<1. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29168430 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stovgaard ES AU - Nielsen D AU - Hogdall E AU - Balslev E AI - Stovgaard, Elisabeth Specht; ORCID: http://orcid.org/0000-0002-5784-3610 FA - Stovgaard, Elisabeth Specht FA - Nielsen, Dorte FA - Hogdall, Estrid FA - Balslev, Eva IN - Stovgaard, Elisabeth Specht. a Deparment of Pathology , Herlev and Gentofte Hospital, University of Copenhagen , Herlev , Denmark. IN - Nielsen, Dorte. b Department of Oncology , Herlev and Gentofte Hospital, University of Copenhagen , Herlev , Denmark. IN - Hogdall, Estrid. c Department of Pathology, Molecular Unit , Herlev and Gentofte Hospital, University of Copenhagen , Herlev , Denmark. IN - Balslev, Eva. a Deparment of Pathology , Herlev and Gentofte Hospital, University of Copenhagen , Herlev , Denmark. TI - Triple negative breast cancer - prognostic role of immune-related factors: a systematic review. [Review] SO - Acta Oncologica. 57(1):74-82, 2018 Jan AS - Acta Oncol. 57(1):74-82, 2018 Jan NJ - Acta oncologica (Stockholm, Sweden) VO - 57 IP - 1 PG - 74-82 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aon, 8709065 IO - Acta Oncol SB - Index Medicus CP - England MH - B-Lymphocytes/me [Metabolism] MH - B7-H1 Antigen/me [Metabolism] MH - Biomarkers/me [Metabolism] MH - CD4-Positive T-Lymphocytes/me [Metabolism] MH - CD8-Positive T-Lymphocytes/me [Metabolism] MH - CTLA-4 Antigen/me [Metabolism] MH - Dendritic Cells/me [Metabolism] MH - Female MH - Humans MH - Killer Cells, Natural/me [Metabolism] MH - Macrophages/me [Metabolism] MH - Myeloid-Derived Suppressor Cells/me [Metabolism] MH - Prognosis MH - Programmed Cell Death 1 Receptor/me [Metabolism] MH - *Triple Negative Breast Neoplasms/me [Metabolism] MH - Triple Negative Breast Neoplasms/pa [Pathology] AB - PURPOSE: Treatment of breast cancer has been increasingly successful in recent years with the advent of HER2-receptor targeted treatment and endocrine treatment. However, the triple negative subgroup of breast cancer (TNBC) (estrogen-, progesterone- and HER2-receptor negative) still lacks targeted treatment options. TNBC is a type of breast cancer that often affects younger women, and generally has a worse prognosis than other types of breast cancer. Recently, the complex role of the immune system in cancer growth, elimination and metastasis has been the object of increased attention. There is hope that a more detailed understanding of the intricate roles of the constituents of the immune system, will hold potential both as prognostic or predictive markers of cancer progression, but also as treatment targets for a wide range of tumors, including TNBC. The aim of this review is to provide an overview of the cellular immune microenvironment in TNBC, and to highlight areas in which TNBC may differ from other types of breast cancer. AB - MATERIAL AND METHODS: A search of PubMed was made using the terms 'triple negative breast cancer' and 'tumor infiltrating lymphocytes', 'CD8', 'CD4', 'B cells', 'natural killer cells', 'macrophages', myeloid derived suppressor cells', 'dendritic cells', 'immune check point inhibitor', 'CTLA-4' and 'PD-L1'. AB - RESULTS: We find that whilst factors such as TILs and certain subgroups of TILs (e.g., CD8+and regulator T-cells) have been extensively researched, none of these markers are currently applicable to routine clinical practice. Also, TNBC differs from other types of breast cancer with regards to cellular composition of the immune infiltrate and PD-L1 expression, and the prognostic significance of these. AB - CONCLUSIONS: Immune-related factors have the potential as both prognostic and predictive biomarkers for new treatments targeting the immune system in breast cancer. However, multivariate analyses, taking other well-known factors into account, are required to determine the true value of these biomarkers. Also, differences between TNBC and other types of breast cancer may have implications for treatment and use of immune-related factors as biomarkers. RN - 0 (B7-H1 Antigen) RN - 0 (Biomarkers) RN - 0 (CD274 protein, human) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (PDCD1 protein, human) RN - 0 (Programmed Cell Death 1 Receptor) ES - 1651-226X IL - 0284-186X DO - https://dx.doi.org/10.1080/0284186X.2017.1400180 PT - Journal Article PT - Review ID - 10.1080/0284186X.2017.1400180 [doi] PP - ppublish LG - English EP - 20171123 DP - 2018 Jan EZ - 2017/11/24 06:00 DA - 2018/02/02 06:00 DT - 2017/11/24 06:00 YR - 2018 ED - 20180201 RD - 20180201 UP - 20180202 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=29168430 <2. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26719427 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Farren MR AU - Mace TA AU - Geyer S AU - Mikhail S AU - Wu C AU - Ciombor K AU - Tahiri S AU - Ahn D AU - Noonan AM AU - Villalona-Calero M AU - Bekaii-Saab T AU - Lesinski GB FA - Farren, Matthew R FA - Mace, Thomas A FA - Geyer, Susan FA - Mikhail, Sameh FA - Wu, Christina FA - Ciombor, Kristen FA - Tahiri, Sanaa FA - Ahn, Daniel FA - Noonan, Anne M FA - Villalona-Calero, Miguel FA - Bekaii-Saab, Tanios FA - Lesinski, Gregory B IN - Farren, Matthew R. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Mace, Thomas A. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Geyer, Susan. Health Informatics Institute, University of South Florida, Tampa, Florida. IN - Mikhail, Sameh. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Wu, Christina. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Ciombor, Kristen. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Tahiri, Sanaa. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Ahn, Daniel. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Noonan, Anne M. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Villalona-Calero, Miguel. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Bekaii-Saab, Tanios. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. IN - Lesinski, Gregory B. Department of Internal Medicine, The Ohio State University, Columbus, Ohio. Gregory.Lesinski@osumc.edu. TI - Systemic Immune Activity Predicts Overall Survival in Treatment-Naive Patients with Metastatic Pancreatic Cancer. SO - Clinical Cancer Research. 22(10):2565-74, 2016 May 15 AS - Clin Cancer Res. 22(10):2565-74, 2016 May 15 NJ - Clinical cancer research : an official journal of the American Association for Cancer Research VO - 22 IP - 10 PG - 2565-74 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - c2h, 9502500 IO - Clin. Cancer Res. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867263 OI - Source: NLM. NIHMS748466 [Available on 05/15/17] SB - Index Medicus CP - United States MH - Adenocarcinoma/im [Immunology] MH - Adenocarcinoma/mo [Mortality] MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/im [Immunology] MH - CD4-Positive T-Lymphocytes/im [Immunology] MH - CD8-Positive T-Lymphocytes/im [Immunology] MH - CTLA-4 Antigen/im [Immunology] MH - Carcinoma, Pancreatic Ductal/im [Immunology] MH - Carcinoma, Pancreatic Ductal/mo [Mortality] MH - Female MH - Humans MH - Interleukin-10/im [Immunology] MH - Interleukin-6/im [Immunology] MH - Male MH - Middle Aged MH - Monocytes/im [Immunology] MH - Pancreas/im [Immunology] MH - *Pancreatic Neoplasms/im [Immunology] MH - *Pancreatic Neoplasms/mo [Mortality] MH - Survival Rate AB - PURPOSE: Pancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer with a 5-year survival rate <7% and is ultimately refractory to most treatments. To date, an assessment of immunologic factors relevant to disease has not been comprehensively performed for treatment-naive patients. We hypothesized that systemic immunologic biomarkers could predict overall survival (OS) in treatment-naive PDAC patients. AB - EXPERIMENTAL DESIGN: Peripheral blood was collected from 73 patients presenting with previously untreated metastatic PDAC. Extensive immunologic profiling was conducted to assess relationships between OS and the level of soluble plasma biomarkers or detailed immune cell phenotypes as measured by flow cytometry. AB - RESULTS: Higher baseline levels of the immunosuppressive cytokines IL6 and IL10 were strongly associated with poorer OS (P = 0.008 and 0.026, respectively; HR = 1.16 and 1.28, respectively), whereas higher levels of the monocyte chemoattractant MCP-1 were associated with significantly longer OS (P = 0.045; HR = 0.69). Patients with a greater proportion of antigen-experienced T cells (CD45RO(+)) had longer OS (CD4 P = 0.032; CD8 P = 0.036; HR = 0.36 and 0.61, respectively). Although greater expression of the T-cell checkpoint molecule CTLA-4 on CD8(+) T cells was associated with significantly shorter OS (P = 0.020; HR = 1.53), the TIM3 molecule had a positive association with survival when expressed on CD4(+) T cells (P = 0.046; HR = 0.62). AB - CONCLUSIONS: These data support the hypothesis that baseline immune status predicts PDAC disease course and overall patient survival. To our knowledge, this work represents the largest cohort and most comprehensive immune profiling of treatment-naive metastatic PDAC patients to date. Clin Cancer Res; 22(10); 2565-74. ©2015 AACR. Copyright ©2015 American Association for Cancer Research. RN - 0 (Biomarkers, Tumor) RN - 0 (CTLA-4 Antigen) RN - 0 (Interleukin-6) RN - 130068-27-8 (Interleukin-10) IS - 1078-0432 IL - 1078-0432 DO - https://dx.doi.org/10.1158/1078-0432.CCR-15-1732 PT - Clinical Trial, Phase II PT - Journal Article ID - 1078-0432.CCR-15-1732 [pii] ID - 10.1158/1078-0432.CCR-15-1732 [doi] ID - PMC4867263 [pmc] ID - NIHMS748466 [mid] PP - ppublish PH - 2015/07/21 [received] PH - 2015/12/14 [accepted] GI - No: HHSN261201100070C Organization: (CA) *NCI NIH HHS* Country: United States GI - No: UM1 CA186712 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: T32 CA165998 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: K12 CA133250 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: T32 CA090223 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P30 CA016058 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20151230 DP - 2016 May 15 EZ - 2016/01/01 06:00 DA - 2018/01/09 06:00 DT - 2016/01/01 06:00 YR - 2016 ED - 20180108 RD - 20180108 UP - 20180109 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26719427 <3. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27750046 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caturegli P AU - Di Dalmazi G AU - Lombardi M AU - Grosso F AU - Larman HB AU - Larman T AU - Taverna G AU - Cosottini M AU - Lupi I FA - Caturegli, Patrizio FA - Di Dalmazi, Giulia FA - Lombardi, Martina FA - Grosso, Federica FA - Larman, H Benjamin FA - Larman, Tatianna FA - Taverna, Giacomo FA - Cosottini, Mirco FA - Lupi, Isabella IN - Caturegli, Patrizio. Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland. Electronic address: pcat@jhmi.edu. IN - Di Dalmazi, Giulia. Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Medicine, G. D'Annunzio University of Chieti, Chieti, Italy. IN - Lombardi, Martina. Endocrinology Unit, Saints Anthony and Biagio, and Cesare Arrigo Hospital, Alessandria, Italy; Oncology Center, Saints Anthony and Biagio, and Cesare Arrigo Hospital, Alessandria, Italy. IN - Grosso, Federica. Oncology Center, Saints Anthony and Biagio, and Cesare Arrigo Hospital, Alessandria, Italy. IN - Larman, H Benjamin. Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland. IN - Larman, Tatianna. Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland. IN - Taverna, Giacomo. Department of Radiology, Mesothelioma Unit, Saint Spirit Hospital, Casale Monferrato, Italy. IN - Cosottini, Mirco. Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy. IN - Lupi, Isabella. Department of Endocrinology, University of Pisa, Pisa, Italy. TI - Hypophysitis Secondary to Cytotoxic T-Lymphocyte-Associated Protein 4 Blockade: Insights into Pathogenesis from an Autopsy Series. SO - American Journal of Pathology. 186(12):3225-3235, 2016 Dec AS - Am J Pathol. 186(12):3225-3235, 2016 Dec NJ - The American journal of pathology VO - 186 IP - 12 PG - 3225-3235 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3rs, 0370502 IO - Am. J. Pathol. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Antibodies, Blocking/ad [Administration & Dosage] MH - Antibodies, Blocking/ae [Adverse Effects] MH - Antibodies, Monoclonal/ad [Administration & Dosage] MH - Antibodies, Monoclonal/ae [Adverse Effects] MH - Autopsy MH - *CTLA-4 Antigen/ai [Antagonists & Inhibitors] MH - CTLA-4 Antigen/im [Immunology] MH - CTLA-4 Antigen/me [Metabolism] MH - Female MH - Humans MH - *Hypophysitis/et [Etiology] MH - Hypophysitis/im [Immunology] MH - Hypophysitis/pa [Pathology] MH - Male MH - Middle Aged MH - Pituitary Gland/im [Immunology] MH - *Pituitary Neoplasms/dt [Drug Therapy] MH - Pituitary Neoplasms/pa [Pathology] MH - Pituitary Neoplasms/su [Surgery] MH - T-Lymphocytes, Cytotoxic/im [Immunology] AB - Hypophysitis that develops in cancer patients treated with monoclonal antibodies blocking cytotoxic T-lymphocyte-associated protein 4 (CTLA-4; an inhibitory molecule classically expressed on T cells) is now reported at an incidence of approximately 10%. Its pathogenesis is unknown, in part because no pathologic examination of the pituitary gland has been reported to date. We analyzed at autopsy the pituitary glands of six cancer patients treated with CTLA-4 blockade, one with clinical and pathologic evidence of hypophysitis, one with mild lymphocytic infiltration in the pituitary gland but no clinical signs of hypophysitis, and four with normal pituitary structure and function. CTLA-4 antigen was expressed by pituitary endocrine cells in all patients but at different levels. The highest levels were found in the patient who had clinical and pathologic evidence of severe hypophysitis. This high pituitary CTLA-4 expression was associated with T-cell infiltration and IgG-dependent complement fixation and phagocytosis, immune reactions that induced an extensive destruction of the adenohypophyseal architecture. Pituitary CTLA-4 expression was confirmed in a validation group of 37 surgical pituitary adenomas and 11 normal pituitary glands. The study suggests that administration of CTLA-4 blocking antibodies to patients who express high levels of CTLA-4 antigen in the pituitary can cause an aggressive (necrotizing) form of hypophysitis through type IV (T-cell dependent) and type II (IgG dependent) immune mechanisms. Copyright © 2016 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved. RN - 0 (Antibodies, Blocking) RN - 0 (Antibodies, Monoclonal) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) ES - 1525-2191 IL - 0002-9440 DI - S0002-9440(16)30379-0 DO - https://dx.doi.org/10.1016/j.ajpath.2016.08.020 PT - Journal Article ID - S0002-9440(16)30379-0 [pii] ID - 10.1016/j.ajpath.2016.08.020 [doi] ID - PMC5225294 [pmc] PP - ppublish PH - 2016/04/29 [received] PH - 2016/08/08 [revised] PH - 2016/08/10 [accepted] GI - No: R01 CA194042 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20161015 DP - 2016 Dec EZ - 2016/10/18 06:00 DA - 2017/09/21 06:00 DT - 2016/10/18 06:00 YR - 2016 ED - 20170920 RD - 20171201 UP - 20171204 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27750046 <4. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25980680 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pruul K AU - Kisand K AU - Alnek K AU - Metskula K AU - Reimand K AU - Heilman K AU - Peet A AU - Varik K AU - Peetsalu M AU - Einberg U AU - Tillmann V AU - Uibo R FA - Pruul, K FA - Kisand, K FA - Alnek, K FA - Metskula, K FA - Reimand, K FA - Heilman, K FA - Peet, A FA - Varik, K FA - Peetsalu, M FA - Einberg, U FA - Tillmann, V FA - Uibo, R IN - Pruul, K. Department of Immunology, Institute of Biomedicine and Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia; Centre for Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia. IN - Kisand, K. Department of Immunology, Institute of Biomedicine and Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia; Centre for Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia. IN - Alnek, K. Department of Immunology, Institute of Biomedicine and Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia; Centre for Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia. IN - Metskula, K. Department of Immunology, Institute of Biomedicine and Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia; Centre for Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia. IN - Reimand, K. Department of Immunology, Institute of Biomedicine and Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia; Centre for Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia. IN - Heilman, K. Children's Clinic of Tartu University Hospital, N. Lunini 6, Tartu 51014, Estonia; Tallinn Children's Hospital, Tervise 28, Tallinn 13419, Estonia. IN - Peet, A. Children's Clinic of Tartu University Hospital, N. Lunini 6, Tartu 51014, Estonia; Department of Paediatrics, University of Tartu, N. Lunini 6, Tartu 51014, Estonia. IN - Varik, K. Surgery Clinic, Tartu University Hospital, L. Puusepa 8A, Tartu 51014, Estonia. IN - Peetsalu, M. Surgery Clinic, Tartu University Hospital, L. Puusepa 8A, Tartu 51014, Estonia. IN - Einberg, U. Tallinn Children's Hospital, Tervise 28, Tallinn 13419, Estonia. IN - Tillmann, V. Children's Clinic of Tartu University Hospital, N. Lunini 6, Tartu 51014, Estonia; Department of Paediatrics, University of Tartu, N. Lunini 6, Tartu 51014, Estonia. IN - Uibo, R. Department of Immunology, Institute of Biomedicine and Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia; Centre for Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia; Estonian Academy of Sciences, Kohtu 6, Tallinn 10130, Estonia. Electronic address: raivo.uibo@ut.ee. TI - Differences in B7 and CD28 family gene expression in the peripheral blood between newly diagnosed young-onset and adult-onset type 1 diabetes patients. SO - Molecular & Cellular Endocrinology. 412:265-71, 2015 Sep 05 AS - Mol Cell Endocrinol. 