti-CD3 monoclonal antibodies are largely used as therapeutic agents in clinical transplantation. Constrating with their potent immunosuppressive activity anti-CD3 antibodies also transiently express T cell activating properties. In vitro they promote T cell mitogenesis and in vivo, the self-limited cytokine release (including TNF, IFN gamma, IL-2, IL-3, IL-6) observed following the first anti-CD3 injection, is responsible for an acute clinical syndrome. Clinical studies as well as the experimental data obtained in mice, confirmed that TNF plays a fundamental role in the anti-CD3 induced syndrome. The administration of anti-TNF monoclonal antibodies prior to the first anti-CD3 injection prevents the syndrome not only by blocking TNF bioactivity but also, by modulating the circulating levels of the other anti-CD3-induced cytokins. In particular, this model allowed the description of regulatory pathways existing between TNF and IFN gamma, which in turn regulate IL-3 and IL-6 release.

Publication types

  • Clinical Trial
  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Neoplasm / administration & dosage
  • Cytokines / metabolism*
  • Drug Administration Schedule
  • Humans
  • In Vitro Techniques
  • Muromonab-CD3 / adverse effects
  • Muromonab-CD3 / immunology*
  • Muromonab-CD3 / therapeutic use
  • T-Lymphocytes / immunology*
  • Tumor Necrosis Factor-alpha / immunology

Substances

  • Antibodies, Monoclonal
  • Antibodies, Neoplasm
  • Cytokines
  • Muromonab-CD3
  • Tumor Necrosis Factor-alpha