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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2001-11-0062.

Submitted November 27, 2001
Accepted February 11, 2002
Effect of rapamycin on the cyclosporin A-resistant CD28-mediated co-stimulatory pathway
Paritosh Ghosh*, Meredith A Buchholz, Shingo Yano, Dennis Taub, and Dan L Longo
Laboratory of Immunology, National Institute on Aging, Baltimore, MD, USA
* Corresponding author; email: ghoshp{at}grc.nia.nih.gov.
The consequences of T cell activation depend exclusively on co-stimulation during antigen-T cell receptor interaction. Interaction between the T cell co-receptor CD28 and its ligand B7 during antigen-antigen receptor engagement results in full activation of T cells, the outcomes of which are proliferation and generation of effector functions. The ability of CD28 to co-stimulate the production of interleukin-2 (IL-2) explains the importance of this co-stimulation. The signaling event mediated by CD28 engagement has been proposed to have two components: one is sensitive to the immunosuppressive drug cyclosporin A (CsA), and the other one is CsA-resistant. In this report, we demonstrate that the CsA-resistant pathway is sensitive to the immunosuppressive drug rapamycin. Treatment with rapamycin blocked IL-2 production after activation of human peripheral blood T cells with phorbol ester (PMA) and anti-CD28 (CsA-resistant pathway), whereas this drug did not have any effect on PMA plus ionomycin stimulation (CsA-sensitive pathway). The inhibitory effect of rapamycin was on mRNA stability and translation, rather than on IL-2 transcription or protein turnover.

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