Article
Potentiation of immunological tolerance induction in adult mice by co-administration of pooled normal IgG and oral tolerogens: a potential therapeutic approach for autoimmune diseases.
Registro en:
MENGELE JUNIOR, J. O. et al. Potentiation of immunological tolerance induction in adult mice by co-administration of pooled normal IgG and oral tolerogens: a potential therapeutic approach for autoimmune diseases. Medical Hypotheses, v. 64, n. 5, p. 978-985, 2005.
0306-9877
10.1016/j.mehy.2004.10.015
Autor
Mengele Junior, José Orivaldo
Fávaro, Patrícia Maria Bergamo
Meyer, André
Motta, Vinícius Nogueira
Alencar, Raquel de
Postól, Edilberto
Cardillo, Fabíola
Resumen
Oral tolerance can be defined as the inability of an adult animal to produce specific antibodies or cellular
immune responses upon conventional immunization, after oral antigenic administration. Recently, the oral
administration of antigens has gained renewed interest because of the possibility of inducing tolerance in
nonimmunized adult animals and, consequently, opening up the theoretical possibility of preventing or treating
diseases caused by malfunction of the immune system. This strategy has been proven to be useful in the prevention of
allergic and autoimmune diseases in rodents, as well as in the amelioration of certain autoimmune diseases in humans.
Although there is experimental and clinical evidence for the usefulness of oral tolerance in medical practice, the
mechanisms responsible for this phenomenon are still poorly understood, and the results obtained are not always
satisfactory. Herein, we show that the thymus is required for the induction and maintenance of oral tolerance,
providing evidence that it is not a pure form of clonal deletion-based peripheral tolerance. Oral tolerance could
therefore depend on the formation and release to the periphery of regulatory T cells, such as cd or ab T cells, by the
thymus. This finding may have profound implications for the treatment of autoimmune diseases, since most of them
are associated with thymic hypofunction. On the other hand, due to so far unknown mechanisms, the intraperitoneal
co-administration of normal IgG to mice orally treated with tolerogen leads to a sustained and intense immunological
tolerance, both in euthymic and thymectomized mice, including those of the lupus erythematosus-prone NZB · NZW
lineage. This approach for inducing and maintaining tolerance in thymus-deficient conditions is discussed and put forth
herein as a new evidence-based proposition for the therapy of autoimmune diseases.