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Blood, 15 December 2006, Vol. 108, No. 13, pp. 3967-3975.
Prepublished online as a Blood First Edition Paper on August 22, 2006; DOI 10.1182/blood-2006-04-020610.
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Submitted April 28, 2006
Accepted August 2, 2006
Arsenic trioxide, a novel promising therapeutic agent for lymphoproliferative and autoimmune syndromes in MRL/lpr mice
Pierre Bobe, Danielle Bonardelle, Karim Benihoud, Paule Opolon, and Mounira K Chelbi-Alix*
CNRS UPR 9045, 7, rue Guy-Moquet, 94801 Villejuif Cedex, France
CNRS/Institut Gustave-Roussy, UMR 8121, rue Camille-Desmoulins, Villejuif Cedex, France
* Corresponding author; email: mchelbi{at}vjf.cnrs.fr.
MRL/lpr mice develop a human-lupus-like syndrome and, as in autoimmune lymphoproliferative syndrome (ALPS), massive lymphoproliferation due to inactivation of Fas-mediated apoptosis. Presently, no effective therapy exists for ALPS, and long term, therapies for lupus are hazardous. We show herein that arsenic trioxide (As2O3) is able to achieve quasi-total regression of antibody- and cell-mediated manifestations in MRL/lpr mice. As2O3 activated caspases, and eliminated the activated T lymphocytes responsible for lymphoproliferation, and skin, lung and kidney lesions, leading to significantly prolonged survival rates. This treatment also markedly reduced anti-DNA autoantibody, rheumatoid factor, IL-18, IFN- , nitric oxide metabolite, tumor necrosis factor- , Fas-ligand and IL-10 levels, and immune-complex deposits in glomeruli. As2O3 restored cellular reduced glutathione levels, thereby limiting the toxic effect of nitric oxide, which is overproduced in MRL/lpr mice. Furthermore, As2O3 protected young animals against developing the syndrome and induced almost total disease disappearance in older affected mice, thereby demonstrating that it is a novel promising therapeutic agent for autoimmune diseases.

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