412:265-71, 2015 Sep 05 NJ - Molecular and cellular endocrinology VO - 412 PG - 265-71 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7500844, e69 IO - Mol. Cell. Endocrinol. SB - Index Medicus CP - Ireland MH - Adolescent MH - Adult MH - Aged MH - *B7 Antigens/bl [Blood] MH - B7 Antigens/ge [Genetics] MH - *CD28 Antigens/bl [Blood] MH - CD28 Antigens/ge [Genetics] MH - Case-Control Studies MH - Child MH - Child, Preschool MH - *Diabetes Mellitus, Type 1/bl [Blood] MH - Diabetes Mellitus, Type 1/di [Diagnosis] MH - Female MH - Gene Expression MH - Humans MH - Male MH - Middle Aged MH - Transcriptome MH - Young Adult KW - Adulthood-onset diabetes; Childhood-onset diabetes; Gene expression; Immune synapse; Type 1 diabetes AB - Type-1 diabetes (T1D) is a heterogeneous autoimmune disease, and there are pathogenetic differences between young- and adult-onset T1D patients. We hypothesized that the expressions of genes involved in costimulatory immune system pathways in peripheral blood are differently regulated in young- and adult-onset T1D. Study group I consisted of 80 children, adolescents, and young adults (age range 1.4-21.4 y; 31 controls and 49 T1D patients). Study group II consisted of 48 adults (age range 22.0-78.4 y; 30 controls and 18 T1D patients). The mRNA expression levels of CD86, CD28, CD25, CD226, CD40, BTLA, GITR, PDCD1, FoxP3, TGF-beta, ICOS, sCTLA4, flCTLA4, and CD80 were measured in peripheral blood. Genetic polymorphisms (HLA haplotypes; rs231806, rs231775, and rs3087243 in CTLA4; rs763361 in CD226; and rs706778 in CD25) and T1D-associated autoantibodies were analyzed. In group I, there was significantly lower expression of CD226 in T1D patients than in the controls. In group II, there were significantly higher expression levels of CD86 and TGF-beta in T1D patients than in the controls. In the T1D patients in group I, the upregulated CD80 expression correlated with the expression of both CTLA4 splice variants (sCTLA4 and flCTLA4). In contrast, in group II, upregulated CD86 correlated with TGF-beta and CD25. In group I, the inhibitory CD80-CTLA4 pathway was activated, whereas, in group II, the activation CD86-CD28 pathway and TGF-beta production were activated. These results emphasize the differences between young-onset and adult-onset T1D in the regulation of costimulatory pathways. These differences should be considered when developing novel treatments for T1D. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. RN - 0 (B7 Antigens) RN - 0 (CD28 Antigens) ES - 1872-8057 IL - 0303-7207 DI - S0303-7207(15)00270-1 DO - https://dx.doi.org/10.1016/j.mce.2015.05.012 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0303-7207(15)00270-1 [pii] ID - 10.1016/j.mce.2015.05.012 [doi] PP - ppublish PH - 2014/12/10 [received] PH - 2015/05/05 [revised] PH - 2015/05/05 [accepted] LG - English EP - 20150514 DP - 2015 Sep 05 EZ - 2015/05/20 06:00 DA - 2016/05/18 06:00 DT - 2015/05/19 06:00 YR - 2015 ED - 20160517 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25980680 <5. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25382150 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wijkstrom M AU - Bottino R AU - Iwase H AU - Hara H AU - Ekser B AU - van der Windt D AU - Long C AU - Toledo FG AU - Phelps CJ AU - Trucco M AU - Cooper DK AU - Ayares D FA - Wijkstrom, Martin FA - Bottino, Rita FA - Iwase, Hayoto FA - Hara, Hidetaka FA - Ekser, Burcin FA - van der Windt, Dirk FA - Long, Cassandra FA - Toledo, Frederico G S FA - Phelps, Carol J FA - Trucco, Massimo FA - Cooper, David K C FA - Ayares, David IN - Wijkstrom, Martin. Thomas E. Starzl Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. TI - Glucose metabolism in pigs expressing human genes under an insulin promoter. SO - Xenotransplantation. 22(1):70-9, 2015 Jan-Feb AS - Xenotransplantation. 22(1):70-9, 2015 Jan-Feb NJ - Xenotransplantation VO - 22 IP - 1 PG - 70-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - c18, 9438793 IO - Xenotransplantation PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4329053 OI - Source: NLM. NIHMS629776 SB - Index Medicus CP - Denmark MH - Abatacept/bi [Biosynthesis] MH - *Abatacept/ge [Genetics] MH - Animals MH - Animals, Genetically Modified MH - Antigens, CD/bi [Biosynthesis] MH - *Antigens, CD/ge [Genetics] MH - Apyrase/bi [Biosynthesis] MH - *Apyrase/ge [Genetics] MH - Arginine/pd [Pharmacology] MH - Blood Glucose/an [Analysis] MH - C-Peptide/se [Secretion] MH - Cell Line MH - Fasting/bl [Blood] MH - Fibroblasts MH - Galactosyltransferases/df [Deficiency] MH - Galactosyltransferases/ge [Genetics] MH - Gene Expression Regulation MH - Gene Knockout Techniques MH - Genes, Synthetic MH - Glucagon/se [Secretion] MH - *Glucose/me [Metabolism] MH - Glucose/pd [Pharmacology] MH - Glucose Tolerance Test MH - Humans MH - *Insulin/ge [Genetics] MH - *Islets of Langerhans/me [Metabolism] MH - Islets of Langerhans/se [Secretion] MH - Lipoproteins/bi [Biosynthesis] MH - *Lipoproteins/ge [Genetics] MH - Membrane Cofactor Protein/ge [Genetics] MH - *Promoter Regions, Genetic MH - Recombinant Fusion Proteins/bi [Biosynthesis] MH - Recombinant Fusion Proteins/ge [Genetics] MH - *Sus scrofa/me [Metabolism] MH - Swine MH - Transgenes KW - C-peptide; IVGTT; arginine stimulation test; genetic engineering; glucagon; insulin; pig; xenotransplantation AB - BACKGROUND: Xenotransplantation of porcine islets can reverse diabetes in non-human primates. The remaining hurdles for clinical application include safe and effective T-cell-directed immunosuppression, but protection against the innate immune system and coagulation dysfunction may be more difficult to achieve. Islet-targeted genetic manipulation of islet-source pigs represents a powerful tool to protect against graft loss. However, whether these genetic alterations would impair islet function is unknown. AB - METHODS: On a background of alpha1,3-galactosyltransferase gene-knockout (GTKO)/human (h)CD46, additional genes (hCD39, human tissue factor pathway inhibitor, porcine CTLA4-Ig) were inserted in different combinations under an insulin promoter to promote expression in islets (confirmed by immunofluorescence). Seven pigs were tested for baseline and glucose/arginine-challenged levels of glucose, insulin, C-peptide, and glucagon. AB - RESULTS: This preliminary study did not show definite evidence of beta-cell deficiencies, even when three transgenes were expressed under the insulin promoter. Of seven animals, all were normoglycemic at fasting, and five of seven had normal glucose disposal rates after challenge. All animals exhibited insulin, C-peptide, and glucagon responses to both glucose and arginine challenge; however, significant interindividual variation was observed. AB - CONCLUSIONS: Multiple islet-targeted transgenic expression was not associated with an overtly detrimental effect on islet function, suggesting that complex genetic constructs designed for islet protection warrants further testing in islet xenotransplantation models. Copyright © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. RN - 0 (Antigens, CD) RN - 0 (Blood Glucose) RN - 0 (C-Peptide) RN - 0 (CD46 protein, human) RN - 0 (Insulin) RN - 0 (Lipoproteins) RN - 0 (Membrane Cofactor Protein) RN - 0 (Recombinant Fusion Proteins) RN - 0 (lipoprotein-associated coagulation inhibitor) RN - 7D0YB67S97 (Abatacept) RN - 9007-92-5 (Glucagon) RN - 94ZLA3W45F (Arginine) RN - EC 2-4-1 (Galactosyltransferases) RN - EC 2-4-1 (alpha-1,3-galactosyltransferase 1, porcine) RN - EC 3-6-1-5 (Apyrase) RN - EC 3-6-1-5 (CD39 antigen) RN - IY9XDZ35W2 (Glucose) ES - 1399-3089 IL - 0908-665X DO - https://dx.doi.org/10.1111/xen.12145 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 10.1111/xen.12145 [doi] ID - PMC4329053 [pmc] ID - NIHMS629776 [mid] PP - ppublish PH - 2014/07/03 [received] PH - 2014/09/13 [accepted] GI - No: UL1 TR000005 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: U19 AI090959-01 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: T32 AI074490 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: T32 AI 074490 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: U01 AI068642 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: R21 A1074844 Organization: *PHS HHS* Country: United States GI - No: U19 AI090959 Organization: (AI) *NIAID NIH HHS* Country: United States LG - English EP - 20141110 DP - 2015 Jan-Feb EZ - 2014/11/11 06:00 DA - 2016/01/05 06:00 DT - 2014/11/11 06:00 YR - 2015 ED - 20160104 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25382150 <6. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24907635 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Aglietta M AU - Barone C AU - Sawyer MB AU - Moore MJ AU - Miller WH Jr AU - Bagala C AU - Colombi F AU - Cagnazzo C AU - Gioeni L AU - Wang E AU - Huang B AU - Fly KD AU - Leone F FA - Aglietta, M FA - Barone, C FA - Sawyer, M B FA - Moore, M J FA - Miller, W H Jr FA - Bagala, C FA - Colombi, F FA - Cagnazzo, C FA - Gioeni, L FA - Wang, E FA - Huang, B FA - Fly, K D FA - Leone, F IN - Aglietta, M. Department of Medical Oncology, University of Torino, Candiolo Cancer Institute-FPO, IRCCS, Turin massimo.aglietta@ircc.it. IN - Barone, C. Department of Medical Oncology, Catholic University of the Sacred Heart, Rome, Italy. IN - Sawyer, M B. Department of Oncology, University of Alberta, Edmonton. IN - Moore, M J. Division of Medical Oncology, Princess Margaret Hospital and University of Toronto, Toronto. IN - Miller, W H Jr. Department of Oncology, McGill University, Montreal, Canada. IN - Bagala, C. Department of Medical Oncology, Catholic University of the Sacred Heart, Rome, Italy. IN - Colombi, F. Department of Medical Oncology, University of Torino, Candiolo Cancer Institute-FPO, IRCCS, Turin. IN - Cagnazzo, C. Department of Medical Oncology, University of Torino, Candiolo Cancer Institute-FPO, IRCCS, Turin. IN - Gioeni, L. Department of Medical Oncology, University of Torino, Candiolo Cancer Institute-FPO, IRCCS, Turin. IN - Wang, E. Pfizer Oncology Global Research and Development, Groton, USA. IN - Huang, B. Pfizer Oncology Global Research and Development, Groton, USA. IN - Fly, K D. Pfizer Oncology Global Research and Development, Groton, USA. IN - Leone, F. Department of Medical Oncology, University of Torino, Candiolo Cancer Institute-FPO, IRCCS, Turin. TI - A phase I dose escalation trial of tremelimumab (CP-675,206) in combination with gemcitabine in chemotherapy-naive patients with metastatic pancreatic cancer. SO - Annals of Oncology. 25(9):1750-5, 2014 Sep AS - Ann Oncol. 25(9):1750-5, 2014 Sep NJ - Annals of oncology : official journal of the European Society for Medical Oncology VO - 25 IP - 9 PG - 1750-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ayf, 9007735 IO - Ann. Oncol. SB - Index Medicus CP - England MH - Adult MH - Aged MH - Antibodies, Monoclonal/ae [Adverse Effects] MH - *Antibodies, Monoclonal/tu [Therapeutic Use] MH - Antineoplastic Agents/ae [Adverse Effects] MH - *Antineoplastic Agents/tu [Therapeutic Use] MH - Antineoplastic Combined Chemotherapy Protocols/ae [Adverse Effects] MH - *Antineoplastic Combined Chemotherapy Protocols/tu [Therapeutic Use] MH - Deoxycytidine/ae [Adverse Effects] MH - *Deoxycytidine/aa [Analogs & Derivatives] MH - Deoxycytidine/tu [Therapeutic Use] MH - Drug Administration Schedule MH - Female MH - Humans MH - Male MH - Maximum Tolerated Dose MH - Middle Aged MH - *Pancreatic Neoplasms/dt [Drug Therapy] MH - Pancreatic Neoplasms/mo [Mortality] KW - gemcitabine chemotherapy; immunotherapy; metastatic pancreatic cancer; tremelimumab AB - BACKGROUND: Tremelimumab (CP-675,206) is a fully human monoclonal antibody binding to cytotoxic T-lymphocyte-associated antigen 4 (CTLA4) on T cells that stimulates the immune system by blocking the CTLA4-negative regulatory signal. Combination with standard chemotherapy may strengthen antitumor therapy. This is a phase Ib, multisite, open-label, nonrandomized dose escalation trial evaluating the safety, tolerability, and maximum tolerated dose (MTD) of tremelimumab combined with gemcitabine in patients with metastatic pancreatic cancer. AB - PATIENTS AND METHODS: Gemcitabine (1000 mg/m(2) on days 1, 8, and 15 of each 28-day cycles) was administrated with escalating doses of i.v. tremelimumab (6, 10, or 15 mg/kg) on day 1 of each 84-day cycle for a maximum of 4 cycles. The first 18 patients had an initial 4-week gemcitabine-only lead-in period. Dose-limiting toxicities (DLTs) related to tremelimumab were evaluated during the first 6 weeks after the first dose of tremelimumab. AB - RESULTS: From June 2008 to August 2011, 34 patients were enrolled and received at least one dose of tremelimumab. No DLTs related to tremelimumab were observed at any dose, even when the maximum dose established for tremelimumab (15 mg/kg) was used. Most frequent grade 3/4 toxicities were asthenia (11.8%) and nausea (8.8%). Only one patient had a serious drug-related event (diarrhea with dehydration). The median overall survival was 7.4 months (95% confidence interval 5.8-9.4 months). At the end of treatment, two patients achieved partial response. Both patients received tremelimumab 15-mg/kg group (n = 2/19, 10.5%). AB - CONCLUSION: Tremelimumab plus gemcitabine demonstrated a safety and tolerability profile, warranting further study in patients with metastatic pancreatic cancer. AB - CLINICALTRIALSGOV ID: NCT00556023. Copyright © The Author 2014. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 0W860991D6 (Deoxycytidine) RN - B76N6SBZ8R (gemcitabine) RN - QEN1X95CIX (tremelimumab) ES - 1569-8041 IL - 0923-7534 DO - https://dx.doi.org/10.1093/annonc/mdu205 PT - Clinical Trial, Phase I PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - mdu205 [pii] ID - 10.1093/annonc/mdu205 [doi] PP - ppublish SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT00556023 SL - https://clinicaltrials.gov/search/term=NCT00556023 LG - English EP - 20140606 DP - 2014 Sep EZ - 2014/06/08 06:00 DA - 2015/06/09 06:00 DT - 2014/06/08 06:00 YR - 2014 ED - 20150608 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24907635 <7. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24598534 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Poirier N AU - Mary C AU - Le Bas-Bernardet S AU - Daguin V AU - Belarif L AU - Chevalier M AU - Hervouet J AU - Minault D AU - Ville S AU - Charpy V AU - Blancho G AU - Vanhove B FA - Poirier, Nicolas FA - Mary, Caroline FA - Le Bas-Bernardet, Stephanie FA - Daguin, Veronique FA - Belarif, Lyssia FA - Chevalier, Melanie FA - Hervouet, Jeremy FA - Minault, David FA - Ville, Simon FA - Charpy, Vianney FA - Blancho, Gilles FA - Vanhove, Bernard IN - Poirier, Nicolas. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France; Effimune SAS; Nantes, France. IN - Mary, Caroline. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France; Effimune SAS; Nantes, France. IN - Le Bas-Bernardet, Stephanie. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France; Centre Hospitalier Universitaire; Nantes, France. IN - Daguin, Veronique. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France. IN - Belarif, Lyssia. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France. IN - Chevalier, Melanie. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France. IN - Hervouet, Jeremy. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France. IN - Minault, David. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France. IN - Ville, Simon. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France. IN - Charpy, Vianney. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France. IN - Blancho, Gilles. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France; Centre Hospitalier Universitaire; Nantes, France. IN - Vanhove, Bernard. Institut National de la Sante Et de la Recherche Medicale Unite Mixte de Recherche; Institut de Transplantation Urologie Nephrologie (ITUN) ; Universite de Nantes; Nantes, France; Effimune SAS; Nantes, France. TI - Advantages of Papio anubis for preclinical testing of immunotoxicity of candidate therapeutic antagonist antibodies targeting CD28. SO - mAbs. 6(3):697-707, 2014 May-Jun AS - MAbs. 6(3):697-707, 2014 May-Jun NJ - mAbs VO - 6 IP - 3 PG - 697-707 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101479829 IO - MAbs PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011914 SB - Index Medicus CP - United States MH - Animals MH - Antibodies, Blocking/im [Immunology] MH - *Antibodies, Blocking/to [Toxicity] MH - *Antibodies, Monoclonal/im [Immunology] MH - *Antibodies, Monoclonal/to [Toxicity] MH - Antibodies, Monoclonal, Humanized/im [Immunology] MH - Antibodies, Monoclonal, Humanized/to [Toxicity] MH - *CD28 Antigens/ai [Antagonists & Inhibitors] MH - CD28 Antigens/im [Immunology] MH - Cytokines/bi [Biosynthesis] MH - Drug Evaluation, Preclinical MH - Humans MH - Immunologic Memory MH - Lymphocyte Activation MH - Macaca fascicularis MH - Mice MH - Mice, Inbred NOD MH - Mice, Knockout MH - Mice, SCID MH - Models, Animal MH - *Papio anubis/im [Immunology] MH - Species Specificity MH - T-Lymphocytes/im [Immunology] KW - CD28; FR104; cytokines; humanized mice; immunotoxicity; primate AB - Antagonist anti-CD28 antibodies prevent T-cell costimulation and are functionally different from CTLA4Ig since they cannot block CTLA-4 and PDL-1 co-inhibitory signals. They demonstrated preclinical efficacy in suppressing effector T cells while enhancing immunoregulatory mechanisms. Because a severe cytokine release syndrome was observed during the Phase 1 study with the superagonist anti-CD28 TGN1412, development of other anti-CD28 antibodies requires careful preclinical evaluation to exclude any potential immunotoxicity side-effects. The failure to identify immunological toxicity of TGN1412 using macaques led us to investigate more relevant preclinical models. We report here that contrary to macaques, and like in man, all baboon CD4-positive T lymphocytes express CD28 in their effector memory cells compartment, a lymphocyte subtype that is the most prone to releasing cytokines after reactivation. Baboon lymphocytes are able to release pro-inflammatory cytokines in vitro in response to agonist or superagonist anti-CD28 antibodies. Furthermore, we compared the reactivity of human and baboon lymphocytes after transfer into non obese diabetic/severe combined immunodeficiency (NOD/SCID) interleukin-2rgamma knockout mice and confirmed that both cell types could release inflammatory cytokines in situ after injection of agonistic anti-CD28 antibodies. In contrast, FR104, a monovalent antagonistic anti-CD28 antibody, did not elicit T cell activation in these assays, even in the presence of anti-drug antibodies. Infusion to baboons also resulted in an absence of cytokine release. In conclusion, the baboon represents a suitable species for preclinical immunotoxicity evaluation of anti-CD28 antibodies because their effector memory T cells do express CD28 and because cytokine release can be assessed in vitro and trans vivo. RN - 0 (Antibodies, Blocking) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (CD28 Antigens) RN - 0 (Cytokines) RN - 0 (TGN-1412 monoclonal antibody) ES - 1942-0870 IL - 1942-0862 DO - https://dx.doi.org/10.4161/mabs.28375 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 28375 [pii] ID - 10.4161/mabs.28375 [doi] ID - PMC4011914 [pmc] PP - ppublish LG - English EP - 20140305 DP - 2014 May-Jun EZ - 2014/03/07 06:00 DA - 2015/05/13 06:00 DT - 2014/03/07 06:00 YR - 2014 ED - 20150512 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24598534 <8. