Direct inhibition of CD40L expression can contribute to the clinical efficacy of daclizumab independently of its effects on cell division and Th1/Th2 cytokine production

Blood. 2007 Jun 15;109(12):5399-406. doi: 10.1182/blood-2006-12-062943. Epub 2007 Mar 7.

Abstract

Humanized anti-CD25 antibodies (eg, daclizumab) have been successfully used to treat several autoimmune diseases. Paradoxically, IL-2 blockade in mice can induce autoimmunity. An interspecies difference in the relative contribution of IL-2 to CD25(+) T regulatory cell (CD25(+)Treg) versus CD25(+) effector cell function might explain this conundrum. Consistent with this are reports that daclizumab inhibits human CD25(+) effector cell cytokine production by blocking the expression of CD40L. However, in mice, IL-4 and IL-12 regulate CD40L expression. As human Th1/Th2 cytokine production is also dependent on IL-2, daclizumab's inhibition of CD40L expression could be due to an indirect, rather than a direct, effect of IL-2. Here, we clarify the mechanisms underlying CD40L expression. In contrast to the mouse, human CD40L is regulated by CD28 signaling and IL-2, not the principal Th1/Th2-polarizing cytokines. We find that CD40L is expressed on naive and memory cells and inhibited by daclizumab independently of cell division. Collectively, our results indicate that daclizumab could inhibit CD25(+) effector T-cell function in vivo by directly blocking CD40L expression. This difference between mice and human may help explain the paradoxical effects of IL-2R blockade in the 2 species.

MeSH terms

  • Animals
  • Antibodies, Monoclonal / pharmacology*
  • Antibodies, Monoclonal, Humanized
  • CD28 Antigens / physiology
  • CD40 Ligand / antagonists & inhibitors*
  • CD40 Ligand / genetics
  • Cell Division / drug effects
  • Cytokines / biosynthesis
  • Daclizumab
  • Humans
  • Immunity, Cellular / drug effects*
  • Immunoglobulin G / pharmacology*
  • Immunologic Factors
  • Interleukin-2 / physiology
  • Mice
  • T-Lymphocytes, Regulatory / drug effects
  • Th1 Cells / immunology
  • Th2 Cells / immunology
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • CD28 Antigens
  • Cytokines
  • Immunoglobulin G
  • Immunologic Factors
  • Interleukin-2
  • CD40 Ligand
  • Daclizumab