Alpha phenyl-tert-butyl nitrone (PBN) protects syngeneic marrow transplant recipients from the lethal cytokine syndrome occurring after agonistic CD40 antibody administration

Blood. 2005 Jan 1;105(1):428-31. doi: 10.1182/blood-2004-01-0371. Epub 2004 Aug 26.

Abstract

Administration of agonistic monoclonal antibodies or recombinant cytokines is a potential approach to enhance antitumor immunity in bone marrow (BM) transplant recipients, but is complicated by toxicity due to proinflammatory cytokine-mediated vital organ damage. We used a murine syngeneic bone marrow transplant (BMT) model, in which administration of anti-CD40 antibody early after BMT results in overproduction of interleukin-12 (IL-12) and interferon-gamma (IFN-gamma), and lethal gut toxicity to examine the protective effect of the spin trap inhibitor, alpha phenyl-tert-butyl nitrone (PBN). Administration of PBN protected transplant recipients from mortality by significantly attenuating gut toxicity, but did not effect a reduction in the levels of proinflammatory cytokines (IL-12, IFN-gamma, tumor necrosis factor alpha [TNF-alpha], or nitrate/nitrite). Moreover, PBN did not compromise anti-CD40 antibody-mediated antitumor effects in a nontransplantation lymphoma model. Collectively, these data suggest that PBN administration may represent a novel approach for reduction of toxicity without compromise of antitumor effects resulting from administration of therapeutic antibodies in both transplantation and nontransplantation settings.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antibodies, Monoclonal / administration & dosage
  • Antibodies, Monoclonal / adverse effects*
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / therapeutic use
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / immunology
  • Antineoplastic Agents / therapeutic use
  • Bone Marrow Transplantation*
  • CD40 Antigens / immunology*
  • Cyclic N-Oxides
  • Cytokines / blood
  • Cytokines / immunology*
  • Lymphoma / pathology
  • Lymphoma / therapy
  • Mice
  • Mice, Inbred C57BL
  • Neoplasm Transplantation
  • Nitrogen Oxides / pharmacology*
  • Survival Rate
  • Syndrome
  • Transplantation

Substances

  • Antibodies, Monoclonal
  • Antineoplastic Agents
  • CD40 Antigens
  • Cyclic N-Oxides
  • Cytokines
  • Nitrogen Oxides
  • phenyl-N-tert-butylnitrone