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24676639 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fiorina P AU - Vergani A AU - Bassi R AU - Niewczas MA AU - Altintas MM AU - Pezzolesi MG AU - D'Addio F AU - Chin M AU - Tezza S AU - Ben Nasr M AU - Mattinzoli D AU - Ikehata M AU - Corradi D AU - Schumacher V AU - Buvall L AU - Yu CC AU - Chang JM AU - La Rosa S AU - Finzi G AU - Solini A AU - Vincenti F AU - Rastaldi MP AU - Reiser J AU - Krolewski AS AU - Mundel PH AU - Sayegh MH FA - Fiorina, Paolo FA - Vergani, Andrea FA - Bassi, Roberto FA - Niewczas, Monika A FA - Altintas, Mehmet M FA - Pezzolesi, Marcus G FA - D'Addio, Francesca FA - Chin, Melissa FA - Tezza, Sara FA - Ben Nasr, Moufida FA - Mattinzoli, Deborah FA - Ikehata, Masami FA - Corradi, Domenico FA - Schumacher, Valerie FA - Buvall, Lisa FA - Yu, Chih-Chuan FA - Chang, Jer-Ming FA - La Rosa, Stefano FA - Finzi, Giovanna FA - Solini, Anna FA - Vincenti, Flavio FA - Rastaldi, Maria Pia FA - Reiser, Jochen FA - Krolewski, Andrzej S FA - Mundel, Peter H FA - Sayegh, Mohamed H IN - Fiorina, Paolo. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Medicine, San Raffaele Scientific Institute, Milan, Italy; paolo.fiorina@childrens.harvard.edu. IN - Vergani, Andrea. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Medicine, San Raffaele Scientific Institute, Milan, Italy; IN - Bassi, Roberto. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Medicine, San Raffaele Scientific Institute, Milan, Italy; DiSTeBA, Universita' del Salento, Lecce, Italy; IN - Niewczas, Monika A. Section on Genetics and Epidemiology, Research Division, Joslin Diabetes Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts; IN - Altintas, Mehmet M. Department of Medicine, Rush University Medical Center, Chicago, Illinois; IN - Pezzolesi, Marcus G. Section on Genetics and Epidemiology, Research Division, Joslin Diabetes Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts; IN - D'Addio, Francesca. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Medicine, San Raffaele Scientific Institute, Milan, Italy; IN - Chin, Melissa. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; IN - Tezza, Sara. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; IN - Ben Nasr, Moufida. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; IN - Mattinzoli, Deborah. Renal Research Laboratory, Fondazione IRCCS Ospedale Maggiore Policlinico and Fondazione D'Amico per la Ricerca sulle Malattie Renali, Milan, Italy; IN - Ikehata, Masami. Renal Research Laboratory, Fondazione IRCCS Ospedale Maggiore Policlinico and Fondazione D'Amico per la Ricerca sulle Malattie Renali, Milan, Italy; IN - Corradi, Domenico. Department of Biomedical, Biotechnological and Translational Sciences, Unit of Pathology, University of Parma, Parma, Italy; IN - Schumacher, Valerie. Nephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; IN - Buvall, Lisa. Nephrology Division, Massachusetts General Hospital, Boston, Massachusetts; IN - Yu, Chih-Chuan. Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Internal Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; IN - Chang, Jer-Ming. Department of Internal Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; IN - La Rosa, Stefano. Pathology Department, Ospedale di Circolo, Varese, Italy; IN - Finzi, Giovanna. Pathology Department, Ospedale di Circolo, Varese, Italy; IN - Solini, Anna. Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy; IN - Vincenti, Flavio. Kidney Transplant Service, University of San Francisco, San Francisco, California; IN - Rastaldi, Maria Pia. Renal Research Laboratory, Fondazione IRCCS Ospedale Maggiore Policlinico and Fondazione D'Amico per la Ricerca sulle Malattie Renali, Milan, Italy; IN - Reiser, Jochen. Department of Medicine, Rush University Medical Center, Chicago, Illinois; IN - Krolewski, Andrzej S. Section on Genetics and Epidemiology, Research Division, Joslin Diabetes Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts; IN - Mundel, Peter H. Nephrology Division, Massachusetts General Hospital, Boston, Massachusetts; IN - Sayegh, Mohamed H. Transplantation Research Center, Brigham and Women's Hospital, Boston, Massachusetts; and American University of Beirut, Beirut, Lebanon. TI - Role of podocyte B7-1 in diabetic nephropathy. SO - Journal of the American Society of Nephrology. 25(7):1415-29, 2014 Jul AS - J Am Soc Nephrol. 25(7):1415-29, 2014 Jul NJ - Journal of the American Society of Nephrology : JASN VO - 25 IP - 7 PG - 1415-29 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - a6h, 9013836 IO - J. Am. Soc. Nephrol. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073425 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Animals MH - *B7-1 Antigen/ph [Physiology] MH - *Diabetes Mellitus, Type 1/co [Complications] MH - *Diabetic Nephropathies/et [Etiology] MH - Female MH - Humans MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Middle Aged MH - *Podocytes MH - Up-Regulation AB - Podocyte injury and resulting albuminuria are hallmarks of diabetic nephropathy, but targeted therapies to halt or prevent these complications are currently not available. Here, we show that the immune-related molecule B7-1/CD80 is a critical mediator of podocyte injury in type 2 diabetic nephropathy. We report the induction of podocyte B7-1 in kidney biopsy specimens from patients with type 2 diabetes. Genetic and epidemiologic studies revealed the association of two single nucleotide polymorphisms at the B7-1 gene with diabetic nephropathy. Furthermore, increased levels of the soluble isoform of the B7-1 ligand CD28 correlated with the progression to ESRD in individuals with type 2 diabetes. In vitro, high glucose conditions prompted the phosphatidylinositol 3 kinase-dependent upregulation of B7-1 in podocytes, and the ectopic expression of B7-1 in podocytes increased apoptosis and induced disruption of the cytoskeleton that were reversed by the B7-1 inhibitor CTLA4-Ig. Podocyte expression of B7-1 was also induced in vivo in two murine models of diabetic nephropathy, and treatment with CTLA4-Ig prevented increased urinary albumin excretion and improved kidney pathology in these animals. Taken together, these results identify B7-1 inhibition as a potential therapeutic strategy for the prevention or treatment of diabetic nephropathy. Copyright © 2014 by the American Society of Nephrology. RN - 0 (B7-1 Antigen) ES - 1533-3450 IL - 1046-6673 DO - https://dx.doi.org/10.1681/ASN.2013050518 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - ASN.2013050518 [pii] ID - 10.1681/ASN.2013050518 [doi] ID - PMC4073425 [pmc] PP - ppublish GI - No: R01 DK057683 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK101350 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: P30 DK063720 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK101350 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK073495 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK058549 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK089394 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK57683 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK58549 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK089394 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK77532 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK41526 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK077532 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK091218 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK091218 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: T32 DK007726 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: T32DK007726-28 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK062472 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK041526 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R01 DK073495 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK062472 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: U01 DP000123 Organization: (DP) *NCCDPHP CDC HHS* Country: United States LG - English EP - 20140327 DP - 2014 Jul EZ - 2014/03/29 06:00 DA - 2014/09/23 06:00 DT - 2014/03/29 06:00 YR - 2014 ED - 20140922 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24676639 <9. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24779222 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lacka K AU - Fraczek MM FA - Lacka, Katarzyna FA - Fraczek, Magdalena Maria TI - [Classification and etiology of hyperthyroidism]. [Review] [Polish] OT - Podzial i etiopatogeneza nadczynnosci tarczycy. SO - Polski Merkuriusz Lekarski. 36(213):206-11, 2014 Mar AS - Pol Merkuriusz Lek. 36(213):206-11, 2014 Mar NJ - Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego VO - 36 IP - 213 PG - 206-11 PI - Journal available in: Print PI - Citation processed from: Print JC - 9705469 IO - Pol. Merkur. Lekarski SB - Index Medicus CP - Poland MH - Age Factors MH - Causality MH - Female MH - Goiter/ep [Epidemiology] MH - Graves Disease/ep [Epidemiology] MH - Humans MH - Hypersensitivity/ep [Epidemiology] MH - *Hyperthyroidism/cl [Classification] MH - *Hyperthyroidism/ep [Epidemiology] MH - Hyperthyroidism/ge [Genetics] MH - Infection/ep [Epidemiology] MH - Male MH - Pregnancy MH - Risk Factors MH - Sex Distribution MH - Smoking/ep [Epidemiology] MH - Stress, Psychological/ep [Epidemiology] MH - Thyroid Neoplasms/ep [Epidemiology] MH - Thyroiditis, Autoimmune/ep [Epidemiology] AB - The prevalence of hyperthyroidism in women is between 0.5-2% and it is 10 times less common in men. The most common causes are Graves' disease, toxic multinodular goiter, and autonomously functioning thyroid adenoma. Rare causes of hyperthyroidisms are as follow: pituitary adenoma, autoimmune thyroiditis (Hashitoxicosis), levothyroxine overdose, inadequate iodine supplementation (including amiodaron induced hyperthyroidism, iodine-based contrast media), hCG excess (pregnancy, gestational trophoblastic disease, germ-cell tumors), drug induced hyperthyroidism, differentiated thyroid carcinomas and/or their metastases, struma ovarii, and familial nonautoimmune hyperthyroidism. This article focuses on the current data of etiopathogenesis of hyperthyroidisms. Genetic factors (like HLA-DR3,CD40, CTLA-4, PTPN22, FOXP3 CD25) and thyroid specific genes (thyroglobulin, TSHR, G(s)alpha) and environmental and endogenous factors (such as age, iodine, selenium, emotional stress, smoking, gender, pregnancy, sex hormones, fetal microchimerism, fetal growth, bacterial infections, viral infections, allergies, drugs (alemtuzumab, interferon alpha, iplimumab/tremelimumab, tyrosine kinase inhibitors, denileukindiftitox, thalidomide/lenalidomide, exposition to fallout and radiotherapy) have been described. IS - 1426-9686 IL - 1426-9686 PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - Polish DP - 2014 Mar EZ - 2014/05/02 06:00 DA - 2014/06/06 06:00 DT - 2014/05/01 06:00 YR - 2014 ED - 20140605 RD - 20140430 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24779222 <10. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24517008 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahmadi S AU - Rostamzadeh J AU - Khosravi D AU - Shariati P AU - Shakiba N FA - Ahmadi, Slahadin FA - Rostamzadeh, Jalal FA - Khosravi, Darya FA - Shariati, Parvin FA - Shakiba, Nadia IN - Ahmadi, Slahadin. Cellular and Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. IN - Rostamzadeh, Jalal. Cellular and Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. IN - Khosravi, Darya. Cellular and Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. IN - Shariati, Parvin. Laboratory of Genetics, Department of Animal Sciences, University of Kurdistan, Sanandaj, Iran. IN - Shakiba, Nadia. Kurdistan Diabetes Center, Tohid hospital, Sanandaj, Iran. TI - Association of CTLA-4 gene 49A/G polymorphism with the incidence of type 1 diabetes mellitus in the Iranian Kurdish population. SO - Pakistan Journal of Biological Sciences. 16(24):1929-35, 2013 Dec 15 AS - Pak. j. biol. sci.. 16(24):1929-35, 2013 Dec 15 NJ - Pakistan journal of biological sciences : PJBS VO - 16 IP - 24 PG - 1929-35 PI - Journal available in: Print PI - Citation processed from: Print JC - 101247723 IO - Pak. J. Biol. Sci. SB - Index Medicus CP - Pakistan MH - *Arabs/ge [Genetics] MH - *CTLA-4 Antigen/ge [Genetics] MH - Case-Control Studies MH - Diabetes Mellitus, Type 1/eh [Ethnology] MH - *Diabetes Mellitus, Type 1/ge [Genetics] MH - Diabetes Mellitus, Type 1/im [Immunology] MH - Diabetes Mellitus, Type 2/eh [Ethnology] MH - Diabetes Mellitus, Type 2/ge [Genetics] MH - Diabetes Mellitus, Type 2/im [Immunology] MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Humans MH - Incidence MH - Iran/ep [Epidemiology] MH - Male MH - Odds Ratio MH - Phenotype MH - *Polymorphism, Single Nucleotide MH - Risk Factors MH - Sex Factors AB - Cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) has an inhibitory function on T cells and is critical for the induction of peripheral tolerance. CTLA-4 +49 G allele affects the CTLA-4 function and has been reported to be correlated with a higher risk of various autoimmune diseases including type 1 diabetes (T1D). The present study was conducted to investigate the association between the polymorphism of the CTLA-4 exon 1+49 A/G and susceptibility to TID and type 2 diabetes (T2D) in Kurds living in Iranian Kurdistan. The+49 A/G polymorphism was analyzed in 60 patients with T1D, 56 patients with T2D and 107 control subjects using PCR Single-strand Conformation Polymorphism (SSCP) and restriction fragment length polymorphism methods. All studied populations (T1D, T2D and Controls) were in Hardy-Weinberg equilibrium (p, 0.39, 0.94 and 0.89, respectively). Both+49 G allele (p = 0. 015, OR = 1.86) and +49 A/G genotype frequencies (p = 0. 012, OR = 2.31) were significantly higher in T1D patients than control. There was significant over-representation of the G allele in female T1D patients. No significant differences in +49 G allele and +49 A/G genotype frequencies were found between T2D and control subjects. SSCP analysis did not show new mutation in the amplified segment. The results of this study indicate that CTLA-4+49 A/G gene polymorphism confers genetic susceptibility to T1D but not T2D in the Kurdish population living in Iranian Kurdistan and women carrying the +49 G allele are at greater risk of getting T1D than men having the G allele. RN - 0 (CTLA-4 Antigen) IS - 1028-8880 IL - 1028-8880 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2013 Dec 15 EZ - 2014/02/13 06:00 DA - 2014/03/07 06:00 DT - 2014/02/13 06:00 YR - 2013 ED - 20140305 RD - 20150311 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24517008 <11. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23295794 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ribas A AU - Kefford R AU - Marshall MA AU - Punt CJ AU - Haanen JB AU - Marmol M AU - Garbe C AU - Gogas H AU - Schachter J AU - Linette G AU - Lorigan P AU - Kendra KL AU - Maio M AU - Trefzer U AU - Smylie M AU - McArthur GA AU - Dreno B AU - Nathan PD AU - Mackiewicz J AU - Kirkwood JM AU - Gomez-Navarro J AU - Huang B AU - Pavlov D AU - Hauschild A FA - Ribas, Antoni FA - Kefford, Richard FA - Marshall, Margaret A FA - Punt, Cornelis J A FA - Haanen, John B FA - Marmol, Maribel FA - Garbe, Claus FA - Gogas, Helen FA - Schachter, Jacob FA - Linette, Gerald FA - Lorigan, Paul FA - Kendra, Kari L FA - Maio, Michele FA - Trefzer, Uwe FA - Smylie, Michael FA - McArthur, Grant A FA - Dreno, Brigitte FA - Nathan, Paul D FA - Mackiewicz, Jacek FA - Kirkwood, John M FA - Gomez-Navarro, Jesus FA - Huang, Bo FA - Pavlov, Dmitri FA - Hauschild, Axel IN - Ribas, Antoni. Division of Hematology-Oncology, 11-934 Factor Building, UCLA Medical Center, 10833 Le Conte Ave, Los Angeles, CA 90095-1782, USA. aribas@mednet.ucla.edu TI - Phase III randomized clinical trial comparing tremelimumab with standard-of-care chemotherapy in patients with advanced melanoma. CM - Comment in: J Clin Oncol. 2013 Aug 1;31(22):2835-6; PMID: 23752103 CM - Comment in: J Clin Oncol. 2013 Aug 1;31(22):2836-7; PMID: 24058931 SO - Journal of Clinical Oncology. 31(5):616-22, 2013 Feb 10 AS - J Clin Oncol. 31(5):616-22, 2013 Feb 10 NJ - Journal of clinical oncology : official journal of the American Society of Clinical Oncology VO - 31 IP - 5 PG - 616-22 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - jco, 8309333 IO - J. Clin. Oncol. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878048 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Antibodies, Monoclonal/ae [Adverse Effects] MH - *Antibodies, Monoclonal/tu [Therapeutic Use] MH - Antineoplastic Agents/ae [Adverse Effects] MH - *Antineoplastic Agents/tu [Therapeutic Use] MH - Antineoplastic Combined Chemotherapy Protocols/tu [Therapeutic Use] MH - Colitis/ci [Chemically Induced] MH - Diarrhea/ci [Chemically Induced] MH - Drug Administration Schedule MH - Drug Eruptions/et [Etiology] MH - Fatigue/ci [Chemically Induced] MH - Female MH - Humans MH - Ipilimumab MH - Kaplan-Meier Estimate MH - Male MH - Melanoma/dt [Drug Therapy] MH - Melanoma/pa [Pathology] MH - Middle Aged MH - Nausea/ci [Chemically Induced] MH - Pruritus/ci [Chemically Induced] MH - Salvage Therapy/mt [Methods] MH - *Skin Neoplasms/dt [Drug Therapy] MH - Skin Neoplasms/pa [Pathology] MH - Treatment Outcome AB - PURPOSE: In phase I/II trials, the cytotoxic T lymphocyte-associated antigen-4-blocking monoclonal antibody tremelimumab induced durable responses in a subset of patients with advanced melanoma. This phase III study evaluated overall survival (OS) and other safety and efficacy end points in patients with advanced melanoma treated with tremelimumab or standard-of-care chemotherapy. AB - PATIENTS AND METHODS: Patients with treatment-naive, unresectable stage IIIc or IV melanoma were randomly assigned at a ratio of one to one to tremelimumab (15 mg/kg once every 90 days) or physician's choice of standard-of-care chemotherapy (temozolomide or dacarbazine). AB - RESULTS: In all, 655 patients were enrolled and randomly assigned. The test statistic crossed the prespecified futility boundary at second interim analysis after 340 deaths, but survival follow-up continued. At final analysis with 534 events, median OS by intent to treat was 12.6 months (95% CI, 10.8 to 14.3) for tremelimumab and 10.7 months (95% CI, 9.36 to 11.96) for chemotherapy (hazard ratio, 0.88; P = .127). Objective response rates were similar in the two arms: 10.7% in the tremelimumab arm and 9.8% in the chemotherapy arm. However, response duration (measured from date of random assignment) was significantly longer after tremelimumab (35.8 v 13.7 months; P = .0011). Diarrhea, pruritus, and rash were the most common treatment-related adverse events in the tremelimumab arm; 7.4% had endocrine toxicities. Seven deaths in the tremelimumab arm and one in the chemotherapy arm were considered treatment related by either investigators or sponsor. AB - CONCLUSION: This study failed to demonstrate a statistically significant survival advantage of treatment with tremelimumab over standard-of-care chemotherapy in first-line treatment of patients with metastatic melanoma. