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/IL-4R
Chimeric Cytokine Receptor Transgene1



*
Division of Rheumatology, Departments of Medicine, Cell Biology,
Pathology, and
Microbiology and Immunology, Vanderbilt University Medical School, Nashville, TN 37232; and
Department of Internal Medicine, University of Tennessee, and The Research Service of the Veterans Administration Medical Center, Memphis, TN 38104
Chronic inflammatory autoimmune diseases such as diabetes,
experimental autoimmune encephalomyelitis, and collagen-induced
arthritis (CIA) are associated with type 1 (Th1, Tc1) T cell-dependent
responses against autoantigens. Immune deviation toward type 2 (Th2,
Tc2) response has been proposed as a potential means of gene therapy or
immunomodulation to treat autoimmune diseases based on evidence that
type 2 cytokines can prevent or alleviate these conditions. In this
report we assessed the effects of elevated type 2 responses on CIA
using transgenic mice expressing an IL-2R
/IL-4R
chimeric cytokine
receptor transgene specifically in T cells. In response to IL-2
binding, this chimeric receptor transduces IL-4-specific signals and
dramatically enhances type 2 responses. In contrast to published
reports of Th2-mediated protection, CIA was exacerbated in
IL-2R
/IL-4R
chimeric receptor transgenic mice, with increased
disease incidence, severity, and earlier disease onset. The aggravated
disease in transgenic mice was associated with an increase in type 2
cytokines (IL-4, IL-5, IL-10) and an increase in collagen-specific IgG1
levels. However, IFN-
production is not affected significantly in
the induction phase of the disease. There is also an extensive
eosinophilic infiltration in the arthritic joints of the transgenic
animal, suggesting a direct contribution of type 2 response to joint
inflammation. Taken together, our findings provide novel evidence that
enhancement of a polyclonal type 2 response in immunocompetent hosts
may exacerbate an autoimmune disease such as CIA, rather than serving a
protective role. This finding raises significant caution with regard to
the potential use of therapeutic approaches based on immune deviation
toward type 2 responses.
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