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Article
Nature Medicine  10, 1088 - 1094 (2004)
Published online: 26 September 2004; | doi:10.1038/nm1107


There is a Corrigendum (November 2004) associated with this Article.

4-1BB-mediated immunotherapy of rheumatoid arthritis

Su K Seo1, Jae H Choi1, Young H Kim1, Woo J Kang1, Hye Y Park1, Jae H Suh2, Beom K Choi1, Dass S Vinay3 & Byoung S Kwon1, 3

1  The Immunomodulation Research Center, University of Ulsan, 29 Mukeo-Dong, Nam-ku, Ulsan 680-749, Korea.

2  Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine, 290-3 Jeonha-Dong, Dong-ku, Ulsan 682-060, Korea.

3  LSU Eye Center, Louisiana State University Health Sciences Center, 2020 Gravier Street, Suite B, New Orleans, Louisiana 70112-2234, USA.

Correspondence should be addressed to Byoung S Kwon bskwon@mail.ulsan.ac.kr
Collagen type II−induced arthritis is a CD4+ T-cell−dependent chronic inflammation in susceptible DBA/1 mice and represents an animal model of human rheumatoid arthritis. We found that development of this condition, and even established disease, are inhibited by an agonistic anti-4-1BB monoclonal antibody. Anti-4-1BB suppressed serum antibodies to collagen type II and CD4+ T-cell recall responses to collagen type II. Crosslinking of 4-1BB evoked an antigen-specific, active suppression mechanism that differed from the results of blocking the interaction between 4-1BB and its ligand, 4-1BBL. Anti-4-1BB monoclonal antibodies induced massive, antigen-dependent clonal expansion of CD11c+CD8+ T cells and accumulation of indoleamine 2,3-dioxygenase in CD11b+ monocytes and CD11c+ dendritic cells. Both anti-interferon-bold gamma and 1-methyltryptophan, a pharmacological inhibitor of indoleamine 2,3-dioxygenase, reversed the anti-4-1BB effect. We conclude that the suppression of collagen-induced arthritis was caused by an expansion of new CD11c+CD8+ T cells, and that interferon-bold gamma produced by these cells suppresses antigen-specific CD4+ T cells through an indoleamine 2,3-dioxygenase−dependent mechanism.

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Nature Medicine
ISSN: 1078-8956
EISSN: 1546-170X
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