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 0 (Ipilimumab) RN - QEN1X95CIX (tremelimumab) ES - 1527-7755 IL - 0732-183X DO - https://dx.doi.org/10.1200/JCO.2012.44.6112 PT - Clinical Trial, Phase III PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - JCO.2012.44.6112 [pii] ID - 10.1200/JCO.2012.44.6112 [doi] ID - PMC4878048 [pmc] PP - ppublish SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT00257205 SL - https://clinicaltrials.gov/search/term=NCT00257205 GI - No: P50 CA121973 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20130107 DP - 2013 Feb 10 EZ - 2013/01/09 06:00 DA - 2013/03/30 06:00 DT - 2013/01/09 06:00 YR - 2013 ED - 20130329 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23295794 <12. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22537512 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caturegli P FA - Caturegli, Patrizio IN - Caturegli, Patrizio. Johns Hopkins University, Department of Pathology, Endocrinology and Molecular Microbiology and Immunology, Baltimore, MD 21205, United States. pcat@jhmi.edu TI - Autoimmune hypophysitis: autoantigens and association with CTLA-4 blockade. SO - Annales d Endocrinologie. 73(2):78, 2012 Apr AS - Ann Endocrinol (Paris). 73(2):78, 2012 Apr NJ - Annales d'endocrinologie VO - 73 IP - 2 PG - 78 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 54o, 0116744 IO - Ann. Endocrinol. (Paris) SB - Index Medicus CP - France MH - Autoantigens/im [Immunology] MH - *Autoantigens/ph [Physiology] MH - *Autoimmune Diseases/co [Complications] MH - Autoimmune Diseases/di [Diagnosis] MH - Autoimmune Diseases/im [Immunology] MH - *CTLA-4 Antigen/ai [Antagonists & Inhibitors] MH - CTLA-4 Antigen/im [Immunology] MH - Humans MH - Inflammation/co [Complications] MH - Inflammation/di [Diagnosis] MH - Inflammation/et [Etiology] MH - Pituitary Diseases/di [Diagnosis] MH - *Pituitary Diseases/et [Etiology] MH - Pituitary Diseases/im [Immunology] RN - 0 (Autoantigens) RN - 0 (CTLA-4 Antigen) ES - 2213-3941 IL - 0003-4266 DO - https://dx.doi.org/10.1016/j.ando.2012.04.006 PT - Journal Article ID - S0003-4266(12)00070-4 [pii] ID - 10.1016/j.ando.2012.04.006 [doi] PP - ppublish LG - English EP - 20120425 DP - 2012 Apr EZ - 2012/04/28 06:00 DA - 2012/09/15 06:00 DT - 2012/04/28 06:00 YR - 2012 ED - 20120914 RD - 20161031 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22537512 <13. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22218756 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ryden A AU - Bolmeson C AU - Jonson CO AU - Cilio CM AU - Faresjo M FA - Ryden, Anna FA - Bolmeson, Caroline FA - Jonson, Carl-Oscar FA - Cilio, Corrado M FA - Faresjo, Maria IN - Ryden, Anna. Division of Paediatrics & Diabetes Research Centre, Department of Molecular & Clinical Medicine, Linkoping University, Linkoping, Sweden. anna.ryden@liu.se TI - Low expression and secretion of circulating soluble CTLA-4 in peripheral blood mononuclear cells and sera from type 1 diabetic children. SO - Diabetes/Metabolism Research Reviews. 28(1):84-96, 2012 Jan AS - Diabetes Metab Res Rev. 28(1):84-96, 2012 Jan NJ - Diabetes/metabolism research and reviews VO - 28 IP - 1 PG - 84-96 PI - Journal available in: Print PI - Citation processed from: Internet JC - dcy, 100883450 IO - Diabetes Metab. Res. Rev. SB - Index Medicus CP - England MH - Adolescent MH - Autoimmunity MH - Biomarkers MH - Blood Cells MH - C-Peptide/me [Metabolism] MH - CTLA-4 Antigen/bi [Biosynthesis] MH - *CTLA-4 Antigen/bl [Blood] MH - CTLA-4 Antigen/ch [Chemistry] MH - Child MH - Child, Preschool MH - Diabetes Mellitus, Type 1/bl [Blood] MH - *Diabetes Mellitus, Type 1/im [Immunology] MH - Female MH - Forkhead Transcription Factors/bi [Biosynthesis] MH - *Gene Expression MH - Humans MH - Longitudinal Studies MH - Male MH - Protein Isoforms/ge [Genetics] MH - *Protein Isoforms/im [Immunology] MH - RNA, Messenger/me [Metabolism] MH - Reverse Transcriptase Polymerase Chain Reaction MH - T-Lymphocytes, Regulatory/im [Immunology] MH - Transcription, Genetic MH - Transforming Growth Factor beta/bi [Biosynthesis] AB - BACKGROUND: High levels of soluble cytotoxic T-lymphocyte antigen 4 (soluble CTLA-4), an alternative splice form of the regulatory T-cell (Treg) associated CTLA-4 gene, have been associated with type 1 diabetes (T1D) and other autoimmune diseases, such as Grave's disease and myasthenia gravis. At the same time, studies have shown soluble CTLA-4 to inhibit T-cell activation through B7 binding. This study aimed to investigate the role of soluble CTLA-4 in relation to full-length CTLA-4 and other Treg-associated markers in T1D children and in individuals with high or low risk of developing the disease. AB - METHODS: T1D children were studied at 4 days, 1 and 2 years after diagnosis in comparison to individuals with high or low risk of developing the disease. Isolated peripheral blood mononuclear cells were stimulated with the T1D-associated glutamic acid decarboxylase 65 and phytohaemagglutinin. Subsequently, soluble CTLA-4, full-length CTLA-4, FOXP3 and TGF-beta mRNA transcription were quantified and protein concentrations of soluble CTLA-4 were measured in culture supernatant and sera. AB - RESULTS AND CONCLUSIONS: Low protein concentrations of circulating soluble CTLA-4 and a positive correlation between soluble CTLA-4 mRNA and protein were seen in T1D, in parallel with a negative correlation in healthy subjects. Further, low levels of mitogen-induced soluble CTLA-4 were accompanied by low C-peptide levels. Interestingly, low mitogen-induced soluble CTLA-4 mRNA and low TGF-beta mRNA expression were seen in high risk individuals, suggesting an alteration in activation and down-regulating immune mechanisms during the pre-diabetic phase. Copyright © 2011 John Wiley & Sons, Ltd. RN - 0 (Biomarkers) RN - 0 (C-Peptide) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (FOXP3 protein, human) RN - 0 (Forkhead Transcription Factors) RN - 0 (Protein Isoforms) RN - 0 (RNA, Messenger) RN - 0 (Transforming Growth Factor beta) ES - 1520-7560 IL - 1520-7552 DO - https://dx.doi.org/10.1002/dmrr.1286 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1002/dmrr.1286 [doi] PP - ppublish LG - English DP - 2012 Jan EZ - 2012/01/06 06:00 DA - 2012/03/07 06:00 DT - 2012/01/06 06:00 YR - 2012 ED - 20120306 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22218756 <14. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22013040 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vaccari M AU - Boasso A AU - Fenizia C AU - Fuchs D AU - Hryniewicz A AU - Morgan T AU - Weiss D AU - Doster MN AU - Heraud JM AU - Shearer GM AU - Franchini G FA - Vaccari, Monica FA - Boasso, Adriano FA - Fenizia, Claudio FA - Fuchs, Dietmar FA - Hryniewicz, Anna FA - Morgan, Tia FA - Weiss, Deborah FA - Doster, Melvin N FA - Heraud, Jean Michel FA - Shearer, Gene M FA - Franchini, Genoveffa IN - Vaccari, Monica. Animal Models & Retroviral Vaccines Section, NCI, NIH, Bethesda, Maryland, USA. TI - Fatal pancreatitis in simian immunodeficiency virus SIV(mac251)-infected macaques treated with 2',3'-dideoxyinosine and stavudine following cytotoxic-T-lymphocyte-associated antigen 4 and indoleamine 2,3-dioxygenase blockade. SO - Journal of Virology. 86(1):108-13, 2012 Jan AS - J Virol. 86(1):108-13, 2012 Jan NJ - Journal of virology VO - 86 IP - 1 PG - 108-13 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kcv, 0113724 IO - J. Virol. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255892 SB - Index Medicus CP - United States MH - AIDS Vaccines/ad [Administration & Dosage] MH - AIDS Vaccines/im [Immunology] MH - Animals MH - *Anti-HIV Agents/ae [Adverse Effects] MH - Anti-HIV Agents/tu [Therapeutic Use] MH - CTLA-4 Antigen/ai [Antagonists & Inhibitors] MH - *Didanosine/ae [Adverse Effects] MH - Didanosine/tu [Therapeutic Use] MH - Disease Models, Animal MH - Drug Evaluation, Preclinical MH - Drug Therapy, Combination/ae [Adverse Effects] MH - HIV Infections/co [Complications] MH - *HIV Infections/dt [Drug Therapy] MH - *HIV Infections/im [Immunology] MH - HIV Infections/vi [Virology] MH - HIV-1/de [Drug Effects] MH - HIV-1/im [Immunology] MH - HIV-1/ph [Physiology] MH - Humans MH - Indoleamine-Pyrrole 2,3,-Dioxygenase/ai [Antagonists & Inhibitors] MH - Macaca mulatta MH - *Pancreatitis/et [Etiology] MH - Pancreatitis/im [Immunology] MH - Pancreatitis/mo [Mortality] MH - Simian Immunodeficiency Virus/de [Drug Effects] MH - Simian Immunodeficiency Virus/im [Immunology] MH - *Simian Immunodeficiency Virus/ph [Physiology] MH - *Stavudine/ae [Adverse Effects] MH - Stavudine/tu [Therapeutic Use] MH - Tryptophan/ae [Adverse Effects] MH - Tryptophan/aa [Analogs & Derivatives] MH - Tryptophan/tu [Therapeutic Use] AB - Human immunodeficiency virus (HIV) infection is associated with immune activation, CD4+-T-cell loss, and a progressive decline of immune functions. Antiretroviral therapy (ART) only partially reverses HIV-associated immune dysfunction, suggesting that approaches that target immune activation and improve virus-specific immune responses may be needed. We performed a preclinical study in rhesus macaques infected with the pathogenic simian immunodeficiency virus SIV(mac251) and treated with ART. We tested whether vaccination administered together with cytotoxic-T-lymphocyte-associated antigen 4 (CTLA-4) blockade and treatment with the indoleamine 2,3-dioxygenase (IDO) inhibitor 1-methyl-D-tryptophan (D-1mT), decreased immune activation and improved vaccine efficacy. The treatment did not augment vaccine immunogenicity; rather, it dramatically increased ART-related toxicity, causing all treated animals to succumb to acute pancreatitis and hyperglycemic coma. The onset of fulminant diabetes was associated with severe lymphocyte infiltration of the pancreas and complete loss of the islets of Langerhans. Thus, caution should be used when considering approaches aimed at targeting immune activation during ART. RN - 0 (AIDS Vaccines) RN - 0 (Anti-HIV Agents) RN - 0 (CTLA-4 Antigen) RN - 0 (Indoleamine-Pyrrole 2,3,-Dioxygenase) RN - 8DUH1N11BX (Tryptophan) RN - BO9LE4QFZF (Stavudine) RN - K3GDH6OH08 (Didanosine) ES - 1098-5514 IL - 0022-538X DO - https://dx.doi.org/10.1128/JVI.05609-11 PT - Journal Article PT - Research Support, N.I.H., Intramural ID - JVI.05609-11 [pii] ID - 10.1128/JVI.05609-11 [doi] ID - PMC3255892 [pmc] PP - ppublish GI - Organization: *Intramural NIH HHS* Country: United States LG - English EP - 20111019 DP - 2012 Jan EZ - 2011/10/21 06:00 DA - 2012/02/15 06:00 DT - 2011/10/21 06:00 YR - 2012 ED - 20120214 RD - 20161215 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22013040 <15. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22028949 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Wang X AU - Hao J AU - Metzger DL AU - Ao Z AU - Meloche M AU - Verchere CB AU - Chen L AU - Ou D AU - Mui A AU - Warnock GL FA - Wang, Xiaojie FA - Hao, Jianqiang FA - Metzger, Daniel L FA - Ao, Ziliang FA - Meloche, Mark FA - Verchere, C Bruce FA - Chen, Lieping FA - Ou, Dawei FA - Mui, Alice FA - Warnock, Garth L IN - Wang, Xiaojie. Department of Surgery, University of British Columbia, Vancouver, BC, Canada V5Z 4E3. TI - B7-H4 Pathway in Islet Transplantation and beta-Cell Replacement Therapies. SO - Journal of transplantation. 2011:418902, 2011 AS - J Transplant. 2011:418902, 2011 NJ - Journal of transplantation VO - 2011 PG - 418902 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101519118 IO - J Transplant PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3196026 CP - United States AB - Type 1 diabetes (T1D) is a chronic autoimmune disease and characterized by absolute insulin deficiency. beta-cell replacement by islet cell transplantation has been established as a feasible treatment option for T1D. The two main obstacles after islet transplantation are alloreactive T-cell-mediated graft rejection and recurrence of autoimmune diabetes mellitus in recipients. T cells play a central role in determining the outcome of both autoimmune responses and allograft survival. B7-H4, a newly identified B7 homolog, plays a key role in maintaining T-cell homeostasis by reducing T-cell proliferation and cytokine production. The relationship between B7-H4 and allograft survival/autoimmunity has been investigated recently in both islet transplantation and the nonobese diabetic (NOD) mouse models. B7-H4 protects allograft survival and generates donor-specific tolerance. It also prevents the development of autoimmune diabetes. More importantly, B7-H4 plays an indispensable role in alloimmunity in the absence of the classic CD28/CTLA-4:B7 pathway, suggesting a synergistic/additive effect with other agents such as CTLA-4 on inhibition of unwanted immune responses. ES - 2090-0015 IL - 2090-0007 DO - https://dx.doi.org/10.1155/2011/418902 PT - Journal Article ID - 10.1155/2011/418902 [doi] ID - PMC3196026 [pmc] PP - ppublish PH - 2011/04/21 [received] PH - 2011/08/03 [accepted] LG - English EP - 20111013 DP - 2011 EZ - 2011/10/27 06:00 DA - 2011/10/27 06:01 DT - 2011/10/27 06:00 YR - 2011 ED - 20111110 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22028949 <16. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21074065 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Di Giacomo AM AU - Biagioli M AU - Maio M FA - Di Giacomo, Anna Maria FA - Biagioli, Maurizio FA - Maio, Michele IN - Di Giacomo, Anna Maria. Department of Medical Oncology and Immunotherapy, University Hospital of Siena, Istituto Toscano Tumori, Siena, Italy. a.m.digiacomo@ao-siena.toscana.it TI - The emerging toxicity profiles of anti-CTLA-4 antibodies across clinical indications. [Review] SO - Seminars in Oncology. 37(5):499-507, 2010 Oct AS - Semin Oncol. 37(5):499-507, 2010 Oct NJ - Seminars in oncology VO - 37 IP - 5 PG - 499-507 PI - Journal available in: Print PI - Citation processed from: Internet JC - un5, 0420432 IO - Semin. Oncol. SB - Index Medicus CP - United States MH - *Antibodies, Monoclonal/ae [Adverse Effects] MH - *Antigens, CD/im [Immunology] MH - *Antineoplastic Agents/ae [Adverse Effects] MH - CTLA-4 Antigen MH - Chemical and Drug Induced Liver Injury/im [Immunology] MH - Chemical and Drug Induced Liver Injury/th [Therapy] MH - Drug-Related Side Effects and Adverse Reactions MH - Endocrine System Diseases/ci [Chemically Induced] MH - Endocrine System Diseases/im [Immunology] MH - Endocrine System Diseases/th [Therapy] MH - Gastrointestinal Diseases/ci [Chemically Induced] MH - Gastrointestinal Diseases/im [Immunology] MH - Gastrointestinal Diseases/th [Therapy] MH - Humans MH - *Immune System Diseases/ci [Chemically Induced] MH - Ipilimumab MH - Melanoma/dt [Drug Therapy] MH - Skin Diseases/ci [Chemically Induced] MH - Skin Diseases/im [Immunology] MH - Skin Diseases/th [Therapy] MH - Skin Neoplasms/dt [Drug Therapy] AB - The promising new class of immunomodulating antibodies directed against cytotoxic T-lymphocyte antigen-4 (CTLA-4) has been extensively tested in clinical trials and found to be active against cutaneous melanoma and other tumor histotypes. Inhibition of CTLA-4 characteristically induces well-identified side effects for which the definition "immune-related adverse events" (irAEs) has been proposed. IrAEs mainly include colitis/diarrhea, dermatitis, hepatitis, and endocrinopathies; uveitis, nephritis, and inflammatory myopathy also have been reported occasionally. These unique side effects are likely a direct result of breaking immune tolerance upon CTLA-4 blockade and are generally mild, reversible, and manageable, following specific treatment guidelines that include symptomatic therapies or systemic corticosteroids. However, patient-physician communication and early treatment are also emerging as critical issues to successfully manage irAEs, thus avoiding major complications. The major experience in identifying and managing CTLA-4 treatment-related side effects has derived from studies in melanoma patients; nevertheless, accumulating clinical experiences are clearly demonstrating that irAEs are class-specific events, and that they are fully overlapping in patients with tumors of different histotypes. This review provides an overview of current safety data on CTLA-4 antagonists and of available strategies to optimize their clinical use in cancer patients. Copyright © 2010 Elsevier Inc. All rights reserved. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antineoplastic Agents) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Ipilimumab) RN - QEN1X95CIX (tremelimumab) ES - 1532-8708 IL - 0093-7754 DO - https://dx.doi.org/10.1053/j.seminoncol.2010.09.007 PT - Journal Article PT - Review ID - S0093-7754(10)00161-2 [pii] ID - 10.1053/j.seminoncol.2010.09.007 [doi] PP - ppublish LG - English DP - 2010 Oct EZ - 2010/11/16 06:00 DA - 2010/12/16 06:00 DT - 2010/11/16 06:00 YR - 2010 ED - 20101214 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21074065 <17. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20601803 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dimou AT AU - Syrigos KN AU - Saif MW FA - Dimou, Anastasios T FA - Syrigos, Konstantinos N FA - Saif, Muhammad Wasif IN - Dimou, Anastasios T. Department of Pathology, Yale University School of Medicine, New Haven, CT, USA. TI - Novel agents for the treatment of pancreatic adenocarcinoma: any light at the end of the tunnel? Highlights from the "2010 ASCO Annual Meeting". Chicago, IL, USA. June 4-8, 2010. [Review] [10 refs] SO - Jop: Journal of the Pancreas [Electronic Resource]. 