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The Journal of Immunology, 1999, 162: 486-493.
Copyright © 1999 by The American Association of Immunologists

Regulation of T Cell Activation In Vitro and In Vivo by Targeting the OX40-OX40 Ligand Interaction: Amelioration of Ongoing Inflammatory Bowel Disease with an OX40-IgG Fusion Protein, But Not with an OX40 Ligand-IgG Fusion Protein1

Lisa M. Higgins*, Stuart A. C. McDonald*, Nigel Whittle{dagger}, Nigel Crockett{dagger}, John G. Shields{dagger} and Thomas T. MacDonald2,*

* Department of Paediatric Gastroenterology, St. Bartholomew’s and The Royal London School of Medicine and Dentistry, St. Bartholomew’s Hospital, London, United Kingdom; and {dagger} Cantab Pharmaceuticals Limited, Cambridge, United Kingdom

OX40 is a member of the TNFR superfamily, and is found predominantly on activated CD4-positive T cells. In vitro an OX40-IgG fusion protein inhibits mitogen- and Ag-driven proliferation and cytokine release by splenocytes and lymph node T cells. In contrast, an OX40 ligand-IgG fusion protein enhanced proliferative responses. In normal mice, OX40-positive cells are observed only in lymphoid tissues, including Peyer’s patches of the gut. In mice with hapten-induced colitis or IL-2 knockout mice with spontaneous colitis, OX40-positive cells are found infiltrating the lamina propria. Administration of the OX40-IgG fusion protein to mice with ongoing colitis (but not the OX40 ligand-IgG) ameliorated disease in both mouse models of inflammatory bowel disease. This was evidenced by a reduction in tissue myeloperoxidase; reduced transcripts for TNF-{alpha}, IL-1, IL-12, and IFN-{gamma}; and a reduction in the T cell infiltrate. Targeting OX40 therefore shows considerable promise as a new strategy to inhibit ongoing T cell reactions in the gut.




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