CTLA-4 Signaling Regulates the Intensity of Hypersensitivity Responses to Food Antigens, but is Not Decisive in the Induction of Sensitization

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CTLA-4 Signaling Regulates the Intensity of Hypersensitivity Responses to Food Antigens, but is Not Decisive in the Induction of Sensitization (1)

Antagonizing CTLA-4 signaling enhances T cell proliferation, whereas cross-linking of CTLA-4 in vitro inhibits anti-CD3-induced T cell proliferation.

Oral exposure to PPE was performed by intragastric dosing of 6 mg of roasted PPE on 3 consecutive days, followed by weekly dosing of 6 mg of PPE (4 wks). CT (10 ug) was coadministered on days 1, 2, 3, 8, 15, and 21. Equivalent groups were additionally injected i.p. with 100 ug of anti-CTLA-4 mAb on days 1, 3, 7, 14, and 20 during the oral-dosing regime.

The group receiving 4 wks of oral treatment with PPE plus CT showed PPE-specific serum IgG1, IgG2a, and IgE. Blockade of CTLA-4 during the oral sensitization protocol increased both Th2-related (IgG1 and IgE) and Th1-related (IgG2a) PPE-specific Ab levels compared with PPE plus CT treatment group. The group that was exposed to PPE without CT produced low levels of PPE-specific IgG1 and IgG2a and no IgE.

Mice treated with anti-CTLA-4 without oral dosing of PPE showed a similar significant elevation of total IgE serum levels compared with control mice that received no treatment at all.

Blockade of CTLA-4 in this group resulted in a profound increase of allergen-specific IgE levels with the highest responses against Ara h 1, followed by Ara h 3 and Ara h 6.

Anti-CTLA-4 treatment induced higher base levels of serum mmcp-1 before oral challenge. Blockade of CTLA-4 only induced an increase in mmcp-1 serum concentration after oral challenge in the PPE plus CT treatment group, with mmcp-1 levels being four times higher than in the PPE plus CT treatment group.

Treatment with anti- CTLA-4 significantly enhanced Th2-associated (IL-4 and IL-5) and T regulatory (Tr)-related (IL-10) cytokine production in both MLN and spleen independent of PPE or CT administration.

Coadministration of the adjuvant CT significantly elevated IFN-g levels com- pared with levels in the non-CT-exposed groups.

CTLA-4 is also expressed on B cells, and CTLA-4 signaling on these cells has been shown to inhibit IL-4-driven isotype switching, thereby possibly preventing allergen-specific IgG1 and IgE production. CT is thought to stimulate Th2- dependent immune responses to a bystander Ag by provoking Th2 cytokine production. CT itself promotes dendritic cell activation and migration, which facilitates Ag presentation to the immune system. The CTLA-4 ligands CD80 and CD86 are expressed on mast cells.

1. F. van Wijk, S. Hoeks, S. Nierkens, S. J. Koppelman, P. van Kooten, L. Boon, L. M. J. Knippels, R. Pieters, CTLA-4 signaling regulates the intensity of hypersensitivity responses to food antigens, but is not decisive in the induction of sensitization. J. Immunol. 174, 174–179 (2005).

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