11(4):324-7, 2010 Jul 05 AS - JOP. 11(4):324-7, 2010 Jul 05 NJ - JOP : Journal of the pancreas VO - 11 IP - 4 PG - 324-7 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101091810 IO - JOP SB - Index Medicus CP - Italy MH - *Adenocarcinoma/dt [Drug Therapy] MH - Antineoplastic Agents/ip [Isolation & Purification] MH - *Antineoplastic Agents/tu [Therapeutic Use] MH - Chicago MH - Congresses as Topic MH - Humans MH - *Medical Oncology/mt [Methods] MH - *Medical Oncology/td [Trends] MH - *Pancreatic Neoplasms/dt [Drug Therapy] MH - Societies, Medical/og [Organization & Administration] MH - United States AB - Pancreatic cancer is a disease with dismal prognosis and treatment options are limited. Development of novel active compounds is mandatory. A number of pancreatic cancer clinical trials that included a novel agent among their arms were presented at the recent 2010 American Society of Clinical Oncology (ASCO) Annual Meeting. It appears that IGF-1R inhibition might be effective and this should be tested in further trials. Microtubule stabilization with ixabepilone in combination with EGFR does not lead to promising improvement in prognosis whereas nab-paclitaxel in combination with anti-angiogenetic agents is a combination not previously tested that showed an acceptable safety profile. This combination might be worth testing in a phase II clinical trial. Last but not least, CTLA-4 blockade has an acceptable toxicity profile but its efficacy needs to be proven over placebo in phase II and III trials. Finally, understanding of the tumor biology and biomarker analysis from the clinical trials is warranted. [References: 10] RN - 0 (Antineoplastic Agents) ES - 1590-8577 IL - 1590-8577 PT - Evaluation Studies PT - Journal Article PT - Review ID - v11i04a06 [pii] PP - epublish LG - English EP - 20100705 DP - 2010 Jul 05 EZ - 2010/07/06 06:00 DA - 2010/11/06 06:00 DT - 2010/07/06 06:00 YR - 2010 ED - 20101105 RD - 20100705 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20601803 <18. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19512947 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaehler KC AU - Egberts F AU - Lorigan P AU - Hauschild A FA - Kaehler, Katharina C FA - Egberts, Friederike FA - Lorigan, Paul FA - Hauschild, Axel IN - Kaehler, Katharina C. Department of Dermatology, University of Kiel, Germany. kckaehler@yahoo.de TI - Anti-CTLA-4 therapy-related autoimmune hypophysitis in a melanoma patient. SO - Melanoma Research. 19(5):333-4, 2009 Oct AS - Melanoma Res. 19(5):333-4, 2009 Oct NJ - Melanoma research VO - 19 IP - 5 PG - 333-4 PI - Journal available in: Print PI - Citation processed from: Internet JC - bjr, 9109623 IO - Melanoma Res. SB - Index Medicus CP - England MH - *Antibodies, Monoclonal/ae [Adverse Effects] MH - Antibodies, Monoclonal/tu [Therapeutic Use] MH - *Antigens, CD/im [Immunology] MH - Autoimmune Diseases/bl [Blood] MH - *Autoimmune Diseases/ci [Chemically Induced] MH - Autoimmune Diseases/pa [Pathology] MH - CTLA-4 Antigen MH - Humans MH - Immunosuppressive Agents MH - Ipilimumab MH - Male MH - *Melanoma/co [Complications] MH - Melanoma/im [Immunology] MH - Melanoma/pa [Pathology] MH - Melanoma/sc [Secondary] MH - Middle Aged MH - Pituitary Diseases/bl [Blood] MH - *Pituitary Diseases/ci [Chemically Induced] MH - Pituitary Diseases/pa [Pathology] AB - Cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) is an immunoregulatory molecule expressed by activated T cells and resting CD4+CD25 T cells. In patients with advanced melanoma, anti-CTLA-4 antibody therapy achieves cancer regression in 15% of patients. Treatment may be associated with grade III/IV autoimmune manifestations that included dermatitis, enterocolitis, hepatitis, uveitis, and rarely hypophysitis. Many of these toxicities require and respond to brief courses of high-dose corticosteroids. We report on a case of autoimmune hypophysitis with severe clinical symptoms that resolved rapidly after treatment with steroids. It is important to consider both autoimmune hypophysitis and brain metastasis in the differential diagnosis of melanoma patients receiving CTLA-4 blockade who present this constellation of symptoms. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Immunosuppressive Agents) RN - 0 (Ipilimumab) ES - 1473-5636 IL - 0960-8931 DO - https://dx.doi.org/10.1097/CMR.0b013e32832e0bff PT - Case Reports PT - Journal Article ID - 10.1097/CMR.0b013e32832e0bff [doi] PP - ppublish LG - English DP - 2009 Oct EZ - 2009/06/11 09:00 DA - 2010/01/27 06:00 DT - 2009/06/11 09:00 YR - 2009 ED - 20100126 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19512947 <19. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19789309 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ribas A AU - Comin-Anduix B AU - Chmielowski B AU - Jalil J AU - de la Rocha P AU - McCannel TA AU - Ochoa MT AU - Seja E AU - Villanueva A AU - Oseguera DK AU - Straatsma BR AU - Cochran AJ AU - Glaspy JA AU - Hui L AU - Marincola FM AU - Wang E AU - Economou JS AU - Gomez-Navarro J FA - Ribas, Antoni FA - Comin-Anduix, Begona FA - Chmielowski, Bartosz FA - Jalil, Jason FA - de la Rocha, Pilar FA - McCannel, Tara A FA - Ochoa, Maria Teresa FA - Seja, Elizabeth FA - Villanueva, Arturo FA - Oseguera, Denise K FA - Straatsma, Bradley R FA - Cochran, Alistair J FA - Glaspy, John A FA - Hui, Liu FA - Marincola, Francesco M FA - Wang, Ena FA - Economou, James S FA - Gomez-Navarro, Jesus IN - Ribas, Antoni. Department of Medicine, Division of Hematology/Oncology, University of California at Los Angeles, Los Angeles, California 90095-1782, USA. aribas@mednet.ucla.edu TI - Dendritic cell vaccination combined with CTLA4 blockade in patients with metastatic melanoma. SO - Clinical Cancer Research. 15(19):6267-76, 2009 Oct 01 AS - Clin Cancer Res. 15(19):6267-76, 2009 Oct 01 NJ - Clinical cancer research : an official journal of the American Association for Cancer Research VO - 15 IP - 19 PG - 6267-76 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - c2h, 9502500 IO - Clin. Cancer Res. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2765061 OI - Source: NLM. NIHMS134485 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Antibodies, Blocking/ad [Administration & Dosage] MH - Antibodies, Blocking/ae [Adverse Effects] MH - Antibodies, Monoclonal/ad [Administration & Dosage] MH - Antibodies, Monoclonal/ae [Adverse Effects] MH - *Antigens, CD/im [Immunology] MH - Antigens, Neoplasm/ad [Administration & Dosage] MH - Antigens, Neoplasm/ch [Chemistry] MH - Antigens, Neoplasm/me [Metabolism] MH - Antineoplastic Combined Chemotherapy Protocols/ad [Administration & Dosage] MH - CTLA-4 Antigen MH - *Cancer Vaccines/ad [Administration & Dosage] MH - Cancer Vaccines/ae [Adverse Effects] MH - Combined Modality Therapy MH - Dendritic Cells/im [Immunology] MH - Dendritic Cells/me [Metabolism] MH - *Dendritic Cells/tr [Transplantation] MH - Dose-Response Relationship, Drug MH - Female MH - Humans MH - *Immunotherapy, Adoptive/mt [Methods] MH - K562 Cells MH - MART-1 Antigen MH - Male MH - Melanoma/pa [Pathology] MH - *Melanoma/th [Therapy] MH - Middle Aged MH - Neoplasm Metastasis MH - Neoplasm Proteins/ad [Administration & Dosage] MH - Neoplasm Proteins/ch [Chemistry] MH - Neoplasm Proteins/me [Metabolism] MH - Peptide Fragments/ad [Administration & Dosage] MH - Peptide Fragments/me [Metabolism] AB - PURPOSE: Tumor antigen-loaded dendritic cells (DC) are believed to activate antitumor immunity by stimulating T cells, and CTL-associated antigen 4 (CTLA4)-blocking antibodies should release a key negative regulatory pathway on T cells. The combination was tested in a phase I clinical trial in patients with advanced melanoma. AB - EXPERIMENTAL DESIGN: Autologous DC were pulsed with MART-1(26-35) peptide and administered with a dose escalation of the CTLA4-blocking antibody tremelimumab. Sixteen patients were accrued to five dose levels. Primary end points were safety and immune effects; clinical efficacy was a secondary end point. AB - RESULTS: Dose-limiting toxicities of grade 3 diarrhea and grade 2 hypophysitis developed in two of three patients receiving tremelimumab at 10 mg/kg monthly. Four patients had an objective tumor response, two partial responses and two complete responses, all melanoma free between 2 and 4 years after study initiation. There was no difference in immune monitoring results between patients with an objective tumor response and those without a response. Exploratory gene expression analysis suggested that immune-related gene signatures, in particular for B-cell function, may be important in predicting response. AB - CONCLUSION: The combination of MART-1 peptide-pulsed DC and tremelimumab results in objective and durable tumor responses at the higher range of the expected response rate with either agent alone. RN - 0 (Antibodies, Blocking) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antigens, Neoplasm) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Cancer Vaccines) RN - 0 (MART-1 Antigen) RN - 0 (MLANA protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Peptide Fragments) RN - QEN1X95CIX (tremelimumab) IS - 1078-0432 IL - 1078-0432 DO - https://dx.doi.org/10.1158/1078-0432.CCR-09-1254 PT - Clinical Trial, Phase I PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 1078-0432.CCR-09-1254 [pii] ID - 10.1158/1078-0432.CCR-09-1254 [doi] ID - PMC2765061 [pmc] ID - NIHMS134485 [mid] PP - ppublish GI - No: CA-16042 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA129816 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: M01 RR000865 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: M01-RR-0865 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: AI-28697 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: U54 CA119347 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P50 CA086306 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P30 CA016042 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P30 AI028697 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: P50 CA086306-100006 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: M01 RR000865-338786 Organization: (RR) *NCRR NIH HHS* Country: United States LG - English EP - 20090929 DP - 2009 Oct 01 EZ - 2009/10/01 06:00 DA - 2009/12/23 06:00 DT - 2009/10/01 06:00 YR - 2009 ED - 20091222 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19789309 <20. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18941200 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lozanoska-Ochser B AU - Klein NJ AU - Huang GC AU - Alvarez RA AU - Peakman M FA - Lozanoska-Ochser, Biliana FA - Klein, Nigel J FA - Huang, Guo C FA - Alvarez, Raymond A FA - Peakman, Mark IN - Lozanoska-Ochser, Biliana. King's College London, Department of Immunobiology, London, United Kingdom. TI - Expression of CD86 on human islet endothelial cells facilitates T cell adhesion and migration. SO - Journal of Immunology. 181(9):6109-16, 2008 Nov 01 AS - J Immunol. 181(9):6109-16, 2008 Nov 01 NJ - Journal of immunology (Baltimore, Md. : 1950) VO - 181 IP - 9 PG - 6109-16 PI - Journal available in: Print PI - Citation processed from: Internet JC - ifb, 2985117r IO - J. Immunol. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Antigens, CD/bi [Biosynthesis] MH - Antigens, CD/ge [Genetics] MH - Antigens, CD/me [Metabolism] MH - Antigens, CD/ph [Physiology] MH - *B7-2 Antigen/bi [Biosynthesis] MH - B7-2 Antigen/ge [Genetics] MH - B7-2 Antigen/me [Metabolism] MH - B7-2 Antigen/ph [Physiology] MH - CD4-Positive T-Lymphocytes/cy [Cytology] MH - *CD4-Positive T-Lymphocytes/im [Immunology] MH - *CD4-Positive T-Lymphocytes/me [Metabolism] MH - CTLA-4 Antigen MH - Cell Adhesion/im [Immunology] MH - Cell Migration Inhibition/im [Immunology] MH - *Cell Movement/im [Immunology] MH - Cells, Cultured MH - Coculture Techniques MH - Endothelium, Vascular/cy [Cytology] MH - *Endothelium, Vascular/im [Immunology] MH - *Endothelium, Vascular/me [Metabolism] MH - Humans MH - Immunologic Memory MH - Inducible T-Cell Co-Stimulator Ligand MH - Islets of Langerhans/cy [Cytology] MH - *Islets of Langerhans/im [Immunology] MH - *Islets of Langerhans/me [Metabolism] MH - Ligands MH - Lymph Nodes/cy [Cytology] MH - Lymph Nodes/im [Immunology] MH - Lymph Nodes/me [Metabolism] MH - Lymphocyte Activation/im [Immunology] MH - Microcirculation/im [Immunology] AB - Pancreatic islet endothelial cells (ECs) form the barrier across which autoreactive T cells transmigrate during the development of islet inflammation in type 1 diabetes. Little is known about the immune phenotype of islet ECs that might shape their molecular interaction with autoreactive T cells before and during the development of islet inflammation. In this study we examined the expression and functional significance of costimulatory molecules by human islet ECs. Freshly isolated human islet ECs constitutively expressed CD86 (B7-2) and ICOS ligand but not CD80 (B7-1) or CD40 costimulatory molecules. The functional activity of islet EC-expressed CD86 was examined by coculture of resting islet ECs with CD4 T cells stimulated by CD3 ligation alone. Marked T cell proliferation in the coculture was completely abrogated by mAb blockade of CD86, confirming that costimulatory properties are conferred on ECs by CD86 expression. In view of its location on the vasculature, we hypothesized a role for CD86 in T cell adhesion/transmigration. In keeping with this, adhesion/transmigration of activated (CD3 ligated) memory (CD45R0(+)) CD4 T cells across islet ECs was completely inhibited in the presence of CD86 blocking mAb. Identical results were obtained for T cell adhesion using either CTLA-4 blocking mAb or CTLA-4Ig (abatacept), indicating CTLA-4 as the T cell ligand for these CD86-mediated effects. These data suggest a novel role for CD86 expression on the microvasculature, whereby ligation of CTLA-4 on CD4 T cells by CD86 on islet ECs is key to the adhesion of recently activated T cells. RN - 0 (Antigens, CD) RN - 0 (B7-2 Antigen) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (ICOSLG protein, human) RN - 0 (Inducible T-Cell Co-Stimulator Ligand) RN - 0 (Ligands) ES - 1550-6606 IL - 0022-1767 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 181/9/6109 [pii] PP - ppublish GI - Organization: *Department of Health* Country: United Kingdom LG - English DP - 2008 Nov 01 EZ - 2008/10/23 09:00 DA - 2009/01/22 09:00 DT - 2008/10/23 09:00 YR - 2008 ED - 20090121 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18941200 <21. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18774118 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caturegli P AU - Lupi I AU - Landek-Salgado M AU - Kimura H AU - Rose NR FA - Caturegli, Patrizio FA - Lupi, Isabella FA - Landek-Salgado, Melissa FA - Kimura, Hiroaki FA - Rose, Noel R IN - Caturegli, Patrizio. Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, United States. pcat@jhmi.edu TI - Pituitary autoimmunity: 30 years later. [Review] [40 refs] SO - Autoimmunity Reviews. 7(8):631-7, 2008 Sep AS - Autoimmun Rev. 7(8):631-7, 2008 Sep NJ - Autoimmunity reviews VO - 7 IP - 8 PG - 631-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101128967 IO - Autoimmun Rev PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3383826 OI - Source: NLM. NIHMS72537 SB - Index Medicus CP - Netherlands MH - Animals MH - *Autoimmune Diseases/im [Immunology] MH - Autoimmune Diseases/me [Metabolism] MH - Humans MH - *Pituitary Diseases/im [Immunology] MH - *Pituitary Gland/im [Immunology] MH - Pituitary Hormones/im [Immunology] AB - Pituitary autoimmunity encompasses a spectrum of conditions ranging from histologically proven forms of lymphocytic hypophysitis to the presence of pituitary antibodies in apparently healthy subjects. Hypophysitis is a rare but increasingly recognized disorder that typically presents as a mass in the sella turcica. It mimics clinically and radiologically other non-functioning sellar masses, such as the more common pituitary adenoma. Hypophysitis shows a striking temporal association with pregnancy, and it has been recently described during immunotherapies that block CTLA-4. Several candidate pituitary autoantigens have been described in the last decade, although none has proven useful as a diagnostic tool. This review summarizes the advances made in the field since the publication of the first review on pituitary autoimmunity, and the challenges that await clarification. [References: 40] RN - 0 (Pituitary Hormones) IS - 1568-9972 IL - 1568-9972 DO - https://dx.doi.org/10.1016/j.autrev.2008.04.016 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review ID - S1568-9972(08)00062-1 [pii] ID - 10.1016/j.autrev.2008.04.016 [doi] ID - PMC3383826 [pmc] ID - NIHMS72537 [mid] PP - ppublish PH - 2008/03/10 [received] PH - 2008/04/11 [accepted] GI - No: R01 DK055670 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R21 DK080351 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: R56 DK055670 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: DK55670 Organization: (DK) *NIDDK NIH HHS* Country: United States LG - English EP - 20080508 DP - 2008 Sep EZ - 2008/09/09 09:00 DA - 2008/12/17 09:00 DT - 2008/09/09 09:00 YR - 2008 ED - 20081205 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18774118 <22. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18287062 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hodi FS AU - Butler M AU - Oble DA AU - Seiden MV AU - Haluska FG AU - Kruse A AU - Macrae S AU - Nelson M AU - Canning C AU - Lowy I AU - Korman A AU - Lautz D AU - Russell S AU - Jaklitsch MT AU - Ramaiya N AU - Chen TC AU - Neuberg D AU - Allison JP AU - Mihm MC AU - Dranoff G FA - Hodi, F Stephen FA - Butler, Marcus FA - Oble, Darryl A FA - Seiden, Michael V FA - Haluska, Frank G FA - Kruse, Andrea FA - Macrae, Suzanne FA - Nelson, Marybeth FA - Canning, Christine FA - Lowy, Israel FA - Korman, Alan FA - Lautz, David FA - Russell, Sara FA - Jaklitsch, Michael T FA - Ramaiya, Nikhil FA - Chen, Teresa C FA - Neuberg, Donna FA - Allison, James P FA - Mihm, Martin C FA - Dranoff, Glenn IN - Hodi, F Stephen. Department of Medical Oncology and Cancer Vaccine Center, Dana-Farber Cancer Institute, Brigham and Women's Hospital and Harvard Medical School, 44 Binney Street, Boston, MA 02115, USA. stephen_hodi@dfci.harvard.edu TI - Immunologic and clinical effects of antibody blockade of cytotoxic T lymphocyte-associated antigen 4 in previously vaccinated cancer patients. SO - Proceedings of the National Academy of Sciences of the United States of America. 105(8):3005-10, 2008 Feb 26 AS - Proc Natl Acad Sci U S A. 105(8):3005-10, 2008 Feb 26 NJ - Proceedings of the National Academy of Sciences of the United States of America VO - 105 IP - 8 PG - 3005-10 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pv3, 7505876 IO - Proc. Natl. Acad. Sci. U.S.A. