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Prepublished online as a Blood First Edition Paper on September 11, 2003; DOI 10.1182/blood-2003-06-2184.

Submitted July 1, 2003
Accepted August 28, 2003
Ligation of CD137 receptor prevents and reverses established anergy of CD8+ cytolytic T lymphocytes in vivo
Ryan A Wilcox, Koji Tamada, Dallas B Flies, Gefeng Zhu, Andrei I Chapoval, Bruce R Blazar, W Martin Kast, and Lieping Chen*
Department of Immunology, Mayo Clinic, Rochester, MN, USA
Cancer Center and Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA
Cardinal Bernardin Caner Center, Loyola University Chicago, Maywood, IL, USA
* Corresponding author; email: chen.lieping{at}mayo.edu.
T cell anergy is a tolerance mechanism defined as a hyporesponsive status of antigen-specific T cells upon prior antigen encounter and is believed to play a critical role in the evasion of tumor immunity and the amelioration of allogeneic transplantation rejection. Molecular mechanisms in controlling T cell anergy are less known. We show here that administration of an agonistic monoclonal antibody (mAb) to CD137, a member of the tumor necrosis factor receptor superfamily, prevents the induction of CD8+ CTL anergy by soluble antigens. More importantly, CD137 mAb restores the functions of established anergic CTL upon re-encountering their cognate antigen. As a result, infusion of CD137 mAb inhibits progressive tumor growth that is caused by soluble tumor antigen-induced tolerance in a P815R model. CD137 mAb also restores proliferation and effector functions of anergic alloreactive 2C T cells in a bone marrow transplantation model. Our results indicate that ligation of CD137 receptor delivers a regulatory signal for T cell anergy and implicate manipulation of CD137 pathway as a new approach to break T cell tolerance.

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