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Erschienen in: Journal of Clinical Immunology 2/2006

01.03.2006

Immunological Basis for IgE Hyper-Production in Enfuvirtide-Treated HIV- Positive Patients

verfasst von: Samuele E. Burastero, Clara Paolucci, Daniela Breda, Armando Soldarini, Fernanda Dorigatti, Elisa Soprana, Hamid Hasson, Priscilla Biswas, Adriano Lazzarin, Antonella Castagna

Erschienen in: Journal of Clinical Immunology | Ausgabe 2/2006

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Abstract

We previously reported that enfuvirtide (ENF) treatment is accompanied by a selective increase of serum IgE. We asked whether ENF had intrinsic capability to direct B-lymphocytes to switch to IgE and/or if it could drive CD4 T cells to a Th2 phenotype. ENF was added in vitro: (a) to B-lymphocytes stimulated with IgE-switch inducing stimuli; (b) to peripheral blood mononuclear cells. Total IgE production by B cells and IL4 and IFN-γ production by CD4 T lymphocytes were evaluated, respectively. ENF had no measurable effect on the IgE production by B-lymphocytes. In contrast, it sharply increased the IL4 to IFN-γ (a correlate of the Th2 phenotype) when added in vitro to T cells from healthy donors or from single ENF-treated patients. The hyper-IgE production in ENF-treated patients is associated with the in vitro induction of a type-2 phenotype in CD4 T cells.
Literatur
1.
Zurück zum Zitat Moore JP, Doms RW: The entry of entry inhibitors: A fusion of science and medicine. Proc Natl Acad Sci USA 100:10598–10602, 2003CrossRefPubMed Moore JP, Doms RW: The entry of entry inhibitors: A fusion of science and medicine. Proc Natl Acad Sci USA 100:10598–10602, 2003CrossRefPubMed
2.
Zurück zum Zitat Castagna A, Biswas P, Beretta A, Lazzarin A: From discovery of biological mechanisms to drug development: the appealing history of drug inhibitors. Drugs 65: 879–904, 2005 Castagna A, Biswas P, Beretta A, Lazzarin A: From discovery of biological mechanisms to drug development: the appealing history of drug inhibitors. Drugs 65: 879–904, 2005
3.
Zurück zum Zitat Cervia JS, Smith MA: Enfuvirtide (T-20): A novel human immunodeficiency virus type 1 fusion inhibitor. Clin Infect Dis 37:1102–1106, 2003CrossRefPubMed Cervia JS, Smith MA: Enfuvirtide (T-20): A novel human immunodeficiency virus type 1 fusion inhibitor. Clin Infect Dis 37:1102–1106, 2003CrossRefPubMed
4.
Zurück zum Zitat Matthews T, Salgo M, Greenberg M, Chung J, DeMasi R, Bolognesi D: Enfuvirtide: The first therapy to inhibit the entry of HIV-1 into host CD4 lymphocytes. Nat Rev Drug Discov 3:215–225, 2004CrossRefPubMed Matthews T, Salgo M, Greenberg M, Chung J, DeMasi R, Bolognesi D: Enfuvirtide: The first therapy to inhibit the entry of HIV-1 into host CD4 lymphocytes. Nat Rev Drug Discov 3:215–225, 2004CrossRefPubMed
6.
Zurück zum Zitat Lalezari JP, Henry K, O’Hearn M, Montaner JS, Piliero PJ, Trottier B, Walmsley S, Cohen C, Kuritzkes DR, Eron JJ, Jr., Chung J, DeMasi R, Donatacci L, Drobnes C, Delehanty J, Salgo M: Enfuvirtide, an HIV-1 fusion inhibitor, for drug-resistant HIV infection in North and South America. N Engl J Med 348:2175–2185, 2003CrossRefPubMed Lalezari JP, Henry K, O’Hearn M, Montaner JS, Piliero PJ, Trottier B, Walmsley S, Cohen C, Kuritzkes DR, Eron JJ, Jr., Chung J, DeMasi R, Donatacci L, Drobnes C, Delehanty J, Salgo M: Enfuvirtide, an HIV-1 fusion inhibitor, for drug-resistant HIV infection in North and South America. N Engl J Med 348:2175–2185, 2003CrossRefPubMed
7.
