New immunosuppressive approaches: oral administration of CD3-specific antibody to treat autoimmunity

J Neurol Sci. 2008 Nov 15;274(1-2):9-12. doi: 10.1016/j.jns.2008.07.027. Epub 2008 Sep 18.

Abstract

One of the major goals for the immunotherapy of autoimmune diseases is the induction of regulatory T cells that mediate immunologic tolerance. Parenteral administration of anti-CD3 monoclonal antibody is an approved therapy for transplantation in humans and is effective in autoimmune diabetes. We have found that oral administration of anti-CD3 monoclonal antibody is biologically active in the gut and suppresses experimental autoimmune encephalomyelitis both prior to disease induction and at the height of disease. Oral anti-CD3 antibody acts by inducing a unique type of regulatory T cell characterized by latency-associated peptide (LAP) on its cell surface that functions in vivo and in vitro via TGF-beta dependent mechanism. Orally delivered antibody would not have side effects including cytokine release syndromes, thus oral anti-CD3 antibody is clinically applicable for chronic therapy. These findings identify a novel and powerful immunologic approach that is widely applicable for the treatment of human autoimmune conditions.

Publication types

  • Review

MeSH terms

  • Administration, Oral
  • Animals
  • Antibodies / administration & dosage*
  • Autoimmunity / drug effects*
  • Autoimmunity / immunology
  • CD3 Complex / immunology*
  • Diabetes Mellitus, Type 1 / therapy
  • Encephalomyelitis, Autoimmune, Experimental / therapy*
  • Humans
  • Mice

Substances

  • Antibodies
  • CD3 Complex