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2268575 SB - Index Medicus CP - United States MH - Antibodies, Monoclonal/ad [Administration & Dosage] MH - Antibodies, Monoclonal/im [Immunology] MH - *Antibodies, Monoclonal/tu [Therapeutic Use] MH - *Antigens, CD/im [Immunology] MH - *Antigens, Differentiation/im [Immunology] MH - CTLA-4 Antigen MH - Carcinoma/im [Immunology] MH - *Carcinoma/th [Therapy] MH - Cohort Studies MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Granulocyte-Macrophage Colony-Stimulating Factor/me [Metabolism] MH - Humans MH - *Immunization, Passive/mt [Methods] MH - Ipilimumab MH - Melanoma/im [Immunology] MH - *Melanoma/th [Therapy] MH - Ovarian Neoplasms/im [Immunology] MH - *Ovarian Neoplasms/th [Therapy] MH - T-Lymphocytes, Regulatory/im [Immunology] AB - Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) functions as a negative regulator of endogenous and vaccine-induced antitumor immunity. The administration of fully human anti-CTLA-4 blocking monoclonal antibodies to advanced-cancer patients increases immune-mediated tumor destruction in some subjects. Nonetheless, patients that respond also frequently manifest serious inflammatory pathologies, raising the possibility that the therapeutic and toxic effects of CTLA-4 blockade might be linked. Here we show that periodic infusions of anti-CTLA-4 antibodies after vaccination with irradiated, autologous tumor cells engineered to secrete GM-CSF (GVAX) generate clinically meaningful antitumor immunity without grade 3 or 4 toxicity in a majority of metastatic melanoma patients. The application of this sequential immunotherapy to advanced ovarian carcinoma patients also revealed that tumor destruction and severe inflammatory pathology could be dissociated, although further refinements are required to increase clinical responses and to minimize toxicity in this population. The extent of therapy-induced tumor necrosis was linearly related to the natural logarithm of the ratio of intratumoral CD8(+) effector T cells to FoxP3(+) regulatory T cells (Tregs) in posttreatment biopsies. Together, these findings help clarify the immunologic and clinical effects of CTLA-4 antibody blockade in previously vaccinated patients and raise the possibility that selective targeting of antitumor Tregs may constitute a complementary strategy for combination therapy. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Ipilimumab) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) ES - 1091-6490 IL - 0027-8424 DO - https://dx.doi.org/10.1073/pnas.0712237105 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 0712237105 [pii] ID - 10.1073/pnas.0712237105 [doi] ID - PMC2268575 [pmc] PP - ppublish GI - No: R01 CA111506 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R21 CA105776 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: CA105776 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: CA111506 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20080219 DP - 2008 Feb 26 EZ - 2008/02/22 09:00 DA - 2008/04/30 09:00 DT - 2008/02/22 09:00 YR - 2008 ED - 20080429 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18287062 <23. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17982511 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bayes M AU - Rabasseda X AU - Prous JR FA - Bayes, M FA - Rabasseda, X FA - Prous, J R IN - Bayes, M. Prous Science, Barcelona, Spain. mbayes@prous.com TI - Gateways to clinical trials. SO - Methods & Findings in Experimental & Clinical Pharmacology. 29(7):467-509, 2007 Sep AS - Methods Find Exp Clin Pharmacol. 29(7):467-509, 2007 Sep NJ - Methods and findings in experimental and clinical pharmacology VO - 29 IP - 7 PG - 467-509 PI - Journal available in: Print PI - Citation processed from: Print JC - lzn, 7909595 IO - Methods Find Exp Clin Pharmacol SB - Index Medicus CP - Spain MH - *Clinical Trials as Topic MH - Humans AB - 12B75, 274150; Abacavir sulfate/lamivudine, Abatacept, Ad2/HIF-1alpha, Adalimumab, Adefovir, Adefovir dipivoxil, AGN-201904-Z, AIDSVAX, Albinterferon alfa-2b, Alemtuzumab, Aliskiren fumarate, Alvimopan hydrate, Amlodipine besylate/atorvastatin calcium, Amlodipine besylate/Olmesartan medoxomil, Ammonium tetrathiomolybdate, Amodiaquine, Apaziquone, Aprepitant, Arsenic trioxide, Artesunate/Amodiaquine, Ascorbic acid, Atazanavir sulfate, Atazanavir/ritonavir, Atomoxetine hydrochloride, Atrigel-Leuprolide, Axitinib; Bevacizumab, Binodenoson, Bortezomib, Bovine lactoferrin; Calcipotriol/betamethasone dipropionate, Carisbamate, Certolizumab pegol, Ciclesonide, Conivaptan hydrochloride, CP-690550, CP-751871, Cypher; Dapivirine, Darbepoetin alfa, Darunavir, Dasatinib, del-1 Genemedicine, Denosumab, Desloratadine, Dexlansoprazole, DiabeCell, Drospirenone/ethinylestradiol, DTaP-HepB-IPV, Duloxetine hydrochloride, Dutasteride; Eculizumab, Eldecalcitol, Eletriptan, Emtricitabine, Entecavir, Eritoran tetrasodium, Ertapenem sodium, Escitalopram oxalate, Eslicarbazepine acetate, Esomeprazole magnesium, Estradiol acetate, Eszopiclone, ETEC vaccine, Etoricoxib, Exenatide, Ezetimibe; Fluticasone furoate, Fosmidomycin, Fosmidomycin/clindamycin; Glutamine; Heat Shock Protein 10, Hepatitis B hyperimmunoglobulin, HIV vaccine, Hochuekki-to, Human Albumin, Human papillomavirus vaccine; Immune globulin subcutaneous [human], IMP-321, Interferon omega, ISIS-301012, Istaroxime; Japanese encephalitis virus vaccine; Latanoprost/timolol maleate, Lenalidomide, Linaclotide acetate, Lumiracoxib, LY-517717; Malaria vaccine, MAS-063D, Meningitis B vaccine, Mepolizumab, Methylnaltrexone bromide, Micafungin sodium, MK-0822A, Morphine glucuronide, Morphine hydrochloride, Mycophenolic acid sodium salt; Natalizumab, Nesiritide, Norelgestromin/ethinyl estradiol, NT-201; Oblimersen sodium, Olmesartan medoxomil, Olmesartan medoxomil/hydrochlorothiazide, Omalizumab, Otamixaban; Paclitaxel nanoparticles, Panitumumab, Panobinostat, Parathyroid hormone (human recombinant), Parecoxib sodium, Pegfilgrastim, Peginterferon alfa-2a, Peginterferon alfa-2b, Pegvisomant, PI-88, Pimecrolimus, Pneumococcal 7-valent conjugate vaccine, Pneumococcal 9-valent conjugate vaccine, Pneumococcal conjugate vaccine, Poloxamer-188, Prasugrel, Pregabalin, Prulifloxacin; R-109339, Ramipril/amlodipine, Ranolazine, Rasburicase, rHA influenza vaccine, Ro-50-3821, Rosuvastatin calcium, Rotavirus vaccine, Rotigotine, Ruboxistaurin mesilate hydrate; Satavaptan, SC-75416, Solifenacin succinate, Sorafenib, Sugammadex sodium, Sunitinib malate, Synthetic conjugated estrogens B; Tadalafil, Talnetant, Taxus, Tegaserod maleate, Telbivudine, Temsirolimus, Tenofovir disoproxil fumarate, Tetomilast, Tiotropium bromide, Tipifarnib, Tofimilast, Tremelimumab, Trimethoprim; Udenafil, Urocortin 2; Valdecoxib, Vernakalant hydrochloride; XP-828L. Copyright (c) 2007 Prous Science. All rights reserved. IS - 0379-0355 IL - 0379-0355 PT - Journal Article ID - 3822 [pii] PP - ppublish LG - English DP - 2007 Sep EZ - 2007/11/06 09:00 DA - 2008/01/25 09:00 DT - 2007/11/06 09:00 YR - 2007 ED - 20080124 RD - 20071105 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17982511 <24. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17611158 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Isaacs JD FA - Isaacs, John D IN - Isaacs, John D. Wilson Horne Immunotherapy Centre and Musculoskeletal Research Group, Institute of Cellular Medicine, Catherine Cookson Building, Framlington Place, Newcastle-upon-Tyne NE2 4HH, United Kingdom. j.d.isaacs@ncl.ac.uk TI - T cell immunomodulation--the Holy Grail of therapeutic tolerance. [Review] [48 refs] SO - Current Opinion in Pharmacology. 7(4):418-25, 2007 Aug AS - Curr Opin Pharmacol. 7(4):418-25, 2007 Aug NJ - Current opinion in pharmacology VO - 7 IP - 4 PG - 418-25 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 100966133 IO - Curr Opin Pharmacol SB - Index Medicus CP - England MH - Animals MH - *Antibodies, Monoclonal/ad [Administration & Dosage] MH - Antibodies, Monoclonal/ae [Adverse Effects] MH - Antigens/de [Drug Effects] MH - Antigens/im [Immunology] MH - *Autoimmune Diseases/dt [Drug Therapy] MH - CD3 Complex/de [Drug Effects] MH - CD3 Complex/im [Immunology] MH - Disease Models, Animal MH - Drug Delivery Systems MH - Humans MH - Immune Tolerance MH - Organ Transplantation MH - *T-Lymphocytes/de [Drug Effects] MH - T-Lymphocytes/im [Immunology] MH - Transplantation Immunology AB - The concept and practice of therapeutic tolerance has successfully been applied to animal models of autoimmunity and transplantation for more than 2 decades. Finally, there are encouraging signs of its translation to clinical practice. Short courses of anti-CD3 monoclonal antibody therapy have provided lasting benefits in recent-onset type 1 diabetes in association with evidence for the induction of immunoregulatory mechanisms. Co-stimulation blockade with abatacept (CTLA4-Ig) will soon be licensed for the treatment of rheumatoid arthritis - over the past year phase III studies have demonstrated impressive improvement in subjective and objective signs of the disease. T cell depletion is in development for several conditions, again with recent studies demonstrating evidence of immune regulation in some instances. More specific antigen-directed peptide therapies have also been applied to atopic asthma, type 1 diabetes, and adult and juvenile arthritis. The tragic sequelae of the phase I trial of TGN1412 at Northwick Park demonstrated the delicate, but unpredictable, therapeutic ratio of some T-cell-directed treatments and, in the UK, have led to new guidelines for early-phase clinical trials of immune-directed therapies. [References: 48] RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens) RN - 0 (CD3 Complex) IS - 1471-4892 IL - 1471-4892 PT - Journal Article PT - Review ID - S1471-4892(07)00093-8 [pii] ID - 10.1016/j.coph.2007.05.001 [doi] PP - ppublish PH - 2007/04/13 [received] PH - 2007/05/01 [accepted] LG - English EP - 20070703 DP - 2007 Aug EZ - 2007/07/06 09:00 DA - 2007/11/09 09:00 DT - 2007/07/06 09:00 YR - 2007 ED - 20071108 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17611158 <25. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17463170 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Singh N AU - Chandler PR AU - Seki Y AU - Baban B AU - Takezaki M AU - Kahler DJ AU - Munn DH AU - Larsen CP AU - Mellor AL AU - Iwashima M FA - Singh, Nagendra FA - Chandler, Phillip R FA - Seki, Yoichi FA - Baban, Babak FA - Takezaki, Mayuko FA - Kahler, David J FA - Munn, David H FA - Larsen, Christian P FA - Mellor, Andrew L FA - Iwashima, Makio IN - Singh, Nagendra. Immunotherapy Center, Medical College of Georgia, Augusta, USA. TI - Role of CD28 in fatal autoimmune disorder in scurfy mice. SO - Blood. 110(4):1199-206, 2007 Aug 15 AS - Blood. 110(4):1199-206, 2007 Aug 15 NJ - Blood VO - 110 IP - 4 PG - 1199-206 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - a8g, 7603509 IO - Blood PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1939901 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Animals MH - Antigens, CD/me [Metabolism] MH - Antigens, Differentiation/me [Metabolism] MH - Autoimmune Diseases/im [Immunology] MH - Autoimmune Diseases/mo [Mortality] MH - *Autoimmune Diseases/th [Therapy] MH - CD28 Antigens/ge [Genetics] MH - *CD28 Antigens/ph [Physiology] MH - CD4-Positive T-Lymphocytes/me [Metabolism] MH - CTLA-4 Antigen MH - Cell Proliferation MH - Cytokines/me [Metabolism] MH - Female MH - *Forkhead Transcription Factors/ge [Genetics] MH - *Genes, Lethal MH - Humans MH - Immunoglobulin G/me [Metabolism] MH - Interferon-gamma/me [Metabolism] MH - Interleukin-10/me [Metabolism] MH - Interleukin-4/me [Metabolism] MH - Lymphoproliferative Disorders/im [Immunology] MH - Lymphoproliferative Disorders/mo [Mortality] MH - *Lymphoproliferative Disorders/th [Therapy] MH - Male MH - Mice MH - Mice, Knockout MH - Mice, Mutant Strains MH - Polyendocrinopathies, Autoimmune/im [Immunology] MH - Polyendocrinopathies, Autoimmune/mo [Mortality] MH - Polyendocrinopathies, Autoimmune/th [Therapy] MH - T-Lymphocytes, Regulatory/im [Immunology] AB - Scurfy mice develop CD4 T-cell-mediated lymphoproliferative disease leading to death within 4 weeks of age. The scurfy mutation causes loss of function of the foxp3 gene (foxp3(sf)), which is essential for development and maintenance of naturally occurring regulatory CD4 T cells (nTregs). In humans, mutations of the foxp3 gene cause immune dysregulation, polyendocrinopathy, enteropathy, and X-linked syndrome (IPEX). In most patients with IPEX and also in scurfy mice, T cells show hyperreactivity and levels of Th1- and Th2-associated cytokines are substantially elevated. We report that removal of CD28 expression rescued scurfy mice from early death. Longer-term surviving CD28-deficient scurfy mice still had lymphoproliferative disorder, but their CD4 T cells showed decreased interferon-gamma and no sign of interleukin-4 or interleukin-10 hyperproduction. Furthermore, injection of CTLA4-Ig to block CD28-B7 interactions substantially improved the survival of scurfy mice by blocking effector T-cell differentiation. These data support the hypothesis that CD28-B7 interactions play a critical role in the etiology of lethal autoimmune disease in scurfy mice by stimulating the differentiation of antigen-activated naive T cells into effector T cells. RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CD28 Antigens) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Ctla4 protein, mouse) RN - 0 (Cytokines) RN - 0 (Forkhead Transcription Factors) RN - 0 (Foxp3 protein, mouse) RN - 0 (Immunoglobulin G) RN - 130068-27-8 (Interleukin-10) RN - 207137-56-2 (Interleukin-4) RN - 82115-62-6 (Interferon-gamma) IS - 0006-4971 IL - 0006-4971 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - blood-2006-10-054585 [pii] ID - 10.1182/blood-2006-10-054585 [doi] ID - PMC1939901 [pmc] PP - ppublish GI - No: K02 AI049398 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: R01 AI055022 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: AI049398 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: AI055022 Organization: (AI) *NIAID NIH HHS* Country: United States LG - English EP - 20070426 DP - 2007 Aug 15 EZ - 2007/04/28 09:00 DA - 2007/09/21 09:00 DT - 2007/04/28 09:00 YR - 2007 ED - 20070920 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17463170 <26. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17409339 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shaw SA AU - Camacho LH AU - McCutcheon IE AU - Waguespack SG FA - Shaw, Stephanie A FA - Camacho, Luis H FA - McCutcheon, Ian E FA - Waguespack, Steven G IN - Shaw, Stephanie A. FAAP, FACE, Department of Endocrine Neoplasia and Hormonal Disorders, University of Texas M.D. Anderson Cancer Center, 1400 Holcombe Boulevard, Unit 435, Houston, Texas 77030, USA. TI - Transient hypophysitis after cytotoxic T lymphocyte-associated antigen 4 (CTLA4) blockade. SO - Journal of Clinical Endocrinology & Metabolism. 92(4):1201-2, 2007 Apr AS - J Clin Endocrinol Metab. 92(4):1201-2, 2007 Apr NJ - The Journal of clinical endocrinology and metabolism VO - 92 IP - 4 PG - 1201-2 PI - Journal available in: Print PI - Citation processed from: Print JC - hrb, 0375362 IO - J. Clin. Endocrinol. Metab. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Antibodies, Monoclonal/tu [Therapeutic Use] MH - *Antigens, CD/im [Immunology] MH - *Antigens, Differentiation/im [Immunology] MH - CTLA-4 Antigen MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - *Pituitary Diseases/di [Diagnosis] MH - Pituitary Diseases/pa [Pathology] MH - *T-Lymphocytes, Cytotoxic/im [Immunology] MH - Treatment Outcome RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) IS - 0021-972X IL - 0021-972X PT - Case Reports PT - Journal Article ID - 92/4/1201 [pii] ID - 10.1210/jc.2006-2484 [doi] PP - ppublish LG - English DP - 2007 Apr EZ - 2007/04/06 09:00 DA - 2007/09/18 09:00 DT - 2007/04/06 09:00 YR - 2007 ED - 20070917 RD - 20111117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17409339 <27. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17000707 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cunninghame Graham DS AU - Wong AK AU - McHugh NJ AU - Whittaker JC AU - Vyse TJ FA - Cunninghame Graham, D S FA - Wong, A K FA - McHugh, N J FA - Whittaker, J C FA - Vyse, Timothy J IN - Cunninghame Graham, D S. Imperial College, Molecular Genetics and Rheumatology Section, Hammersmith Hospital, Du Cane Road, London W12 0NN, UK. TI - Evidence for unique association signals in SLE at the CD28-CTLA4-ICOS locus in a family-based study. SO - Human Molecular Genetics. 15(21):3195-205, 2006 Nov 01 AS - Hum Mol Genet. 15(21):3195-205, 2006 Nov 01 NJ - Human molecular genetics VO - 15 IP - 21 PG - 3195-205 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - brc, 9208958 IO - Hum. Mol. Genet. SB - Index Medicus CP - England MH - 3' Flanking Region MH - *Antigens, CD/ge [Genetics] MH - *Antigens, Differentiation/ge [Genetics] MH - Antigens, Differentiation, T-Lymphocyte/ge [Genetics] MH - Base Sequence MH - CD28 Antigens/ge [Genetics] MH - CTLA-4 Antigen MH - Chromosome Mapping MH - Family MH - Female MH - Gene Frequency MH - Genetic Markers MH - Haplotypes MH - Humans MH - Inducible T-Cell Co-Stimulator Protein MH - *Lupus Erythematosus, Systemic/ge [Genetics] MH - Male MH - Molecular Sequence Data MH - Multigene Family MH - Polymorphism, Single Nucleotide AB - CD28, CTLA4 (cytotoxic T lymphocyte-associated protein 4) and ICOS (inducible T cell co-stimulator) are good candidate genes for systemic lupus erythematosus (SLE) because of their role in regulating T cell activation. CTLA4 inhibits CD28-mediated T cell activation. CTLA4 is expressed on CD4+ and CD8+ activated T cells, and also B cells, but CD28 and ICOS are largely restricted to T cells. An interval encompassing the CD28-CTLA4-ICOS locus on chromosome 2q33 was linked to lupus in two genome-wide linkage scans. This large family-based association study in 532 UK SLE families represents the first high-density genetic screen of 80 SNPs at this locus. There are seven haplotype blocks across the locus. In CTLA4, the strongest signal comes from two variants, located 2.1 kb downstream from the 3'-UTR. These polymorphisms, rs231726 (SNP 43) and rs231726 (SNP 44), are in complete linkage disequilibrium (LD) (r(2)=1) and are associated with SLE P=0.0008 (GH) and P=0.01 (family-based association test). There is also a signal in the distal 3' flanking region of CTLA4/ICOS promoter (P=0.003). There was no confirmation of published associations for SLE in the promoter or coding region of CTLA4. These SLE risk alleles are more distal than those identified in Graves' disease and are in LD with Graves' disease protective alleles identified in both of these regions of CTLA4 (Ueda et al. 2003). These factors suggest an SLE-specific pattern of association. The functional consequences of the associated polymorphisms are likely to influence CTLA4 expression, although it is possible that genetically modulated ICOS expression is involved in SLE susceptibility. RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (Antigens, Differentiation, T-Lymphocyte) RN - 0 (CD28 Antigens) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Genetic Markers) RN - 0 (ICOS protein, human) RN - 0 (Inducible T-Cell Co-Stimulator Protein) IS - 0964-6906 IL - 0964-6906 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - ddl395 [pii] ID - 10.1093/hmg/ddl395 [doi] PP - ppublish GI - Organization: *Wellcome Trust* Country: United Kingdom LG - English EP - 20060925 DP - 2006 Nov 01 EZ - 2006/09/27 09:00 DA - 2006/12/22 09:00 DT - 2006/09/27 09:00 YR - 2006 ED - 20061221 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17000707 <28. