Selective blockade of CD28 on human T cells facilitates regulation of alloimmune responses

T cells are central to the detrimental alloresponses that develop in autoimmunity and transplantation, with CD28 costimulatory signals being key to T cell activation and proliferation. CTLA4-Ig molecules that bind CD80/86 and inhibit CD28 costimulation offer an alternative immunosuppressive treatmen...

Full description

Bibliographic Details
Main Authors: Zaitsu, M, Issa, F, Hester, J, Vanhove, B, Wood, K
Format: Journal article
Language:English
Published: American Society for Clinical Investigation 2017
_version_ 1797051809536147456
author Zaitsu, M
Issa, F
Hester, J
Vanhove, B
Wood, K
author_facet Zaitsu, M
Issa, F
Hester, J
Vanhove, B
Wood, K
author_sort Zaitsu, M
collection OXFORD
description T cells are central to the detrimental alloresponses that develop in autoimmunity and transplantation, with CD28 costimulatory signals being key to T cell activation and proliferation. CTLA4-Ig molecules that bind CD80/86 and inhibit CD28 costimulation offer an alternative immunosuppressive treatment, free from some of the chronic toxicities associated with calcineurin inhibition. However, CD80/86 blockade by CTLA4-Ig also results in the loss of coinhibitory CTLA4 signals that are critical to the regulation of T cell activation. Here, we show that a nonactivating monovalent anti-CD28 that spares CTLA4 signaling is an effective immunosuppressant in a clinically relevant humanized mouse transplant model. We demonstrate that selective CD28 blockade prolongs human skin allograft survival through a mechanism that includes a reduction in the cellular graft infiltrate. Critically, selective CD28 blockade promotes Treg function in vivo and synergizes with adoptive Treg therapy to promote transplant survival. In contrast to CTLA4-Ig treatment, selective CD28 blockade promotes regulation of alloimmune responses and facilitates Treg-based cellular therapy.
first_indexed 2024-03-06T18:24:38Z
format Journal article
id oxford-uuid:07847233-ef16-41c1-80dc-7ebc0dd84e3a
institution University of Oxford
language English
last_indexed 2024-03-06T18:24:38Z
publishDate 2017
publisher American Society for Clinical Investigation
record_format dspace
spelling oxford-uuid:07847233-ef16-41c1-80dc-7ebc0dd84e3a2022-03-26T09:07:53ZSelective blockade of CD28 on human T cells facilitates regulation of alloimmune responsesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:07847233-ef16-41c1-80dc-7ebc0dd84e3aEnglishSymplectic Elements at OxfordAmerican Society for Clinical Investigation2017Zaitsu, MIssa, FHester, JVanhove, BWood, KT cells are central to the detrimental alloresponses that develop in autoimmunity and transplantation, with CD28 costimulatory signals being key to T cell activation and proliferation. CTLA4-Ig molecules that bind CD80/86 and inhibit CD28 costimulation offer an alternative immunosuppressive treatment, free from some of the chronic toxicities associated with calcineurin inhibition. However, CD80/86 blockade by CTLA4-Ig also results in the loss of coinhibitory CTLA4 signals that are critical to the regulation of T cell activation. Here, we show that a nonactivating monovalent anti-CD28 that spares CTLA4 signaling is an effective immunosuppressant in a clinically relevant humanized mouse transplant model. We demonstrate that selective CD28 blockade prolongs human skin allograft survival through a mechanism that includes a reduction in the cellular graft infiltrate. Critically, selective CD28 blockade promotes Treg function in vivo and synergizes with adoptive Treg therapy to promote transplant survival. In contrast to CTLA4-Ig treatment, selective CD28 blockade promotes regulation of alloimmune responses and facilitates Treg-based cellular therapy.
spellingShingle Zaitsu, M
Issa, F
Hester, J
Vanhove, B
Wood, K
Selective blockade of CD28 on human T cells facilitates regulation of alloimmune responses
title Selective blockade of CD28 on human T cells facilitates regulation of alloimmune responses
title_full Selective blockade of CD28 on human T cells facilitates regulation of alloimmune responses
title_fullStr Selective blockade of CD28 on human T cells facilitates regulation of alloimmune responses
title_full_unstemmed Selective blockade of CD28 on human T cells facilitates regulation of alloimmune responses
title_short Selective blockade of CD28 on human T cells facilitates regulation of alloimmune responses
title_sort selective blockade of cd28 on human t cells facilitates regulation of alloimmune responses
work_keys_str_mv AT zaitsum selectiveblockadeofcd28onhumantcellsfacilitatesregulationofalloimmuneresponses
AT issaf selectiveblockadeofcd28onhumantcellsfacilitatesregulationofalloimmuneresponses
AT hesterj selectiveblockadeofcd28onhumantcellsfacilitatesregulationofalloimmuneresponses
AT vanhoveb selectiveblockadeofcd28onhumantcellsfacilitatesregulationofalloimmuneresponses
AT woodk selectiveblockadeofcd28onhumantcellsfacilitatesregulationofalloimmuneresponses