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Blood, 1 December 2004, Vol. 104, No. 12, pp. 3642-3646.
Prepublished online as a Blood First Edition Paper on August 17, 2004; DOI 10.1182/blood-2004-03-0817.


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Submitted March 3, 2004
Accepted May 14, 2004

RNAi-mediated silencing of CD40 prevents leukocyte adhesion on CD154-activated endothelial cells

Raquel Pluvinet, Jordi Petriz, Joan Torras, Inmaculada Herrero-Fresneda, Josep M Cruzado, Josep M Grinyo, and Josep M Aran*

Medical and Molecular Genetics Center, Institut de Recerca Oncologica (IRO), Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, Spain
Servei d'Hemoterapia i Hemostasia, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
Laboratory of Nephrology, Medicine Department, Hospital Universitari de Bellvitge, Universitat de Barcelona, L'Hospitalet de llobregat, Barcelona, Spain

* Corresponding author; email: jaran{at}iro.es.

The CD40-CD154 dyad has a central role in the development of immune-inflammatory processes. Therefore, disruption of CD40 signaling has the potential to be therapeutically useful in a number of disease indications including autoimmune syndromes, atherosclerosis and allograft rejection. Blocking antibodies to CD154 have been successfully employed in experimental animal models, and recently in clinical trials, to prevent or treat these immunologically induced diseases. However, the thrombotic events observed in some of the above studies raise important issues regarding future use of anti-CD154 antibodies in humans. In this study we demonstrate that a small interfering RNA (siRNA) can effectively reduce the surface expression of the human CD40 co-stimulatory receptor. Moreover, by rendering endothelial cells unresponsive to CD154+ Jurkat cell-mediated activation through RNA interference, induction of endothelial cell-adhesion molecule expression and leukocyte adhesion is prevented in vitro. Thus, anti-CD40 siRNA may become a safe and effective therapeutic option for interfering with CD40-CD154-mediated acute or chronic immune-inflammatory conditions.


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