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Blood, 15 December 2006, Vol. 108, No. 13, pp. 3967-3975. Prepublished online as a Blood First Edition Paper on August 22, 2006; DOI 10.1182/blood-2006-04-020610.
PLENARY PAPERS Arsenic trioxide: a promising novel therapeutic agent for lymphoproliferative and autoimmune syndromes in MRL/lpr miceFrom the Centre National de la Recherche Scientifique (CNRS) Unite Propre de Recherche (UPR) 9045, Villejuif, France; Université Paris-Sud XI, Orsay, France; and CNRS/Institut Gustave-Roussy, Unité Mixte de Recherche (UMR) 8121, Villejuif, France.
MRL/lpr mice develop a human lupuslike syndrome and, as in autoimmune lymphoproliferative syndrome (ALPS), massive lymphoproliferation due to inactivation of Fas-mediated apoptosis. Presently, no effective therapy exists for ALPS, and long term, therapies for lupus are hazardous. We show herein that arsenic trioxide (As2O3) is able to achieve quasi-total regression of antibody- and cell-mediated manifestations in MRL/lpr mice. As2O3 activated caspases and eliminated the activated T lymphocytes responsible for lymphoproliferation and skin, lung, and kidney lesions, leading to significantly prolonged survival rates. This treatment also markedly reduced anti-DNA autoantibody, rheumatoid factor, IL-18, IFN-
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