Abstract
Anti-CD3 mAb can modulate graft rejection and attenuate autoimmune diseases but their mechanism(s) of action remain unclear. CD8(+) T cells with regulatory function are induced in vitro by Teplizumab, a humanized anti-CD3 antibody and inhibit responses of autologous and allogeneic T cells. They inhibit CD4(+) T-cell proliferation by mechanisms involving TNF and CCL4, and by blocking target cell entry into G2/M phase of cell cycle but neither kill them, nor compete for IL-2. CD8(+) Treg can be isolated from peripheral blood following treatment of patients with Type 1 diabetes with Teplizumab, but not from untreated patients. The induction of CD8(+) Treg by anti-CD3 mAb requires TNF and signaling through the NF-κB cascade. The CD8(+) Treg express CD25, glucocorticoid-induced TNF receptor family, CTLA-4, Foxp3, and TNFR2, and the combined expression of TNFR2 and CD25 identifies a potent subpopulation of CD8(+) Treg. These studies have identified a novel mechanism of immune regulation by anti-CD3 mAb and markers that may be used to track inducible CD8(+) Treg in settings such as chronic inflammation or immune therapy.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Adult
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Antibodies, Monoclonal / pharmacology*
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Antibodies, Monoclonal, Humanized
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Antigens, CD / immunology
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CD3 Complex / immunology*
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CD8-Positive T-Lymphocytes / immunology*
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CTLA-4 Antigen
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Child
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Diabetes Mellitus, Type 1 / drug therapy
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Diabetes Mellitus, Type 1 / immunology*
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Flow Cytometry
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Forkhead Transcription Factors / immunology
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Glucocorticoid-Induced TNFR-Related Protein
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Humans
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Interleukin-10 / immunology
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Muromonab-CD3 / pharmacology*
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NF-kappa B / immunology
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Receptors, Nerve Growth Factor / immunology
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Receptors, Tumor Necrosis Factor / immunology
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Receptors, Tumor Necrosis Factor, Type II / immunology
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T-Lymphocytes, Regulatory / immunology*
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Transforming Growth Factor beta1 / immunology
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Tumor Necrosis Factor-alpha / immunology
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Young Adult
Substances
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Humanized
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Antigens, CD
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CD3 Complex
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CTLA-4 Antigen
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CTLA4 protein, human
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FOXP3 protein, human
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Forkhead Transcription Factors
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Glucocorticoid-Induced TNFR-Related Protein
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Muromonab-CD3
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NF-kappa B
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Receptors, Nerve Growth Factor
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Receptors, Tumor Necrosis Factor
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Receptors, Tumor Necrosis Factor, Type II
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TNFRSF18 protein, human
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Transforming Growth Factor beta1
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Tumor Necrosis Factor-alpha
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Interleukin-10
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teplizumab