首页> 外文期刊>Clinical immunology: The official journal of the Clinical Immunology Society >Immunoglobulin G1 and immunoglobulin G4 antibodies in multiple sclerosis patients treated with IFNβ interact with the endogenous cytokine and activate complement
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Immunoglobulin G1 and immunoglobulin G4 antibodies in multiple sclerosis patients treated with IFNβ interact with the endogenous cytokine and activate complement

机译:接受IFNβ治疗的多发性硬化症患者的免疫球蛋白G1和免疫球蛋白G4抗体与内源性细胞因子相互作用并激活补体

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摘要

A subset of patients with relapsing-remitting multiple sclerosis (RRMS) on therapy with interferon beta (IFNβ) develop neutralising anti-drug antibodies (ADA) resulting in reduced, or loss of, therapeutic efficacy. The aims were to characterise the relative contributions of anti-IFNβ antibody isotypes to drug neutralising activity, ability of these antibodies to cross-react with endogenous IFNβ, to form immune complexes and activate complement. IFNβ-specific ADA were measured in plasma from RRMS patients treated with IFNβ1a (Rebif?). Neutralisation of endogenous and therapeutic IFNβ by ADA was determined by IFNβ bioassay. IFNβ-ADA profile was predominantly comprised of IgG1 and IgG4 antibody isotypes. The contribution of IgG4-ADA towards neutralising activity was found to be minimal. Neutralising IFNβ-ADA blocks endogenous IFNβ activity. ADA interaction with therapeutic IFNβ results in immune complex formation and complement activation. In summary, IgG1 and IgG4 IFNβ-ADA have the ability to neutralise therapeutic and endogenous protein and to activate complement.
机译:接受干扰素β(IFNβ)治疗的患有复发缓解型多发性硬化症(RRMS)的患者亚群会产生中和性抗药物抗体(ADA),从而导致疗效降低或丧失。目的是表征抗-IFNβ抗体同种型对药物中和活性的相对贡献,这些抗体与内源性IFNβ交叉反应,形成免疫复合物和激活补体的能力。在用IFNβ1a(Rebif?)治疗的RRMS患者的血浆中测量了IFNβ特异性ADA。通过IFNβ生物测定法确定了ADA对内源性和治疗性IFNβ的中和作用。 IFNβ-ADA谱主要由IgG1和IgG4抗体同种型组成。发现IgG4-ADA对中和活性的贡献是最小的。中和IFNβ-ADA可阻断内源性IFNβ活性。 ADA与治疗性IFNβ的相互作用导致免疫复合物的形成和补体激活。总之,IgG1和IgG4IFNβ-ADA具有中和治疗性和内源性蛋白并激活补体的能力。

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