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16224277 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blansfield JA AU - Beck KE AU - Tran K AU - Yang JC AU - Hughes MS AU - Kammula US AU - Royal RE AU - Topalian SL AU - Haworth LR AU - Levy C AU - Rosenberg SA AU - Sherry RM FA - Blansfield, Joseph A FA - Beck, Kimberly E FA - Tran, Khoi FA - Yang, James C FA - Hughes, Marybeth S FA - Kammula, Udai S FA - Royal, Richard E FA - Topalian, Suzanne L FA - Haworth, Leah R FA - Levy, Catherine FA - Rosenberg, Steven A FA - Sherry, Richard M IN - Blansfield, Joseph A. Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892-1201, USA. TI - Cytotoxic T-lymphocyte-associated antigen-4 blockage can induce autoimmune hypophysitis in patients with metastatic melanoma and renal cancer. SO - Journal of Immunotherapy. 28(6):593-8, 2005 Nov-Dec AS - J Immunother. 28(6):593-8, 2005 Nov-Dec NJ - Journal of immunotherapy (Hagerstown, Md. : 1997) VO - 28 IP - 6 PG - 593-8 PI - Journal available in: Print PI - Citation processed from: Print JC - cuq, 9706083 IO - J. Immunother. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2154350 OI - Source: NLM. NIHMS35758 SB - Index Medicus CP - United States MH - Adult MH - Antibodies, Monoclonal/ad [Administration & Dosage] MH - *Antibodies, Monoclonal/ae [Adverse Effects] MH - Antigens, CD MH - *Antigens, Differentiation/im [Immunology] MH - Autoimmune Diseases/bl [Blood] MH - *Autoimmune Diseases/ci [Chemically Induced] MH - Autoimmune Diseases/pa [Pathology] MH - Autoimmune Diseases/th [Therapy] MH - CTLA-4 Antigen MH - Carcinoma, Renal Cell/dt [Drug Therapy] MH - Carcinoma, Renal Cell/sc [Secondary] MH - Humans MH - Kidney Neoplasms/dt [Drug Therapy] MH - Kidney Neoplasms/pa [Pathology] MH - Magnetic Resonance Imaging MH - Male MH - Melanoma/dt [Drug Therapy] MH - Melanoma/sc [Secondary] MH - Middle Aged MH - Neoplasm Metastasis MH - *Pituitary Gland/de [Drug Effects] MH - Pituitary Gland/pa [Pathology] MH - Skin Neoplasms/dt [Drug Therapy] MH - Skin Neoplasms/pa [Pathology] AB - Cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) is an immunoregulatory molecule expressed by activated T cells and resting CD4CD25 T cells. In patients with advanced melanoma, our group reported that administration of anti-CTLA-4 antibody mediated objective cancer regression in 13% of patients. This study also established that the blockade of CTLA-4 was associated with grade III/IV autoimmune manifestations that included dermatitis, enterocolitis, hepatitis, uveitis, and a single case of hypophysitis. Since this initial report, 7 additional patients with anti-CTLA-4 antibody-induced autoimmune hypophysitis have been accumulated. The characteristics, clinical course, laboratory values, radiographic findings, and treatment of these 8 patients are the focus of this report. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) IS - 1524-9557 IL - 1524-9557 PT - Clinical Trial PT - Journal Article ID - 00002371-200511000-00010 [pii] ID - PMC2154350 [pmc] ID - NIHMS35758 [mid] PP - ppublish GI - No: Z01 SC003811-32 Organization: *Intramural NIH HHS* Country: United States LG - English DP - 2005 Nov-Dec EZ - 2005/10/15 09:00 DA - 2006/04/29 09:00 DT - 2005/10/15 09:00 YR - 2005 ED - 20060428 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16224277 <29. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16204013 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ribas A AU - Camacho LH AU - Lopez-Berestein G AU - Pavlov D AU - Bulanhagui CA AU - Millham R AU - Comin-Anduix B AU - Reuben JM AU - Seja E AU - Parker CA AU - Sharma A AU - Glaspy JA AU - Gomez-Navarro J FA - Ribas, Antoni FA - Camacho, Luis H FA - Lopez-Berestein, Gabriel FA - Pavlov, Dmitri FA - Bulanhagui, Cecile A FA - Millham, Robert FA - Comin-Anduix, Begona FA - Reuben, James M FA - Seja, Elisabeth FA - Parker, Charla A FA - Sharma, Amarnath FA - Glaspy, John A FA - Gomez-Navarro, Jesus IN - Ribas, Antoni. Department of Medicine, Division of Hematology/Oncology Surgery, University of California at Los Angeles, CA, USA. TI - Antitumor activity in melanoma and anti-self responses in a phase I trial with the anti-cytotoxic T lymphocyte-associated antigen 4 monoclonal antibody CP-675,206. CM - Comment in: J Clin Oncol. 2005 Dec 10;23(35):8926-8; PMID: 16204008 SO - Journal of Clinical Oncology. 23(35):8968-77, 2005 Dec 10 AS - J Clin Oncol. 23(35):8968-77, 2005 Dec 10 NJ - Journal of clinical oncology : official journal of the American Society of Clinical Oncology VO - 23 IP - 35 PG - 8968-77 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - jco, 8309333 IO - J. Clin. Oncol. SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Antibodies, Blocking/ae [Adverse Effects] MH - Antibodies, Blocking/im [Immunology] MH - *Antibodies, Blocking/tu [Therapeutic Use] MH - Antibodies, Monoclonal/im [Immunology] MH - Antibodies, Monoclonal/pk [Pharmacokinetics] MH - *Antibodies, Monoclonal/tu [Therapeutic Use] MH - Antibodies, Neoplasm/im [Immunology] MH - *Antibodies, Neoplasm/tu [Therapeutic Use] MH - Antigens, CD MH - Antigens, Differentiation/im [Immunology] MH - Antigens, Neoplasm MH - Autoimmune Diseases/et [Etiology] MH - Autoimmune Diseases/im [Immunology] MH - Autoimmune Diseases/pa [Pathology] MH - CTLA-4 Antigen MH - Cancer Vaccines/tu [Therapeutic Use] MH - Colonic Neoplasms/im [Immunology] MH - Colonic Neoplasms/th [Therapy] MH - Female MH - Humans MH - Immune Tolerance/im [Immunology] MH - *Immunotherapy/mt [Methods] MH - Infusions, Intravenous MH - Kidney Neoplasms/im [Immunology] MH - Kidney Neoplasms/th [Therapy] MH - MART-1 Antigen MH - Male MH - Melanoma/im [Immunology] MH - *Melanoma/th [Therapy] MH - Middle Aged MH - Neoplasm Proteins/im [Immunology] MH - Neoplasms MH - Regression Analysis MH - T-Lymphocyte Subsets/im [Immunology] MH - Treatment Outcome AB - PURPOSE: Cytotoxic T lymphocyte-associated antigen 4 (CTLA4) blockade with CP-675,206, a fully human anti-CTLA4 monoclonal antibody, may break peripheral immunologic tolerance leading to effective immune responses to cancer in humans. A phase I trial was conducted to test the safety of CP-675,206. AB - PATIENTS AND METHODS: Thirty-nine patients with solid malignancies (melanoma, n = 34; renal cell, n = 4; colon, n = 1) received an intravenous (IV) infusion of CP-675,206 at seven dose levels. The primary objective was to determine the maximum-tolerated dose and the recommended phase II dose. AB - RESULTS: Dose-limiting toxicities and autoimmune phenomena included diarrhea, dermatitis, vitiligo, panhypopituitarism and hyperthyroidism. Two patients experienced complete responses (maintained for 34+ and 25+ months), and there were two partial responses (26+ and 25+ months) among 29 patients with measurable melanoma. There have been no relapses thus far after objective response to therapy. Four other patients had stable disease at end of study evaluation (16, 7, 7, and 4 months). Additionally, five patients had extended periods without disease progression (36+, 35+, 26+, 24+, and 23+ months) after local treatment of progressive metastases. Longer systemic exposure to CP-675,206 achieved in higher dose cohorts predicted for a higher probability of response. AB - CONCLUSION: CP-675,206 can be administered safely to humans as a single IV dose up to 15 mg/kg, resulting in breaking of peripheral immune tolerance to self-tissues and antitumor activity in melanoma. RN - 0 (Antibodies, Blocking) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Neoplasm) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (Antigens, Neoplasm) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Cancer Vaccines) RN - 0 (MART-1 Antigen) RN - 0 (MLANA protein, human) RN - 0 (Neoplasm Proteins) IS - 0732-183X IL - 0732-183X PT - Clinical Trial, Phase I PT - Journal Article ID - JCO.2005.01.109 [pii] ID - 10.1200/JCO.2005.01.109 [doi] PP - ppublish LG - English EP - 20051003 DP - 2005 Dec 10 EZ - 2005/10/06 09:00 DA - 2006/01/13 09:00 DT - 2005/10/06 09:00 YR - 2005 ED - 20060112 RD - 20111117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16204013 <30. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15981202 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sweeney KJ AU - Kell MR AU - Ravi N AU - Reynolds JV FA - Sweeney, K J FA - Kell, M R FA - Ravi, N FA - Reynolds, J V IN - Sweeney, K J. Department of Clinical Surgery, St James's Hospital and Trinity College Dublin, Dublin 8, Ireland. TI - Major upper gastrointestinal surgery is associated with an antigen-dependent proinflammatory T cell response. SO - British Journal of Surgery. 92(8):989-95, 2005 Aug AS - Br J Surg. 92(8):989-95, 2005 Aug NJ - The British journal of surgery VO - 92 IP - 8 PG - 989-95 PI - Journal available in: Print PI - Citation processed from: Print JC - b34, 0372553 IO - Br J Surg SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Adult MH - Aged MH - Antigens, CD/me [Metabolism] MH - Antigens, Differentiation, T-Lymphocyte/me [Metabolism] MH - Enterotoxins/pd [Pharmacology] MH - Esophageal Neoplasms/im [Immunology] MH - *Esophageal Neoplasms/su [Surgery] MH - Esophagectomy MH - Female MH - Humans MH - Interferon-gamma/me [Metabolism] MH - Interleukins/me [Metabolism] MH - Lectins, C-Type MH - Leukocytes, Mononuclear/im [Immunology] MH - Lymphocyte Activation MH - Male MH - Middle Aged MH - Pancreatic Neoplasms/im [Immunology] MH - *Pancreatic Neoplasms/su [Surgery] MH - Postoperative Complications/im [Immunology] MH - Receptors, Interleukin-2/me [Metabolism] MH - Receptors, Tumor Necrosis Factor/me [Metabolism] MH - *T-Lymphocytes/im [Immunology] MH - fas Receptor AB - BACKGROUND: T cells play a central role in the immune response to injury. Oesophageal and pancreatic resections are associated with significant risk of systemic inflammatory response syndrome and sepsis. This study involved a detailed analysis of T cell function in a consecutive cohort of patients undergoing such surgery. AB - METHODS: Twenty-five patients undergoing major oncological upper gastrointestinal surgery were investigated for T cell expression of Fas and the activation markers CD69 and CD25, as well as interleukin (IL) 2, IL-10 and interferon (IFN) gamma responses to stimulation with staphylococcal enterotoxin B (SEB). T cell activation in healthy volunteer peripheral blood mononuclear cells was studied in co-culture with patients' serum, either alone or with cytotoxic T lymphocyte-associated antigen (CTLA) 4, an inhibitor of antigen presentation. AB - RESULTS: T cells expressed significantly raised levels of CD69 and CD25 after surgery, but no change in Fas expression was evident. There was a significant increase in the production of IL-2 after surgery without a concomitant increase in IFN-gamma or IL-10 in response to SEB. Postoperative serum activated healthy volunteer T cells, a response that was inhibited (P = 0.053) by co-incubation with CTLA-4. AB - CONCLUSION: Major surgery results in pan-T cell activation via a serum-mediated antigenic mechanism that is independent of Fas expression. Postoperative T cells are primed for an augmented proinflammatory response to superantigen, sustained for at least 1 week, implicating the adaptive immune system in the development of the postoperative systemic immunoinflammatory state. RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, T-Lymphocyte) RN - 0 (CD69 antigen) RN - 0 (Enterotoxins) RN - 0 (FAS protein, human) RN - 0 (Interleukins) RN - 0 (Lectins, C-Type) RN - 0 (Receptors, Interleukin-2) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (fas Receptor) RN - 39424-53-8 (enterotoxin B, staphylococcal) RN - 82115-62-6 (Interferon-gamma) IS - 0007-1323 IL - 0007-1323 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1002/bjs.4844 [doi] PP - ppublish LG - English DP - 2005 Aug EZ - 2005/06/28 09:00 DA - 2005/09/15 09:00 DT - 2005/06/28 09:00 YR - 2005 ED - 20050913 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15981202 <31. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14751028 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Takara M AU - Kouki T AU - DeGroot LJ FA - Takara, Masaki FA - Kouki, Tsuyoshi FA - DeGroot, Leslie J IN - Takara, Masaki. Thyroid Study Unit/MC3090, Department of Medicine, The University of Chicago, Chicago, Illinois 60637, USA. TI - CTLA-4 AT-repeat polymorphism reduces the inhibitory function of CTLA-4 in Graves' disease. SO - Thyroid. 13(12):1083-9, 2003 Dec AS - Thyroid. 13(12):1083-9, 2003 Dec NJ - Thyroid : official journal of the American Thyroid Association VO - 13 IP - 12 PG - 1083-9 PI - Journal available in: Print PI - Citation processed from: Print JC - bjw, 9104317 IO - Thyroid SB - Index Medicus CP - United States MH - Adenine MH - Adult MH - Antibodies, Monoclonal/pd [Pharmacology] MH - Antigens, CD MH - *Antigens, Differentiation/ge [Genetics] MH - Antigens, Differentiation/im [Immunology] MH - *Antigens, Differentiation/me [Metabolism] MH - B-Lymphocytes MH - CTLA-4 Antigen MH - Case-Control Studies MH - Cell Division MH - Cell Transformation, Viral MH - *Graves Disease/ge [Genetics] MH - *Graves Disease/me [Metabolism] MH - Graves Disease/pa [Pathology] MH - Guanine MH - Herpesvirus 4, Human MH - Humans MH - Monocytes/pa [Pathology] MH - *Polymorphism, Genetic MH - Repetitive Sequences, Nucleic Acid MH - T-Lymphocytes/pa [Pathology] MH - Thymine AB - Graves' disease (GD) is thought to be an autoimmune disease with a strong genetic component. Candidate genes include human leukocyte antigen (HLA) class II genes and CTLA-4. The CTLA-4 gene has a variable length AT-repeat polymorphism in the 3'-untranslated region. We previously found that the AT-repeat of 104 bp or longer was associated with GD. In this study, we categorized patients with GD and normal controls (NC) by genotyping the CTLA-4 AT-repeat and investigated the function of CTLA-4. Peripheral blood mononuclear cells (PBMC) and DNA were prepared from adult Caucasians (NC = 34, GD = 37). Genotypes of the AT-repeat polymorphism were divided into three groups according to their alleles. We related the CTLA-4 polymorphism in each genotype to augmentation of T-cell proliferation induced by a soluble anti-CTLA-4 antibody during incubation with irradiated Epstein-Barr virus (EBV)-transformed B cells. Proliferation of T cells from subjects with the 86/86 bp (shorter) allele was less than T cells from patients with longer alleles. The length of the AT-repeat allele correlated inversely with augmentation of proliferation after CTLA-4 blockade in subjects with GD. The CTLA-4 AT-repeat polymorphism affects the inhibitory function of CTLA-4. The long AT-repeat allele is associated with reduced control of T-cell proliferation and thus contributes to the pathogenesis of GD. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 5Z93L87A1R (Guanine) RN - JAC85A2161 (Adenine) RN - QR26YLT7LT (Thymine) IS - 1050-7256 IL - 1050-7256 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1089/10507250360731479 [doi] PP - ppublish GI - No: 2-R01-DK27384-18A1 Organization: (DK) *NIDDK NIH HHS* Country: United States LG - English DP - 2003 Dec EZ - 2004/01/31 05:00 DA - 2004/08/05 05:00 DT - 2004/01/31 05:00 YR - 2003 ED - 20040804 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14751028 <32. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15141080 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Poirot L AU - Benoist C AU - Mathis D FA - Poirot, Laurent FA - Benoist, Christophe FA - Mathis, Diane IN - Poirot, Laurent. Section on Immunology and Immunogenetics, Joslin Diabetes Center, and Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, One Joslin Place, Boston, MA 02215, USA. TI - Natural killer cells distinguish innocuous and destructive forms of pancreatic islet autoimmunity. SO - Proceedings of the National Academy of Sciences of the United States of America. 101(21):8102-7, 2004 May 25 AS - Proc Natl Acad Sci U S A. 101(21):8102-7, 2004 May 25 NJ - Proceedings of the National Academy of Sciences of the United States of America VO - 101 IP - 21 PG - 8102-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pv3, 7505876 IO - Proc. Natl. Acad. Sci. U.S.A. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC419564 SB - Index Medicus CP - United States MH - Animals MH - Autoimmune Diseases/co [Complications] MH - Autoimmune Diseases/ge [Genetics] MH - *Autoimmune Diseases/im [Immunology] MH - *Autoimmune Diseases/pa [Pathology] MH - Biomarkers/an [Analysis] MH - Diabetes Complications MH - Diabetes Mellitus/im [Immunology] MH - Diabetes Mellitus/pa [Pathology] MH - Gene Expression Profiling MH - Humans MH - Inflammation/co [Complications] MH - Inflammation/ge [Genetics] MH - Inflammation/im [Immunology] MH - Inflammation/pa [Pathology] MH - Insulin/ph [Physiology] MH - *Islets of Langerhans/im [Immunology] MH - *Islets of Langerhans/pa [Pathology] MH - Killer Cells, Natural/cy [Cytology] MH - *Killer Cells, Natural/im [Immunology] MH - Killer Cells, Natural/me [Metabolism] MH - Lymphocyte Count MH - Mice MH - Mice, Inbred C57BL MH - Mice, Inbred NOD AB - In both human patients and murine models, the progression from insulitis to diabetes is neither immediate nor inevitable, as illustrated by the innocuous versus destructive infiltrates of BDC2.5 transgenic mice on the nonobese diabetic (NOD) versus C57BL/6.H-2g7 genetic backgrounds. Natural killer (NK)-cell-specific transcripts and the proportion of NK cells were increased in leukocytes from the aggressive BDC2.5/B6.H-2g7 lesions. NK cell participation was also enhanced in the aggressive lesions provoked by CTLA-4 blockade in BDC2.5/NOD mice. In this context, depletion of NK cells significantly inhibited diabetes development. NOD and B6.H-2g7 mice exhibit extensive variation in NK receptor expression, reminiscent of analogous human molecules. NK cells can be important players in type 1 diabetes, a role that was previously underappreciated. RN - 0 (Biomarkers) RN - 0 (Insulin) IS - 0027-8424 IL - 0027-8424 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1073/pnas.0402065101 [doi] ID - 0402065101 [pii] ID - PMC419564 [pmc] PP - ppublish GI - No: P01 AI54904-01 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: 2 P30 DK36836-17 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: P01 AI054904 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: P30 DK036836 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: P01 AI039671 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: P01 AI39671-08 Organization: (AI) *NIAID NIH HHS* Country: United States LG - English EP - 20040512 DP - 2004 May 25 EZ - 2004/05/14 05:00 DA - 2004/07/10 05:00 DT - 2004/05/14 05:00 YR - 2004 ED - 20040709 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15141080 <33. