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Am J Physiol Gastrointest Liver Physiol 284: G595-G603, 2003. First published January 10, 2003; doi:10.1152/ajpgi.00450.2002
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Vol. 284, Issue 4, G595-G603, April 2003

Therapeutic effect of anti-OX40L and anti-TNF-alpha MAbs in a murine model of chronic colitis

T. Totsuka1, T. Kanai1, K. Uraushihara1, R. Iiyama1, M. Yamazaki1, H. Akiba2, H. Yagita2, K. Okumura2, and M. Watanabe1

1 Department of Gastroenterology and Hepatology, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo 113 - 8519; and 2 Department of Immunology, Juntendo University School of Medicine, Tokyo 113 - 8421, Japan

Interaction of OX40 (CD134) on T cells with its ligand (OX40L) on antigen-presenting cells has been implicated in pathogenic T cell activation. This study was performed to explore the involvement of OX40/OX40L in the development of T cell-mediated chronic colitis. We evaluated both the preventive and therapeutic effects of neutralizing anti-OX40L MAb on the development of chronic colitis in SCID mice induced by adoptive transfer of CD4+CD45RBhigh T cells as an animal model of Crohn's disease. We also assessed the combination of anti-OX40L and anti-TNF-alpha MAbs to improve the therapeutic effect. Administration of anti-OX40L MAb markedly ameliorated the clinical and histopathological disease in preventive and therapeutic protocols. In vivo treatment with anti-OX40L MAb decreased CD4+ T cell infiltration in the colon and suppressed IFN-gamma , IL-2, and TNF-alpha production by lamina propria CD4+ T cells. The combination with anti-TNF-alpha MAb further improved the therapeutic effect by abolishing IFN-gamma , IL-2, and TNF-alpha production by lamina propria CD4+ T cells. Our present results suggested a pivotal role of OX40/OX40L in the pathogenesis of T cell-mediated chronic colitis. The OX40L blockade, especially in combination with the TNF-alpha blockade, may be a promising strategy for therapeutic intervention of Crohn's disease.

OX40L; tumor necrosis factor-alpha ; Crohn's disease; therapy


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