In vitro evidence that subcutaneous administration of glatiramer acetate induces hyporesponsive T cells in patients with multiple sclerosis

Glatiramer acetate (GA; Copaxone) is a random sequence polypeptide used in the treatment of relapsing remitting multiple sclerosis (RR MS). We have recently demonstrated that prior to treatment, GA induces proliferation of resting T cells and is not cross-reactive with myelin antigens. Daily GA inje...

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Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 106(2003), 3 vom: 01. März, Seite 163-74
1. Verfasser: Schmied, M (VerfasserIn)
Weitere Verfasser: Duda, P W, Krieger, J I, Trollmo, C, Hafler, D A
Format: Aufsatz
Sprache:English
Veröffentlicht: 2003
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. Cytokines Interleukin-2 Peptides Recombinant Proteins Glatiramer Acetate 5M691HL4BO
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100 1 |a Schmied, M  |e verfasserin  |4 aut 
245 1 0 |a In vitro evidence that subcutaneous administration of glatiramer acetate induces hyporesponsive T cells in patients with multiple sclerosis 
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500 |a Date Revised 07.11.2019 
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500 |a Citation Status MEDLINE 
520 |a Glatiramer acetate (GA; Copaxone) is a random sequence polypeptide used in the treatment of relapsing remitting multiple sclerosis (RR MS). We have recently demonstrated that prior to treatment, GA induces proliferation of resting T cells and is not cross-reactive with myelin antigens. Daily GA injections induce a significant loss of this GA responsiveness, which is associated with the induction of highly cross-reactive Th2-type T cells potentially capable of suppressing inflammatory responses. The mechanism of action by which GA induces T cell nonresponsiveness leading to T cell receptor degeneracy in patients with RR MS is unknown. Here, we examined the effects of daily GA administration on the induction of T cell hyporesponsiveness. The frequency of GA-reactive T cells in peripheral blood of seven patients with RR MS was measured by limiting dilution analysis prior to and during 6 months of treatment. In addition, a model in which GA-reactive T cells were stimulated in vitro was developed to better characterize the selection of T cell populations over time. In vivo treatment with GA induced a decrease in GA-reactive T cell frequencies and hyporesponsiveness of CD4(+) T cell reactivity to GA in vitro that was only partially reversed by the addition of IL-2. These data suggest that T cell peripheral tolerance to GA was achieved in vivo during treatment. Thus, our in vitro data suggest that the underlying changes in GA-reactive CD4(+) T cell reactivity could be explained by the induction of T cell anergy and clonal elimination 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Research Support, U.S. Gov't, P.H.S. 
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650 7 |a Interleukin-2  |2 NLM 
650 7 |a Peptides  |2 NLM 
650 7 |a Recombinant Proteins  |2 NLM 
650 7 |a Glatiramer Acetate  |2 NLM 
650 7 |a 5M691HL4BO  |2 NLM 
700 1 |a Duda, P W  |e verfasserin  |4 aut 
700 1 |a Krieger, J I  |e verfasserin  |4 aut 
700 1 |a Trollmo, C  |e verfasserin  |4 aut 
700 1 |a Hafler, D A  |e verfasserin  |4 aut 
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