Zurück zum Zitat Lazzarin A, Clotet B, Cooper D, Reynes J, Arasteh K, Nelson M, Katlama C, Stellbrink HJ, Delfraissy JF, Lange J, Huson L, DeMasi R, Wat C, Delehanty J, Drobnes C, Salgo M: Efficacy of enfuvirtide in patients infected with drug-resistant HIV-1 in Europe and Australia. N Engl J Med 348:2186–2195, 2003CrossRefPubMed Lazzarin A, Clotet B, Cooper D, Reynes J, Arasteh K, Nelson M, Katlama C, Stellbrink HJ, Delfraissy JF, Lange J, Huson L, DeMasi R, Wat C, Delehanty J, Drobnes C, Salgo M: Efficacy of enfuvirtide in patients infected with drug-resistant HIV-1 in Europe and Australia. N Engl J Med 348:2186–2195, 2003CrossRefPubMed
8.
Zurück zum Zitat Myers SA, Selim A, McDaniel M: A prospective clinical and histological examination of infection sites with the fusion inhibitor enfuvirtide (ENF). Fortythird Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC). Chicago (USA), 2003: Abstract H-2015 Myers SA, Selim A, McDaniel M: A prospective clinical and histological examination of infection sites with the fusion inhibitor enfuvirtide (ENF). Fortythird Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC). Chicago (USA), 2003: Abstract H-2015
9.
Zurück zum Zitat Fung HB, Guo Y: Enfuvirtide: A fusion inhibitor for the treatment of HIV infection. Clin Ther 26:352–378, 2004CrossRefPubMed Fung HB, Guo Y: Enfuvirtide: A fusion inhibitor for the treatment of HIV infection. Clin Ther 26:352–378, 2004CrossRefPubMed
10.
Zurück zum Zitat Hardy H, Skolnik PR: Enfuvirtide, a new fusion inhibitor for therapy of human immunodeficiency virus infection. Pharmacotherapy 24:198–211, 2004CrossRefPubMed Hardy H, Skolnik PR: Enfuvirtide, a new fusion inhibitor for therapy of human immunodeficiency virus infection. Pharmacotherapy 24:198–211, 2004CrossRefPubMed
11.
Zurück zum Zitat Ball RA, Kinchelow T: Injection site reactions with the HIV-1 fusion inhibitor enfuvirtide. J Am Acad Dermatol 49:826–831, 2003CrossRefPubMed Ball RA, Kinchelow T: Injection site reactions with the HIV-1 fusion inhibitor enfuvirtide. J Am Acad Dermatol 49:826–831, 2003CrossRefPubMed
12.
Zurück zum Zitat Hasson H, Danise A, Carini E, Bigoloni A, Galli A, Bonora S, Biswas P, Vecchi A, Lazzarin A, Castagna A: Increase in serum IgE levels during enfuvirtide treatment in multidrug-resistant HIV-1 infected patients. XV International AIDS Conference, July 11–16. Bangkok, Thailand, 2004:Abstract TuPeB4560 Hasson H, Danise A, Carini E, Bigoloni A, Galli A, Bonora S, Biswas P, Vecchi A, Lazzarin A, Castagna A: Increase in serum IgE levels during enfuvirtide treatment in multidrug-resistant HIV-1 infected patients. XV International AIDS Conference, July 11–16. Bangkok, Thailand, 2004:Abstract TuPeB4560
13.
Zurück zum Zitat Jabara HH, Fu SM, Geha RS, Vercelli D: CD40 and IgE: Synergism between anti-CD40 monoclonal antibody and interleukin 4 in the induction of IgE synthesis by highly purified human B cells. J Exp Med 172:1861–1864, 1990CrossRefPubMed Jabara HH, Fu SM, Geha RS, Vercelli D: CD40 and IgE: Synergism between anti-CD40 monoclonal antibody and interleukin 4 in the induction of IgE synthesis by highly purified human B cells. J Exp Med 172:1861–1864, 1990CrossRefPubMed
14.
Zurück zum Zitat Jabara HH, Schneider LC, Shapira SK, Alfieri C, Moody CT, Kieff E, Geha RS, Vercelli D: Induction of germ-line and mature C epsilon transcripts in human B cells stimulated with rIL-4 and EBV. J Immunol 145:3468–3473, 1990PubMed Jabara HH, Schneider LC, Shapira SK, Alfieri C, Moody CT, Kieff E, Geha RS, Vercelli D: Induction of germ-line and mature C epsilon transcripts in human B cells stimulated with rIL-4 and EBV. J Immunol 145:3468–3473, 1990PubMed
15.
