IUBio

Induction of tolerance in autoimmune disease using cholera toxin

Felix L. Negron hboclinic at earthlink.net
Mon May 1 04:10:34 EST 1995


-----------------------------------
Name: hboclinic
E-mail: hboclinic at earthlink.net
Date: 05/01/95
Time: 00:21:11

Cecil Czerkinsky, of the University of Goteborg in Sweden,
presented a paper at American Association of Immunologists, 
in Atlanta, Georgia several weeks ago. He has developed a 
novel way of treating autoimmune disorders. Autoimmune 
disease can suppressed or stopped by attaching a fragment of 
a substance that the immune system had previously recognized 
as foreign to a cholera toxin fragment. When fed to animals, 
a single, small dose of this drug permanently shut down 
either of two experimentally induced autoimmune 
diseases.

Of the two primary components of cholera toxin, only the A 
chain is actually poisonous. The B chain not only anchors the 
molecule to the intestine, it also stimulates the immune 
system. Individuals can sometimes develop a tolerance to 
antigens substances that cause an immune reaction  by eating 
them, Czerkinsky's team fed its animals sample antigens 
linked to B chains.

The therapy induced a very strong state of tolerance in the 
intestine, blood and Lymph nodes. His group has investigated 
the B chain for blunting undesirable immune responses in 
animals.

They attach the B chain of the cholera toxin to myelin basic 
protein (MPB). The drug is then given to rats experiencing MS 
like autoimmunity. The drug thwarted the affects after one 
dose.  Other researchers have headed off MS like diseases in 
animals by administering oral MBP. However that "only worked 
with huge amounts MBP and before disease so suppression.


His team also prevented the joint swelling and tissue 
destruction normally seen in mice with autoimmune arthritis. 
The treatment, another B chain linked antigen, began weeks 
after the disease had been induced.

The researchers gave S chain linked antigens 
from heart grafts to mice following tissue transplants. 
Immune reaction against these antigens would normally lead to 
rejection of the deliberately mismatched tissue in 11 or 12 
days. The  treated animals accepted the tissue for 22 days, 
perhaps the rejection might be avoided with better 
tissue matching and multiple follow-up doses of the B chain 
modified antigen.

Has anyone in this country investigating this approach for 
treating MS?
How is such a molecule made?
Who can synthesize such a molecule?





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