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*
Department of Paediatric Gastroenterology, St. Bartholomews and The Royal London School of Medicine and Dentistry, St. Bartholomews Hospital, London, United Kingdom; and
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 Peyers 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-
, IL-1, IL-12, and
IFN-
; 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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