Zurück zum Zitat Kohl C, Debelic M: In vitro screening for inhalant allergy with multi SX 1 RAST (Phadiatop). Allergy 46:245–250, 1991PubMedCrossRef Kohl C, Debelic M: In vitro screening for inhalant allergy with multi SX 1 RAST (Phadiatop). Allergy 46:245–250, 1991PubMedCrossRef
16.
Zurück zum Zitat Casali P, Burastero SE, Nakamura M, Inghirami G, Notkins AL: Human lymphocytes making rheumatoid factor and antibody to ssDNA belong to Leu-1+ B-cell subset. Science 236:77–81, 1987PubMedCrossRef Casali P, Burastero SE, Nakamura M, Inghirami G, Notkins AL: Human lymphocytes making rheumatoid factor and antibody to ssDNA belong to Leu-1+ B-cell subset. Science 236:77–81, 1987PubMedCrossRef
17.
Zurück zum Zitat Burastero SE, Lo Pinto G, Goletti D, Cutolo M, Burlando L, Falagiani P: Rheumatoid arthritis with monoclonal IgE rheumatoid factor. J Rheumatol 20:489–494, 1993PubMed Burastero SE, Lo Pinto G, Goletti D, Cutolo M, Burlando L, Falagiani P: Rheumatoid arthritis with monoclonal IgE rheumatoid factor. J Rheumatol 20:489–494, 1993PubMed
18.
Zurück zum Zitat Zhang L, Carruthers CD, He T, Huang Y, Cao Y, Wang G, Hahn B, Ho DD: HIV type 1 subtypes, coreceptor usage, and CCR5 polymorphism. AIDS Res Hum Retrovir 13:1357–1366, 1997PubMedCrossRef Zhang L, Carruthers CD, He T, Huang Y, Cao Y, Wang G, Hahn B, Ho DD: HIV type 1 subtypes, coreceptor usage, and CCR5 polymorphism. AIDS Res Hum Retrovir 13:1357–1366, 1997PubMedCrossRef
19.
Zurück zum Zitat Vercelli D: Novel insights into class switch recombination. Curr Opin Allergy Clin Immunol 2:147–151, 2002CrossRefPubMed Vercelli D: Novel insights into class switch recombination. Curr Opin Allergy Clin Immunol 2:147–151, 2002CrossRefPubMed
20.
Zurück zum Zitat He B, Raab-Traub N, Casali P, Cerutti A: EBV-encoded latent membrane protein 1 cooperates with BAFF/BLyS and APRIL to induce T cell-independent Ig heavy chain class switching. J Immunol 171:5215–5224, 2003PubMed He B, Raab-Traub N, Casali P, Cerutti A: EBV-encoded latent membrane protein 1 cooperates with BAFF/BLyS and APRIL to induce T cell-independent Ig heavy chain class switching. J Immunol 171:5215–5224, 2003PubMed
21.
Zurück zum Zitat Gauchat JF, Henchoz S, Mazzei G, Aubry JP, Brunner T, Blasey H, Life P, Talabot D, Flores-Romo L, Thompson J, et al.: Induction of human IgE synthesis in B cells by mast cells and basophils. Nature 365:340–343, 1993CrossRefPubMed Gauchat JF, Henchoz S, Mazzei G, Aubry JP, Brunner T, Blasey H, Life P, Talabot D, Flores-Romo L, Thompson J, et al.: Induction of human IgE synthesis in B cells by mast cells and basophils. Nature 365:340–343, 1993CrossRefPubMed
22.
Zurück zum Zitat Burd PR, Thompson WC, Max EE, Mills FC: Activated mast cells produce interleukin 13. J Exp Med 181:1373–1380, 1995CrossRefPubMed Burd PR, Thompson WC, Max EE, Mills FC: Activated mast cells produce interleukin 13. J Exp Med 181:1373–1380, 1995CrossRefPubMed
23.
Zurück zum Zitat Braun MC, Wang JM, Lahey E, Rabin RL, Kelsall BL: Activation of the formyl peptide receptor by the HIV-derived peptide T-20 suppresses interleukin-12 p70 production by human monocytes. Blood 97:3531–3536, 2001CrossRefPubMed Braun MC, Wang JM, Lahey E, Rabin RL, Kelsall BL: Activation of the formyl peptide receptor by the HIV-derived peptide T-20 suppresses interleukin-12 p70 production by human monocytes. Blood 97:3531–3536, 2001CrossRefPubMed
24.
