Effect of soluble ICAM-1 on a Sjögren's syndrome-like phenotype in NOD mice is disease stage dependent

Intercellular adhesion molecule-1 (ICAM-1) is involved in migration and co-stimulation of T and B cells. Membrane bound ICAM-1 is over expressed in the salivary glands (SG) of Sjögren's syndrome (SS) patients and has therefore been proposed as a potential therapeutic target. To test the utility...

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Veröffentlicht in:PloS one 2011-05, Vol.6 (5), p.e19962-e19962
Hauptverfasser: Roescher, Nienke, Vosters, Jelle L, Yin, Hongen, Illei, Gabor G, Tak, Paul P, Chiorini, John A
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Vosters, Jelle L
Yin, Hongen
Illei, Gabor G
Tak, Paul P
Chiorini, John A
description Intercellular adhesion molecule-1 (ICAM-1) is involved in migration and co-stimulation of T and B cells. Membrane bound ICAM-1 is over expressed in the salivary glands (SG) of Sjögren's syndrome (SS) patients and has therefore been proposed as a potential therapeutic target. To test the utility of ICAM-1 as a therapeutic target, we used local gene therapy in Non Obese Diabetic (NOD) mice to express soluble (s)ICAM-1 to compete with membrane bound ICAM-1 for binding with its receptor. Therapy was given prior to and just after the influx of immune cells into the SG. A recombinant serotype 2 adeno associated virus (rAAV2) encoding ICAM-1/Fc was constructed and its efficacy tested in the female NOD mice after retrograde instillation in SG at eight (early treatment) and ten (late treatment) weeks of age. SG inflammation was evaluated by focus score and immunohistochemical quantification of infiltrating cell types. Serum and SG tissue were analyzed for immunoglobulins (Ig). Early treatment with ICAM-1/Fc resulted in decreased average number of inflammatory foci without changes in T and B cell composition. In contrast, late treated mice did not show any change in focus scores, but immunohistochemical staining showed an increase in the overall number of CD4+ and CD8+ T cells. Moreover, early treated mice showed decreased IgM within the SGs, whereas late treated mice had increased IgM levels, and on average higher IgG and IgA. Blocking the ICAM-1/LFA-1 interaction with sICAM-1/Fc may result in worsening of a SS like phenotype when infiltrates have already formed within the SG. As a treatment for human SS, caution should be taken targeting the ICAM-1 axis since most patients are diagnosed when inflammation is clearly present within the SG.
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Membrane bound ICAM-1 is over expressed in the salivary glands (SG) of Sjögren's syndrome (SS) patients and has therefore been proposed as a potential therapeutic target. To test the utility of ICAM-1 as a therapeutic target, we used local gene therapy in Non Obese Diabetic (NOD) mice to express soluble (s)ICAM-1 to compete with membrane bound ICAM-1 for binding with its receptor. Therapy was given prior to and just after the influx of immune cells into the SG. A recombinant serotype 2 adeno associated virus (rAAV2) encoding ICAM-1/Fc was constructed and its efficacy tested in the female NOD mice after retrograde instillation in SG at eight (early treatment) and ten (late treatment) weeks of age. SG inflammation was evaluated by focus score and immunohistochemical quantification of infiltrating cell types. Serum and SG tissue were analyzed for immunoglobulins (Ig). Early treatment with ICAM-1/Fc resulted in decreased average number of inflammatory foci without changes in T and B cell composition. In contrast, late treated mice did not show any change in focus scores, but immunohistochemical staining showed an increase in the overall number of CD4+ and CD8+ T cells. Moreover, early treated mice showed decreased IgM within the SGs, whereas late treated mice had increased IgM levels, and on average higher IgG and IgA. Blocking the ICAM-1/LFA-1 interaction with sICAM-1/Fc may result in worsening of a SS like phenotype when infiltrates have already formed within the SG. As a treatment for human SS, caution should be taken targeting the ICAM-1 axis since most patients are diagnosed when inflammation is clearly present within the SG.