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Blood, 1 March 2005, Vol. 105, No. 5, pp. 2206-2213.
Prepublished online as a Blood First Edition Paper on November 2, 2004; DOI 10.1182/blood-2004-06-2080.


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Submitted June 2, 2004
Accepted October 20, 2004

4-1BB (CD137) stimulation inhibits chronic graft-versus-host disease by inducing activation-induced cell death of donor CD4+ T cells

Juyang Kim, Woon S Choi, Soojin La, Jae-Hee Suh, Byoung-Sam Kim, Hong R Cho, Byoung S Kwon, and Byungsuk Kwon*

Immunomodulation Research Center, University of Ulsan, Ulsan, Korea, Republic of
Department of Pathology, Ulsan University Hospital, Ulsan, Korea, Republic of

* Corresponding author; email: bkwon{at}mail.ulsan.ac.kr.

4-1BB, a member of the TNF receptor superfamily, is a costimulator for activated T cells. Previous studies have established that treatment with agonistic anti-4-BB monoclonal antibody (3H3) is effective in reversing the progression of spontaneous systemic lupus erythematosus. Its therapeutic effect is mediated by suppression of autoantibody production. In this report, we show that a single injection of 3H3 blocks chronic graft-versus-host disease (cGVHD) in the parent-into-F1 model. In particular, donor CD4+ T cells are rapidly eliminated from host spleens by activation-induced cell death after 4-1BB triggering. Since donor CD4+ T cells are required for the development of cGVHD, and 3H3-mediated inhibition of autoantibody production occurs without donor CD8+ T cells, 3H3 blocks cGVHD by preventing alloreactive donor CD4+ T cells from activating host B cells. Importantly, 3H3 treatment can reverse the progression of advanced cGVHD. Our findings indicate that agonistic anti-4-1BB monoclonal antibody has potential as an immunotherapeutic agent for preventing and treating cGVHD.


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