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The Journal of Immunology, 2001, 167: 5741-5748.
Copyright © 2001 by The American Association of Immunologists

Opposing Effects of Anti-Activation-Inducible Lymphocyte- Immunomodulatory Molecule/Inducible Costimulator Antibody on the Development of Acute Versus Chronic Graft-Versus-Host Disease1

Shu-hei Ogawa*, Go Nagamatsu*, Masashi Watanabe*, Shiho Watanabe*, Tomohito Hayashi*, Shigeru Horita{ddagger}, Kosaku Nitta{ddagger}, Hiroshi Nihei{ddagger}, Katsunari Tezuka{dagger} and Ryo Abe2,*

* Division of Immunobiology, Research Institutes of Biological Sciences, Science University of Tokyo, Chiba, Japan; {dagger} JT Pharmaceutical Frontier Research Laboratories, Inc., Kanagawa, Japan; and {ddagger} Department of Medicine, Kidney Center, Tokyo Women’s Medical University, Tokyo, Japan

The functional role of inducible costimulator (ICOS)-mediated costimulation was examined in an in vivo model of alloantigen-driven Th1 or Th2 cytokine responses, the parent-into-F1 model of acute or chronic graft-vs-host disease (GVHD), respectively. When the Ab specific for mouse ICOS was injected into chronic GVHD-induced mice, activation of B cells, production of autoantibody, and development of glomerulonephritis were strongly suppressed. In contrast, the same treatment enhanced donor T cell chimerism and host B cell depletion in acute GVHD induced host mice. Blocking of B7-CD28 interaction by injection of anti-B7-1 and anti-B7-2 Abs inhibited both acute and chronic GVHD. These observations clearly indicate that the costimulatory signal mediated by CD28 caused the initial allorecognition resulting in the clonal expansion of alloreactive T cells, whereas the costimulatory signal mediated by ICOS played a critical role in the functional differentiation and manifestation of alloreactive T cells. Furthermore, treatment with anti-ICOS Ab selectively suppresses Th2-dominant autoimmune disease.




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