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0019962</identifier><identifier>PMID: 21589878</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acids ; Age ; Animals ; Antigens ; Biology ; Biopsy ; CD4 antigen ; CD4-Positive T-Lymphocytes - immunology ; CD8 antigen ; CD8-Positive T-Lymphocytes - immunology ; Cell adhesion ; Cell adhesion &amp; migration ; Cell migration ; Clinical trials ; Cytokines ; Dendritic cells ; Diabetes ; Diabetes mellitus ; Disease ; Female ; Gene therapy ; Glands ; Immune system ; Immunoglobulin A ; Immunoglobulin G ; Immunoglobulin M ; Immunoglobulins ; Immunology ; Inflammation ; Intercellular adhesion molecule 1 ; Intercellular Adhesion Molecule-1 - metabolism ; Leukocyte migration ; LFA-1 antigen ; Lymphocytes ; Lymphocytes B ; Lymphocytes T ; Medicine ; Mice ; Mice, Inbred NOD ; Multiple sclerosis ; Patients ; Physiology ; Rheumatoid arthritis ; Rheumatology ; Rodents ; Saliva - secretion ; Salivary glands ; Sjogren's syndrome ; Sjogren's Syndrome - immunology ; Sjogren's Syndrome - metabolism ; Tumor necrosis factor-TNF ; Viruses</subject><ispartof>PloS one, 2011-05, Vol.6 (5), p.e19962-e19962</ispartof><rights>2011. 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Membrane bound ICAM-1 is over expressed in the salivary glands (SG) of Sjögren's syndrome (SS) patients and has therefore been proposed as a potential therapeutic target. To test the utility of ICAM-1 as a therapeutic target, we used local gene therapy in Non Obese Diabetic (NOD) mice to express soluble (s)ICAM-1 to compete with membrane bound ICAM-1 for binding with its receptor. Therapy was given prior to and just after the influx of immune cells into the SG. A recombinant serotype 2 adeno associated virus (rAAV2) encoding ICAM-1/Fc was constructed and its efficacy tested in the female NOD mice after retrograde instillation in SG at eight (early treatment) and ten (late treatment) weeks of age. SG inflammation was evaluated by focus score and immunohistochemical quantification of infiltrating cell types. Serum and SG tissue were analyzed for immunoglobulins (Ig). Early treatment with ICAM-1/Fc resulted in decreased average number of inflammatory foci without changes in T and B cell composition. In contrast, late treated mice did not show any change in focus scores, but immunohistochemical staining showed an increase in the overall number of CD4+ and CD8+ T cells. Moreover, early treated mice showed decreased IgM within the SGs, whereas late treated mice had increased IgM levels, and on average higher IgG and IgA. Blocking the ICAM-1/LFA-1 interaction with sICAM-1/Fc may result in worsening of a SS like phenotype when infiltrates have already formed within the SG. As a treatment for human SS, caution should be taken targeting the ICAM-1 axis since most patients are diagnosed when inflammation is clearly present within the SG.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>21589878</pmid><doi>10.1371/journal.pone.0019962</doi><oa>free_for_read</oa></addata></record>
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subjects Acids
Age
Animals
Antigens
Biology
Biopsy
CD4 antigen
CD4-Positive T-Lymphocytes - immunology
CD8 antigen
CD8-Positive T-Lymphocytes - immunology
Cell adhesion
Cell adhesion & migration
Cell migration
Clinical trials
Cytokines
Dendritic cells
Diabetes
Diabetes mellitus
Disease
Female
Gene therapy
Glands
Immune system
Immunoglobulin A
Immunoglobulin G
Immunoglobulin M
Immunoglobulins
Immunology
Inflammation
Intercellular adhesion molecule 1
Intercellular Adhesion Molecule-1 - metabolism
Leukocyte migration
LFA-1 antigen
Lymphocytes
Lymphocytes B
Lymphocytes T
Medicine
Mice
Mice, Inbred NOD
Multiple sclerosis
Patients
Physiology
Rheumatoid arthritis
Rheumatology
Rodents
Saliva - secretion
Salivary glands
Sjogren's syndrome
Sjogren's Syndrome - immunology
Sjogren's Syndrome - metabolism
Tumor necrosis factor-TNF
Viruses
title Effect of soluble ICAM-1 on a Sjögren's syndrome-like phenotype in NOD mice is disease stage dependent
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