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The Journal of Immunology, 2000, 164: 664-669.
Copyright © 2000 by The American Association of Immunologists

Blockade of CTLA-4 Signals Inhibits Th2-Mediated Murine Chronic Graft-Versus-Host Disease by an Enhanced Expansion of Regulatory CD8+ T Cells1

Jinkyo Sakurai*,{dagger}, Junko Ohata*, Kiyoshi Saito*, Hiroaki Miyajima{ddagger}, Takao Hirano§, Takao Kohsaka*, Shoji Enomoto{dagger}, Ko Okumura and Miyuki Azuma2,*

* Department of Immunology, National Children’s Medical Research Center, Tokyo, Japan; {dagger} Department of Oral and Maxillo-facial Surgery, Tokyo Medical and Dental University, Tokyo, Japan; {ddagger} Division of Pathobiology, § Division of Haematology, Department of Internal Medicine, and Department of Immunology, Juntendo University School of Medicine, Tokyo, Japan

CTLA-4 (CD152) is thought to be a negative regulator of T cell activation. Little is known about the function of CTLA-4 in Th2-type immune responses. We have investigated the effect of initial treatment with anti-CTLA-4 mAb on murine chronic graft-vs-host disease. Transfer of parental BALB/c splenocytes into C57BL/6 x BALB/c F1 mice induced serum IgE production, IL-4 expression by donor CD4+ T cells, and host allo-Ag-specific IgG1 production at 6–9 wk after transfer. Treatment with anti-CTLA-4 mAb for the initial 2 wk significantly reduced IgE and IgG1 production and IL-4 expression. Analysis of the splenic phenotype revealed the enhancement of donor T cell expansion, especially within the CD8 subset, and the elimination of host cells early after anti-CTLA-4 mAb treatment. This treatment did not affect early IFN-{gamma} expression by CD4+ and CD8+ T cells and anti-host cytolytic activity. Thus, blockade of CTLA-4 greatly enhanced CD8+ T cell expansion, and this may result in the regulation of consequent Th2-mediated humoral immune responses. These findings suggest a new approach for regulating IgE-mediated allergic immune responses by blockade of CTLA-4 during a critical period of Ag sensitization.




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