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Active immunisation targeting soluble murine tumour necrosis factor alpha is safe and effective in collagen-induced arthritis model treatment


1, 2, 3, 4, 5, 6

 

  1. Department of Rheumatology, West China Medical School, Sichuan University, Chengdu, Sichuan, China.
  2. Department of Rheumatology, People’s Hospital of BoZho, AnHui Province, China.
  3. State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
  4. Department of Rheumatology, West China Medical School, Sichuan University, Chengdu, Sichuan, China. neoliugang@163.com
  5. Department of Clinical Medicine, West China Medical School, Sichuan University, Chengdu, Sichuan, China.
  6. Department of Rheumatology, West China Medical School, Sichuan University, Chengdu, Sichuan, China.

CER8542
2016 Vol.34, N°2
PI 0242, PF 0246
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PMID: 26811933 [PubMed]

Received: 19/04/2015
Accepted : 12/10/2015
In Press: 20/01/2016
Published: 13/04/2016

Abstract

OBJECTIVES:
TNF-α has been proved to be an effective target in rheumatoid arthritis treatment. So far, all the commercialised TNF-α antagonists function as passive immunotherapy. The aim of this study was to design a complex which can trigger active immunisation and overcome self-tolerance to elicit antibodies against murine TNF-α.
METHODS:
The complex (KLH-TNF) was chemically synthesised by linking a selected peptide TNFα4-23 from murine soluble TNF-α to a carrier protein, keyhole limpet haemocyanin (KLH). We evaluated its safety and antibody eliciting performance. We also evaluated its disease-regulating ability on collagen-induced arthritis models. Furthermore, the immune cells responses were analysed by T cell proliferation assay and B cell memory experiments.
RESULTS:
The complex was safe without cytotoxity. The anti-mTNF-α antibody titers of the KLH-TNF group were 400 times greater than the control groups (p<0.0001). The elicited antibodies could combine with soluble TNF-α. The antibody response was independent of autologous TNF-α and could be reinforced by booster immunisation. Moreover, the complex did not trigger T cell activation and B cell memory response against native TNF-α. In animal experiments, KLH-TNF immunized mice showed a lower arthritis score (p<0.001) and better weight gain (p<0.01). Histological evaluations showed milder inflammation and cartilage depletion.
CONCLUSIONS:
Active immunotherapy against cytokine TNF-α is feasible by conjugating cytokine peptide with carrier protein. The elicited antibodies could combine with the native TNF-α and inhibit its activity. Importantly, the antibody response is reversible and independent of autologous TNF-α.

Rheumatology Article