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Expansion of CD4+CD25+ regulatory T cells by intravenous immunoglobulin: a critical factor in controlling experimental autoimmune encephalomyelitis

Authors :
Ephrem, Amal
Chamat, Souleima
Miquel, Catherine
Fisson, Sylvain
Mouthon, Luc
Caligiuri, Giuseppina
Delignat, Sandrine
Elluru, Sriramulu
Bayry, Jagadeesh
Lacroix-Desmazes, Sebastien
Cohen, José L.
Salomon, Benoît L.
Kazatchkine, Michel D.
Kaveri, Srini V.
Misra, Namita
Source :
Blood; January 2008, Vol. 111 Issue: 2 p715-722, 8p
Publication Year :
2008

Abstract

The clinical use of intravenous immunoglobulin (IVIg) based on its immunomodulatory and anti-inflammatory potential remains an ongoing challenge. Fcγ receptor-mediated effects of IVIg, although well elucidated in certain pathologies, cannot entirely account for its proven benefit in several autoimmune disorders mediated by autoreactive T cells. In this study, we show that prophylactic infusion of IVIg prevents the development of experimental autoimmune encephalomyelitis (EAE), an accepted animal model for multiple sclerosis (MS). The protection was associated with peripheral increase in CD4+CD25+Foxp3+ regulatory T cell (Treg) numbers and function. The protection was Treg-mediated because IVIg failed to protect against EAE in mice that were depleted of the Treg population. Rather than inducing de novo generation from conventional T cells, IVIg had a direct effect on proliferation of natural Treg. In conclusion, our results highlight a novel mechanism of action of IVIg and provide a rationale to test the use of IVIg as an immunomodulatory tool to enhance Treg in early onset MS and other autoimmune and inflammatory conditions.

Details

Language :
English
ISSN :
00064971 and 15280020
Volume :
111
Issue :
2
Database :
Supplemental Index
Journal :
Blood
Publication Type :
Periodical
Accession number :
ejs53036780
Full Text :
https://doi.org/10.1182/blood-2007-03-079947