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Blood, 1 January 2005, Vol. 105, No. 1, pp. 428-431.
Prepublished online as a Blood First Edition Paper on August 26, 2004; DOI 10.1182/blood-2004-01-0371.


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Submitted January 29, 2004
Accepted August 11, 2004

Phenyl-N-TERT-Butylnitrone (PBN) protects syngeneic marrow transplant recipients from the lethal cytokine syndrome occurring after agonistic CD40 antibody administration

Maria Gendelman, Nadine Halligan, Richard Komorowski, Brent Logan, William J Murphy, Bruce R Blazar, Kirkwood A Pritchard Jr., and William R Drobyski*

Departments of Medicine, Bone Marrow Transplant Program, Medical College of Wisconsin, Milwaukee, WI, USA
Department of Pathology, Bone Marrow Transplant Program, Medical College of Wisconsin, Milwaukee, WI, USA
Department of Biostatistics, Bone Marrow Transplant Program, Medical College of Wisconsin, Milwaukee, WI, USA
Department of Microbiology and Immunology, University of Nevada-Reno, Reno, NV, USA
Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA
Department of Pediatric Surgery, Bone Marrow Transplant Program, Medical College of Wisconsin, Milwaukee, WI, USA

* Corresponding author; email: bill{at}bmt.mcw.edu.

Administration of agonistic monoclonal antibodies or recombinant cytokines is a potential approach to enhance antitumor immunity in bone marrow transplant (BMT) recipients, but is complicated by toxicity due to proinflammatory cytokine-mediated vital organ damage. We employed a murine syngeneic BMT model in which administration of anti-CD40 antibody early post-BMT results in overproduction of IL-12 and IFN-{gamma} and lethal gut toxicity to examine the protective effect of the spin trap inhibitor, alpha phenyl-tert-butylnitrone (PBN). Administration of PBN protected transplant recipients from mortality by significantly attenuating gut toxicity, but did not effect a reduction in the levels of proinflammatory cytokines (IL-12, IFN-{gamma}, TNF-{alpha}, or nitrate/nitrite). Moreover, PBN did not compromise anti-CD40 antibody-mediated antitumor effects in a nontransplant lymphoma model. Collectively, these data suggest that PBN administration may represent a novel approach for reduction of toxicity without compromise of antitumor effects resulting from administration of therapeutic antibodies in both transplant and nontransplant settings.


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