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The Journal of Immunology, 2001, 166: 2041-2048.
Copyright © 2001 by The American Association of Immunologists

Targeting Dipeptidyl Peptidase IV (CD26) Suppresses Autoimmune Encephalomyelitis and Up-Regulates TGF-{beta}1 Secretion In Vivo1

Andreas Steinbrecher2,*, Dirk Reinhold{ddagger}, Laura Quigley*, Ameer Gado*, Nancy Tresser§, Leonid Izikson*, Ilona Born, Jürgen Faust, Klaus Neubert, Roland Martin{dagger}, Siegfried Ansorge{ddagger} and Stefan Brocke3,*

* Neurological Diseases and {dagger} Cellular Immunology Sections, Neuroimmunology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892; {ddagger} Institute of Experimental Internal Medicine, Department of Internal Medicine, Otto-von-Guericke University, Magdeburg, Germany; § Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892; and Institute of Biochemistry, Department of Biochemistry and Biotechnology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany

CD26 or dipeptidyl peptidase IV (DP IV) is expressed on various cell types, including T cells. Although T cells can receive activating signals via CD26, the physiological role of CD26/DP IV is largely unknown. We used the reversible DP IV inhibitor Lys[Z(NO2)]-pyrrolidide (I40) to dissect the role of DP IV in experimental autoimmune encephalomyelitis (EAE) and to explore the therapeutic potential of DP IV inhibition for autoimmunity. I40 administration in vivo decreased and delayed clinical and neuropathological signs of adoptive transfer EAE. I40 blocked DP IV activity in vivo and increased the secretion of the immunosuppressive cytokine TGF-{beta}1 in spinal cord tissue and plasma during acute EAE. In vitro, while suppressing autoreactive T cell proliferation and TNF-{alpha} production, I40 consistently up-regulated TGF-{beta}1 secretion. A neutralizing anti-TGF-{beta}1 Ab blocked the inhibitory effect of I40 on T cell proliferation to myelin Ag. DP IV inhibition in vivo was not generally immunosuppressive, neither eliminating encephalitogenic T cells nor inhibiting T cell priming. These data suggest that DP IV inhibition represents a novel and specific therapeutic approach protecting from autoimmune disease by a mechanism that includes an active TGF-{beta}1-mediated antiinflammatory effect at the site of pathology.




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