Zurück zum Zitat Su SB, Gong WH, Gao JL, Shen WP, Grimm MC, Deng X, Murphy PM, Oppenheim JJ, Wang JM: T20/DP178, an ectodomain peptide of human immunodeficiency virus type 1 gp41, is an activator of human phagocyte N-formyl peptide receptor. Blood 93:3885–3892, 1999PubMed Su SB, Gong WH, Gao JL, Shen WP, Grimm MC, Deng X, Murphy PM, Oppenheim JJ, Wang JM: T20/DP178, an ectodomain peptide of human immunodeficiency virus type 1 gp41, is an activator of human phagocyte N-formyl peptide receptor. Blood 93:3885–3892, 1999PubMed
25.
Zurück zum Zitat Deng X, Ueda H, Su SB, Gong W, Dunlop NM, Gao JL, Murphy PM, Wang JM: A synthetic peptide derived from human immunodeficiency virus type 1 gp120 downregulates the expression and function of chemokine receptors CCR5 and CXCR4 in monocytes by activating the 7-transmembrane G-protein-coupled receptor FPRL1/LXA4R. Blood 94:1165–1173, 1999PubMed Deng X, Ueda H, Su SB, Gong W, Dunlop NM, Gao JL, Murphy PM, Wang JM: A synthetic peptide derived from human immunodeficiency virus type 1 gp120 downregulates the expression and function of chemokine receptors CCR5 and CXCR4 in monocytes by activating the 7-transmembrane G-protein-coupled receptor FPRL1/LXA4R. Blood 94:1165–1173, 1999PubMed
26.
Zurück zum Zitat Kilby JM, Hopkins S, Venetta TM, DiMassimo B, Cloud GA, Lee JY, Alldredge L, Hunter E, Lambert D, Bolognesi D, Matthews T, Johnson MR, Nowak MA, Shaw GM, Saag MS: Potent suppression of HIV-1 replication in humans by T-20, a peptide inhibitor of gp41-mediated virus entry. Nat Med 4:1302–1307, 1998CrossRefPubMed Kilby JM, Hopkins S, Venetta TM, DiMassimo B, Cloud GA, Lee JY, Alldredge L, Hunter E, Lambert D, Bolognesi D, Matthews T, Johnson MR, Nowak MA, Shaw GM, Saag MS: Potent suppression of HIV-1 replication in humans by T-20, a peptide inhibitor of gp41-mediated virus entry. Nat Med 4:1302–1307, 1998CrossRefPubMed
27.
28.
Zurück zum Zitat Romagnani S, Del Prete G, Manetti R, Ravina A, Annunziato F, De Carli M, Mazzetti M, Piccinni MP, D’Elios MM, Parronchi P, et al.: Role of TH1/TH2 cytokines in HIV infection. Immunol Rev 140:73–92, 1994PubMedCrossRef Romagnani S, Del Prete G, Manetti R, Ravina A, Annunziato F, De Carli M, Mazzetti M, Piccinni MP, D’Elios MM, Parronchi P, et al.: Role of TH1/TH2 cytokines in HIV infection. Immunol Rev 140:73–92, 1994PubMedCrossRef
29.
Zurück zum Zitat Maggi E, Mazzetti M, Ravina A, Annunziato F, de Carli M, Piccinni MP, Manetti R, Carbonari M, Pesce AM, del Prete G, et al.: Ability of HIV to promote a TH1 to TH0 shift and to replicate preferentially in TH2 and TH0 cells. Science 265:244–248, 1994PubMedCrossRef Maggi E, Mazzetti M, Ravina A, Annunziato F, de Carli M, Piccinni MP, Manetti R, Carbonari M, Pesce AM, del Prete G, et al.: Ability of HIV to promote a TH1 to TH0 shift and to replicate preferentially in TH2 and TH0 cells. Science 265:244–248, 1994PubMedCrossRef
30.
Zurück zum Zitat Israel-Biet D, Labrousse F, Tourani JM, Sors H, Andrieu JM, Even P: Elevation of IgE in HIV-infected subjects: A marker of poor prognosis. J Allergy Clin Immunol 89:68–75, 1992CrossRefPubMed Israel-Biet D, Labrousse F, Tourani JM, Sors H, Andrieu JM, Even P: Elevation of IgE in HIV-infected subjects: A marker of poor prognosis. J Allergy Clin Immunol 89:68–75, 1992CrossRefPubMed
31.
