» Articles » PMID: 20405183

Immunomodulation by Intravenous Immunoglobulin: Role of Regulatory T Cells

Overview
Journal J Clin Immunol
Publisher Springer
Date 2010 Apr 21
PMID 20405183
Citations 27
Authors
Affiliations
Soon will be listed here.
Abstract

An altered immune homeostasis as a result of deficiency or defective function of CD4(+)CD25(+)FoxP3(+) regulatory T cells (Tregs) is common in several autoimmune diseases. Hence, therapeutic strategies to render Tregs functionally competent are being investigated. Intravenous immunoglobulin (IVIG) is being increasingly used for the treatment of a wide range of autoimmune and inflammatory diseases. Recent studies have demonstrated that IVIG induces the expansion of Tregs and enhances their suppressive functions. These effects of IVIG on Tregs correlate with the beneficial effects of IVIG in patients with autoimmune diseases. Thus, modulation of Tregs by IVIG represents a novel mode of action that explains the therapeutic effects of IVIG in T cell-mediated autoimmune diseases. However, the molecular mechanisms involved in IVIG-mediated modulation of Tregs are unclear and need further investigation.

Citing Articles

A Rare Pediatric Case of Allopurinol-Induced Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS) Successfully Treated With Intravenous Immunoglobulins.

Rotulo G, Campanello C, Battaglini M, Bassi M, Pastorino C, Angeletti A J Pediatr Pharmacol Ther. 2024; 29(2):195-199.

PMID: 38596415 PMC: 11001218. DOI: 10.5863/1551-6776-29.2.195.


Systems biology and artificial intelligence analysis highlights the pleiotropic effect of IVIg therapy in autoimmune diseases with a predominant role on B cells and complement system.

Segu-Verges C, Cano S, Calderon-Gomez E, Bartra H, Sardon T, Kaveri S Front Immunol. 2022; 13:901872.

PMID: 36248801 PMC: 9563374. DOI: 10.3389/fimmu.2022.901872.


Protocol of comparison of the effects of single plasma exchange and double filtration plasmapheresis on peripheral lymphocyte phenotypes in patients with Chronic Inflammatory Demyelinating Polyradiculoneuropathy: a monocentric prospective study with....

Moranne O, Ion I, Cezar R, Messikh Z, Prelipcean C, Chkair S BMC Neurol. 2022; 22(1):293.

PMID: 35931957 PMC: 9354281. DOI: 10.1186/s12883-022-02816-w.


Intravenous Immunoglobulins at the Crossroad of Autoimmunity and Viral Infections.

Perricone C, Triggianese P, Bursi R, Cafaro G, Bartoloni E, Chimenti M Microorganisms. 2021; 9(1).

PMID: 33430200 PMC: 7825648. DOI: 10.3390/microorganisms9010121.


Natural Antibodies: from First-Line Defense Against Pathogens to Perpetual Immune Homeostasis.

Maddur M, Lacroix-Desmazes S, Dimitrov J, Kazatchkine M, Bayry J, Kaveri S Clin Rev Allergy Immunol. 2019; 58(2):213-228.

PMID: 31161341 DOI: 10.1007/s12016-019-08746-9.


References
1.
Ephrem A, Chamat S, Miquel C, Fisson S, Mouthon L, Caligiuri G . Expansion of CD4+CD25+ regulatory T cells by intravenous immunoglobulin: a critical factor in controlling experimental autoimmune encephalomyelitis. Blood. 2007; 111(2):715-22. DOI: 10.1182/blood-2007-03-079947. View

2.
Bettelli E, Carrier Y, Gao W, Korn T, Strom T, Oukka M . Reciprocal developmental pathways for the generation of pathogenic effector TH17 and regulatory T cells. Nature. 2006; 441(7090):235-8. DOI: 10.1038/nature04753. View

3.
Onishi Y, Fehervari Z, Yamaguchi T, Sakaguchi S . Foxp3+ natural regulatory T cells preferentially form aggregates on dendritic cells in vitro and actively inhibit their maturation. Proc Natl Acad Sci U S A. 2008; 105(29):10113-8. PMC: 2481354. DOI: 10.1073/pnas.0711106105. View

4.
Caspi R . Tregitopes switch on Tregs. Blood. 2008; 112(8):3003-4. PMC: 2569158. DOI: 10.1182/blood-2008-08-173609. View

5.
Bayry J, Lacroix-Desmazes S, Kazatchkine M, Kaveri S . Monoclonal antibody and intravenous immunoglobulin therapy for rheumatic diseases: rationale and mechanisms of action. Nat Clin Pract Rheumatol. 2007; 3(5):262-72. DOI: 10.1038/ncprheum0481. View