Schmidt, Thomas, Willenborg, Sebastian, Huenig, Thomas, Deeg, Cornelia A., Sonderstrup, Grete, Hertl, Michael and Eming, Ruediger (2016). Induction of T regulatory cells by the superagonistic anti-CD28 antibody D665 leads to decreased pathogenic IgG autoantibodies against desmoglein 3 in a HLA-transgenic mouse model of pemphigus vulgaris. Exp. Dermatol., 25 (4). S. 293 - 299. HOBOKEN: WILEY-BLACKWELL. ISSN 1600-0625

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Abstract

Pemphigus vulgaris (PV) is a potentially life-threatening autoimmune disease of the skin and mucous membranes. Its pathogenesis is based on IgG autoantibodies that target the desmosomal cadherins, desmoglein 3 (Dsg3) and desmoglein 1 (Dsg1) and induce intra-epidermal loss of adhesion. Although the PV pathogenesis is well-understood, therapeutic options are still limited to immunosuppressive drugs, particularly corticosteroids, which are associated with significant side effects. Dsg3-reactive T regulatory cells (Treg) have been previously identified in PV and healthy carriers of PV-associated HLA class II alleles. Ex vivo, Dsg3-specific Treg cells down-regulated the activation of pathogenic Dsg3-specific T-helper (Th) 2 cells. In this study, in a HLA-DRB1*04:02 transgenic mouse model of PV, peripheral Treg cells were modulated by the use of Treg-depleting or expanding monoclonal antibodies, respectively. Our findings show that, in vivo, although not statistically significant, Treg cells exert a clear down-regulatory effect on the Dsg3-driven T-cell response and, accordingly, the formation of Dsg3-specific IgG antibodies. These observations confirm the powerful immune regulatory functions of Treg cells and identify Treg cells as potential therapeutic modulators in PV.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schmidt, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Willenborg, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huenig, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Deeg, Cornelia A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sonderstrup, GreteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hertl, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eming, RuedigerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-280082
DOI: 10.1111/exd.12919
Journal or Publication Title: Exp. Dermatol.
Volume: 25
Number: 4
Page Range: S. 293 - 299
Date: 2016
Publisher: WILEY-BLACKWELL
Place of Publication: HOBOKEN
ISSN: 1600-0625
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRANSCRIPTION FACTOR FOXP3; CD28 SUPERAGONIST; MONOCLONAL-ANTIBODY; TGN1412 TRIAL; DISEASE; ANTIGEN; AUTOIMMUNITY; HOMEOSTASIS; EXPRESSION; TOLERANCEMultiple languages
DermatologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/28008

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