Zurück zum Zitat Vigano A, Principi N, Crupi L, Onorato J, Vincenzo ZG, Salvaggio A: Elevation of IgE in HIV-infected children and its correlation with the progression of disease. J Allergy Clin Immunol 95:627–632, 1995PubMedCrossRef Vigano A, Principi N, Crupi L, Onorato J, Vincenzo ZG, Salvaggio A: Elevation of IgE in HIV-infected children and its correlation with the progression of disease. J Allergy Clin Immunol 95:627–632, 1995PubMedCrossRef
32.
Zurück zum Zitat Clerici M, Lucey DR, Berzofsky JA, Pinto LA, Wynn TA, Blatt SP, Dolan MJ, Hendrix CW, Wolf SF, Shearer GM: Restoration of HIV-specific cell-mediated immune responses by interleukin-12 in vitro. Science 262:1721–1724, 1993PubMedCrossRef Clerici M, Lucey DR, Berzofsky JA, Pinto LA, Wynn TA, Blatt SP, Dolan MJ, Hendrix CW, Wolf SF, Shearer GM: Restoration of HIV-specific cell-mediated immune responses by interleukin-12 in vitro. Science 262:1721–1724, 1993PubMedCrossRef
33.
Zurück zum Zitat Graziosi C, Pantaleo G, Gantt KR, Fortin JP, Demarest JF, Cohen OJ, Sekaly RP, Fauci AS: Lack of evidence for the dichotomy of TH1 and TH2 predominance in HIV-infected individuals. Science 265:248–252, 1994PubMedCrossRef Graziosi C, Pantaleo G, Gantt KR, Fortin JP, Demarest JF, Cohen OJ, Sekaly RP, Fauci AS: Lack of evidence for the dichotomy of TH1 and TH2 predominance in HIV-infected individuals. Science 265:248–252, 1994PubMedCrossRef
34.
Zurück zum Zitat Wild C, Dubay JW, Greenwell T, Baird T, Jr., Oas TG, McDanal C, Hunter E, Matthews T: Propensity for a leucine zipper-like domain of human immunodeficiency virus type 1 gp41 to form oligomers correlates with a role in virus-induced fusion rather than assembly of the glycoprotein complex. Proc Natl Acad Sci USA 91:12676–12680, 1994PubMedCrossRef Wild C, Dubay JW, Greenwell T, Baird T, Jr., Oas TG, McDanal C, Hunter E, Matthews T: Propensity for a leucine zipper-like domain of human immunodeficiency virus type 1 gp41 to form oligomers correlates with a role in virus-induced fusion rather than assembly of the glycoprotein complex. Proc Natl Acad Sci USA 91:12676–12680, 1994PubMedCrossRef
35.
Zurück zum Zitat Wild CT, Shugars DC, Greenwell TK, McDanal CB, Matthews TJ: Peptides corresponding to a predictive alpha-helical domain of human immunodeficiency virus type 1 gp41 are potent inhibitors of virus infection. Proc Natl Acad Sci USA 91:9770–9774, 1994PubMedCrossRef Wild CT, Shugars DC, Greenwell TK, McDanal CB, Matthews TJ: Peptides corresponding to a predictive alpha-helical domain of human immunodeficiency virus type 1 gp41 are potent inhibitors of virus infection. Proc Natl Acad Sci USA 91:9770–9774, 1994PubMedCrossRef
36.
Zurück zum Zitat Lawless MK, Barney S, Guthrie KI, Bucy TB, Petteway SR Jr., Merutka G: HIV-1 membrane fusion mechanism: Structural studies of the interactions between biologically-active peptides from gp41. Biochemistry 35:13697–13708, 1996CrossRefPubMed Lawless MK, Barney S, Guthrie KI, Bucy TB, Petteway SR Jr., Merutka G: HIV-1 membrane fusion mechanism: Structural studies of the interactions between biologically-active peptides from gp41. Biochemistry 35:13697–13708, 1996CrossRefPubMed
Metadaten
Titel
Immunological Basis for IgE Hyper-Production in Enfuvirtide-Treated HIV- Positive Patients
verfasst von
Samuele E. Burastero
Clara Paolucci
Daniela Breda
Armando Soldarini
Fernanda Dorigatti
Elisa Soprana
Hamid Hasson
Priscilla Biswas
Adriano Lazzarin
Antonella Castagna
Publikationsdatum
01.03.2006
Verlag
Springer US
Erschienen in
Journal of Clinical Immunology / Ausgabe 2/2006
Print ISSN: 0271-9142
Elektronische ISSN: 1573-2592
DOI
https://doi.org/10.1007/s10875-006-9005-7

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