2006
DOI: 10.1172/jci27856
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Inhibition of T cell activation and autoimmune diabetes using a B cell surface-linked CTLA-4 agonist

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Cited by 66 publications
(57 citation statements)
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“…Less attention has been paid to targeting the CTLA-4/B7 interaction, though induction of indoleamine 2,3-dioxygenase in DC, following ligation of surface B7 by CTLA-4, may be of relevance -in some models at least -to the development of tolerance [20]. Similarly, no agonistic anti-CTLA-4 mAb are yet described, although transgenic NOD mice expressing a single-chain, membrane-bound anti-CTLA-4 antibody on B cells show protection against development of autoimmune diabetes [21]. By contrast, agonist mAb to PD-1 and fusion proteins, such as PD-L1.Ig, have proven effective in disease models by increasing inhibitory signals within activated T cells [12,22].…”
Section: Discussionmentioning
confidence: 99%
“…Less attention has been paid to targeting the CTLA-4/B7 interaction, though induction of indoleamine 2,3-dioxygenase in DC, following ligation of surface B7 by CTLA-4, may be of relevance -in some models at least -to the development of tolerance [20]. Similarly, no agonistic anti-CTLA-4 mAb are yet described, although transgenic NOD mice expressing a single-chain, membrane-bound anti-CTLA-4 antibody on B cells show protection against development of autoimmune diabetes [21]. By contrast, agonist mAb to PD-1 and fusion proteins, such as PD-L1.Ig, have proven effective in disease models by increasing inhibitory signals within activated T cells [12,22].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, a key role for B cells is most likely that of Ag presentation (39,40), which requires an organized lymphoid setting to promote T-B cell interactions. Recent studies have also shown that B cells can be engineered to down-regulate T cells via cell to cell contact, offering protection against diabetes (41). Thus, knowledge of the characteristics of B cells populating tertiary vs secondary lymphoid tissues may provide critical clues for disrupting the autoimmune process at the site of attack.…”
mentioning
confidence: 99%
“…In this issue of the JCI, Fife et al describe a novel approach for targeting CTLA-4 on activated T cells in order to inhibit autoimmune responses in the NOD mouse (24). They accomplished this by selectively expressing a single-chain, membranebound anti-CTLA-4 antibody (scFv) on B cells.…”
Section: A New Designer Approach For Targeting Ctla-4mentioning
confidence: 99%
“…A fourth approach would be to utilize gene therapy to target expression of the construct described by Fife et al (24) or ligands of other inhibitory receptors, such as PD-1, on APCs, including macrophages, dendritic cells, and B cells. This approach could perhaps even be extended to parenchymal tissue, for example, the islets, in the context of islet transplantation for autoimmune diabetes.…”
Section: Challenges To Targeting Negative Costimulatory Pathwaysmentioning
confidence: 99%