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14609212 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boden E AU - Tang Q AU - Bour-Jordan H AU - Bluestone JA FA - Boden, Elisa FA - Tang, Qizhi FA - Bour-Jordan, Helene FA - Bluestone, Jeffrey A IN - Boden, Elisa. UCSF Diabetes Center, University of California, San Francisco, 513 Parnassus Avenue, Box 0540, HSW Room 1114, San Francisco, CA 94143-0540, USA. TI - The role of CD28 and CTLA4 in the function and homeostasis of CD4+CD25+ regulatory T cells. [Review] [29 refs] SO - Novartis Foundation Symposium. 252:55-63; discussion 63-6, 106-14, 2003 AS - Novartis Found Symp. 252:55-63; discussion 63-6, 106-14, 2003 NJ - Novartis Foundation symposium VO - 252 PG - 55-63; discussion 63-6, 106-14 PI - Journal available in: Print PI - Citation processed from: Print JC - 9807767, c3y IO - Novartis Found. Symp. SB - Index Medicus CP - England MH - Animals MH - Antigens, CD MH - Antigens, Differentiation/ge [Genetics] MH - *Antigens, Differentiation/im [Immunology] MH - *CD28 Antigens/im [Immunology] MH - *CD4 Antigens/im [Immunology] MH - CTLA-4 Antigen MH - Diabetes Mellitus, Type 1/ge [Genetics] MH - Diabetes Mellitus, Type 1/im [Immunology] MH - Gene Deletion MH - Homeostasis/im [Immunology] MH - Humans MH - Mice MH - Mice, Knockout MH - Mice, Nude MH - *Receptors, Interleukin-2/im [Immunology] MH - *T-Lymphocytes/im [Immunology] AB - CD4+CD25+ T cells regulate a variety of autoimmune and alloimmune responses including the development of autoimmune diabetes in non-obese diabetic (NOD) mice. We have examined the role of CD28/CTLA4/B7 interactions in the expansion and survival of CD4+CD25+ regulatory T cells (T(reg)) in this setting. CD28/ B7 interactions are essential in the development of T(reg) in the thymus and for their survival in the periphery. The CD28-mediated homeostasis of these cells is independent of Il2, OX40, CD40L, and survival factor Bcl-XI. In addition, analysis of T(reg) from CTLA4-deficient mice suggests that CTLA4 expression is not required for their development or function. However, non-activating anti-CTLA4 antibodies blocked the suppressor activity of regulatory cells in vitro. Thus, clinical application of co-stimulatory blockade using agents such as CTLA4Ig in the treatment of autoimmune disease may result in complicated outcomes. [References: 29] RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CD28 Antigens) RN - 0 (CD4 Antigens) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Ctla4 protein, mouse) RN - 0 (Receptors, Interleukin-2) IS - 1528-2511 IL - 1528-2511 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PP - ppublish GI - No: F32 AI 10360 Organization: (AI) *NIAID NIH HHS* Country: United States LG - English DP - 2003 EZ - 2003/11/12 05:00 DA - 2004/04/09 05:00 DT - 2003/11/12 05:00 YR - 2003 ED - 20040408 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14609212 <34. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12826605 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Phan GQ AU - Yang JC AU - Sherry RM AU - Hwu P AU - Topalian SL AU - Schwartzentruber DJ AU - Restifo NP AU - Haworth LR AU - Seipp CA AU - Freezer LJ AU - Morton KE AU - Mavroukakis SA AU - Duray PH AU - Steinberg SM AU - Allison JP AU - Davis TA AU - Rosenberg SA FA - Phan, Giao Q FA - Yang, James C FA - Sherry, Richard M FA - Hwu, Patrick FA - Topalian, Suzanne L FA - Schwartzentruber, Douglas J FA - Restifo, Nicholas P FA - Haworth, Leah R FA - Seipp, Claudia A FA - Freezer, Linda J FA - Morton, Kathleen E FA - Mavroukakis, Sharon A FA - Duray, Paul H FA - Steinberg, Seth M FA - Allison, James P FA - Davis, Thomas A FA - Rosenberg, Steven A IN - Phan, Giao Q. Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA. TI - Cancer regression and autoimmunity induced by cytotoxic T lymphocyte-associated antigen 4 blockade in patients with metastatic melanoma. SO - Proceedings of the National Academy of Sciences of the United States of America. 100(14):8372-7, 2003 Jul 08 AS - Proc Natl Acad Sci U S A. 100(14):8372-7, 2003 Jul 08 NJ - Proceedings of the National Academy of Sciences of the United States of America VO - 100 IP - 14 PG - 8372-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pv3, 7505876 IO - Proc. Natl. Acad. Sci. U.S.A. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC166236 SB - Index Medicus CP - United States MH - Adult MH - Antibodies, Monoclonal/ae [Adverse Effects] MH - Antibodies, Monoclonal/im [Immunology] MH - *Antibodies, Monoclonal/tu [Therapeutic Use] MH - Antibodies, Neoplasm/ae [Adverse Effects] MH - Antibodies, Neoplasm/im [Immunology] MH - *Antibodies, Neoplasm/tu [Therapeutic Use] MH - Antigens, CD MH - *Antigens, Differentiation/im [Immunology] MH - Antigens, Differentiation/ph [Physiology] MH - Antigens, Neoplasm/ad [Administration & Dosage] MH - *Antigens, Neoplasm/im [Immunology] MH - *Autoimmune Diseases/et [Etiology] MH - Autoimmune Diseases/im [Immunology] MH - Autoimmune Diseases/pa [Pathology] MH - CTLA-4 Antigen MH - Colitis/et [Etiology] MH - Colitis/im [Immunology] MH - Colitis/pa [Pathology] MH - Dermatitis/et [Etiology] MH - Dermatitis/im [Immunology] MH - Dermatitis/pa [Pathology] MH - Female MH - HLA-A2 Antigen/im [Immunology] MH - Hepatitis, Autoimmune/et [Etiology] MH - Hepatitis, Autoimmune/im [Immunology] MH - Hepatitis, Autoimmune/pa [Pathology] MH - Humans MH - Immune Tolerance/im [Immunology] MH - *Immunotherapy MH - Injections, Intravenous MH - Injections, Subcutaneous MH - Lymphocyte Activation MH - Male MH - Melanoma/im [Immunology] MH - *Melanoma/th [Therapy] MH - Membrane Glycoproteins/ch [Chemistry] MH - *Membrane Glycoproteins/im [Immunology] MH - Middle Aged MH - Neoplasm Metastasis MH - Neoplasm Proteins/ch [Chemistry] MH - *Neoplasm Proteins/im [Immunology] MH - Peptide Fragments/ad [Administration & Dosage] MH - *Peptide Fragments/im [Immunology] MH - Peptides MH - Salvage Therapy MH - *T-Lymphocyte Subsets/im [Immunology] MH - *T-Lymphocytes, Cytotoxic/im [Immunology] MH - *Vaccination MH - Vitiligo/et [Etiology] MH - Vitiligo/im [Immunology] MH - Vitiligo/pa [Pathology] MH - gp100 Melanoma Antigen AB - Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) is a critical immunoregulatory molecule (expressed on activated T cells and a subset of regulatory T cells) capable of down-regulating T cell activation. Blockade of CTLA-4 has been shown in animal models to improve the effectiveness of cancer immunotherapy. We thus treated 14 patients with metastatic melanoma by using serial i.v. administration of a fully human anti-CTLA-4 antibody (MDX-010) in conjunction with s.c. vaccination with two modified HLA-A*0201-restricted peptides from the gp100 melanoma-associated antigen, gp100:209-217(210M) and gp100:280-288(288V). This blockade of CTLA-4 induced grade III/IV autoimmune manifestations in six patients (43%), including dermatitis, enterocolitis, hepatitis, and hypophysitis, and mediated objective cancer regression in three patients (21%; two complete and one partial responses). This study establishes CTLA-4 as an important molecule regulating tolerance to "self" antigens in humans and suggests a role for CTLA-4 blockade in breaking tolerance to human cancer antigens for cancer immunotherapy. RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Neoplasm) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (Antigens, Neoplasm) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (HLA-A2 Antigen) RN - 0 (Membrane Glycoproteins) RN - 0 (Neoplasm Proteins) RN - 0 (PMEL protein, human) RN - 0 (Peptide Fragments) RN - 0 (Peptides) RN - 0 (gp100 Melanoma Antigen) RN - 0 (gp100(280-288) melanoma antigen peptide) IS - 0027-8424 IL - 0027-8424 PT - Clinical Trial PT - Journal Article ID - 10.1073/pnas.1533209100 [doi] ID - 1533209100 [pii] ID - PMC166236 [pmc] PP - ppublish GI - No: Z01 BC010763-01 Organization: *Intramural NIH HHS* Country: United States GI - No: Z99 CA999999 Organization: *Intramural NIH HHS* Country: United States LG - English EP - 20030625 DP - 2003 Jul 08 EZ - 2003/06/27 05:00 DA - 2003/09/05 05:00 DT - 2003/06/27 05:00 YR - 2003 ED - 20030904 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12826605 <35. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12518898 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benda B AU - Ljunggren HG AU - Peach R AU - Sandberg JO AU - Korsgren O FA - Benda, Birgitta FA - Ljunggren, Hans-Gustaf FA - Peach, Robert FA - Sandberg, Jan-Olov FA - Korsgren, Olle IN - Benda, Birgitta. Section of Clinical Immunology, Department of Oncology, Radiology, and Clinical Immunology, The Rudbeck Laboratory, Uppsala University, SE-751 85 Uppsala, Sweden. TI - Co-stimulatory molecules in islet xenotransplantation: CTLA4Ig treatment in CD40 ligand-deficient mice. SO - Cell Transplantation. 11(7):715-20, 2002 AS - Cell Transplant. 11(7):715-20, 2002 NJ - Cell transplantation VO - 11 IP - 7 PG - 715-20 PI - Journal available in: Print PI - Citation processed from: Print JC - b02, 9208854 IO - Cell Transplant SB - Index Medicus CP - United States MH - Abatacept MH - Animals MH - CD28 Antigens/de [Drug Effects] MH - CD28 Antigens/im [Immunology] MH - CD40 Antigens/de [Drug Effects] MH - CD40 Antigens/im [Immunology] MH - CD40 Ligand/ge [Genetics] MH - CD40 Ligand/im [Immunology] MH - Cells, Cultured MH - *Diabetes Mellitus, Type 1/th [Therapy] MH - Disease Models, Animal MH - Female MH - Fetus MH - *Graft Rejection/dt [Drug Therapy] MH - Graft Rejection/im [Immunology] MH - Graft Rejection/pc [Prevention & Control] MH - *Graft Survival/de [Drug Effects] MH - Graft Survival/im [Immunology] MH - Humans MH - Immunoconjugates/im [Immunology] MH - *Immunoconjugates/pd [Pharmacology] MH - Immunoconjugates/tu [Therapeutic Use] MH - Immunosuppressive Agents/im [Immunology] MH - *Immunosuppressive Agents/pd [Pharmacology] MH - Immunosuppressive Agents/tu [Therapeutic Use] MH - *Islets of Langerhans Transplantation/im [Immunology] MH - Islets of Langerhans Transplantation/mt [Methods] MH - Lymphocyte Activation/de [Drug Effects] MH - Lymphocyte Activation/im [Immunology] MH - Male MH - Mice MH - Mice, Inbred Strains MH - Sus scrofa MH - T-Lymphocytes/de [Drug Effects] MH - T-Lymphocytes/im [Immunology] MH - *Transplantation, Heterologous/im [Immunology] MH - Transplantation, Heterologous/mt [Methods] AB - Previous work has demonstrated that short-term systemic administration of cytotoxic T lymphocyte antigen-4 (CTLA-4) Ig blocks human pancreatic islet xenograft rejection in mice and induces long-term, donor-specific tolerance, whereas studies on pig pancreatic islet rejection in mice have failed to demonstrate a role for CTLA4Ig in preventing rejection. Treatment with anti-CD40 ligand (L) monoclonal antibodies alone is somewhat effective in prolonging the survival of islet xenografts, but ineffective when applied to skin xenografts. However, simultaneous blockade of the CD28 and CD40 co-stimulatory pathways prolongs the survival of pig skin on recipient mice. To evaluate the role of CD28 and CD40 co-stimulatory pathways in pig islet-like cell cluster (ICC) xenograft rejection in mice, CD40L-deficient mice transplanted with fetal porcine ICCs were given posttransplant treatment with human (h) CTLA4Ig or a human IgG1 chimeric mAb (hL6). Xenografts were evaluated 6 or 12 days after transplantation. Fetal porcine ICC xenografts were protected from rejection in hCTLA4Ig-treated CD40L-deficient mice, whereas xenograft rejection persisted in untreated CD40L-deficient mice. Simultaneous blockade of the CD28 and CD40 co-stimulatory pathways is mandatory to inhibit ICC xenograft rejection in the pig-to-mouse model, because the CD28 and CD40 co-stimulatory pathways seem capable of efficiently substituting for one another. RN - 0 (CD28 Antigens) RN - 0 (CD40 Antigens) RN - 0 (Immunoconjugates) RN - 0 (Immunosuppressive Agents) RN - 147205-72-9 (CD40 Ligand) RN - 7D0YB67S97 (Abatacept) IS - 0963-6897 IL - 0963-6897 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2002 EZ - 2003/01/10 04:00 DA - 2003/06/19 05:00 DT - 2003/01/10 04:00 YR - 2002 ED - 20030618 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12518898 <36. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12682289 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hodi FS AU - Mihm MC AU - Soiffer RJ AU - Haluska FG AU - Butler M AU - Seiden MV AU - Davis T AU - Henry-Spires R AU - MacRae S AU - Willman A AU - Padera R AU - Jaklitsch MT AU - Shankar S AU - Chen TC AU - Korman A AU - Allison JP AU - Dranoff G FA - Hodi, F Stephen FA - Mihm, Martin C FA - Soiffer, Robert J FA - Haluska, Frank G FA - Butler, Marcus FA - Seiden, Michael V FA - Davis, Thomas FA - Henry-Spires, Rochele FA - MacRae, Suzanne FA - Willman, Ann FA - Padera, Robert FA - Jaklitsch, Michael T FA - Shankar, Sridhar FA - Chen, Teresa C FA - Korman, Alan FA - Allison, James P FA - Dranoff, Glenn IN - Hodi, F Stephen. Department of Adult Oncology, Dana-Farber Cancer Institute and Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. TI - Biologic activity of cytotoxic T lymphocyte-associated antigen 4 antibody blockade in previously vaccinated metastatic melanoma and ovarian carcinoma patients. SO - Proceedings of the National Academy of Sciences of the United States of America. 100(8):4712-7, 2003 Apr 15 AS - Proc Natl Acad Sci U S A. 100(8):4712-7, 2003 Apr 15 NJ - Proceedings of the National Academy of Sciences of the United States of America VO - 100 IP - 8 PG - 4712-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pv3, 7505876 IO - Proc. Natl. Acad. Sci. U.S.A. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC153621 SB - Index Medicus CP - United States MH - Abatacept MH - Adult MH - Aged MH - Animals MH - *Antibodies, Blocking/tu [Therapeutic Use] MH - Antibodies, Monoclonal/tu [Therapeutic Use] MH - Antigen Presentation MH - Antigens, CD MH - *Antigens, Differentiation/im [Immunology] MH - CD8-Positive T-Lymphocytes/im [Immunology] MH - CTLA-4 Antigen MH - *Cancer Vaccines/tu [Therapeutic Use] MH - Female MH - Humans MH - *Immunoconjugates MH - Male MH - *Melanoma/im [Immunology] MH - Melanoma/pa [Pathology] MH - Melanoma/sc [Secondary] MH - *Melanoma/th [Therapy] MH - Mice MH - Middle Aged MH - Necrosis MH - *Ovarian Neoplasms/im [Immunology] MH - Ovarian Neoplasms/pa [Pathology] MH - *Ovarian Neoplasms/th [Therapy] AB - A large number of cancer-associated gene products evoke immune recognition, but host reactions rarely impede disease progression. The weak immunogenicity of nascent tumors contributes to this failure in host defense. Therapeutic vaccines that enhance dendritic cell presentation of cancer antigens increase specific cellular and humoral responses, thereby effectuating tumor destruction in some cases. The attenuation of T cell activation by cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) further limits the potency of tumor immunity. In murine systems, the administration of antibodies that block CTLA-4 function inhibits the growth of moderately immunogenic tumors and, in combination with cancer vaccines, increases the rejection of poorly immunogenic tumors, albeit with a loss of tolerance to normal differentiation antigens. To gain a preliminary assessment of the biologic activity of antagonizing CTLA-4 function in humans, we infused a CTLA-4 blocking antibody (MDX-CTLA4) into nine previously immunized advanced cancer patients. MDX-CTLA4 stimulated extensive tumor necrosis with lymphocyte and granulocyte infiltrates in three of three metastatic melanoma patients and the reduction or stabilization of CA-125 levels in two of two metastatic ovarian carcinoma patients previously vaccinated with irradiated, autologous granulocyte-macrophage colony-stimulating factor-secreting tumor cells. MDX-CTLA4 did not elicit tumor necrosis in four of four metastatic melanoma patients previously immunized with defined melanosomal antigens. No serious toxicities directly attributable to the antibody were observed, although five of seven melanoma patients developed T cell reactivity to normal melanocytes. These findings suggest that CTLA-4 antibody blockade increases tumor immunity in some previously vaccinated cancer patients. RN - 0 (Antibodies, Blocking) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Cancer Vaccines) RN - 0 (Ctla4 protein, mouse) RN - 0 (Immunoconjugates) RN - 7D0YB67S97 (Abatacept) IS - 0027-8424 IL - 0027-8424 PT - Clinical Trial PT - Clinical Trial, Phase I PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1073/pnas.0830997100 [doi] ID - 0830997100 [pii] ID - PMC153621 [pmc] PP - ppublish GI - No: CA78880 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA074886 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: CA39542 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: CA74886 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P01 CA039542 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20030407 DP - 2003 Apr 15 EZ - 2003/04/17 05:00 DA - 2003/06/18 05:00 DT - 2003/04/17 05:00 YR - 2003 ED - 20030617 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12682289 <37. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11086105 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kouki T AU - Sawai Y AU - Gardine CA AU - Fisfalen ME AU - Alegre ML AU - DeGroot LJ FA - Kouki, T FA - Sawai, Y FA - Gardine, C A FA - Fisfalen, M E FA - Alegre, M L FA - DeGroot, L J IN - Kouki, T. Thyroid Study Unit, Department of Medicine, University of Chicago, Chicago, IL 60637. Fujita Health University, Aichi, Japan. TI - CTLA-4 gene polymorphism at position 49 in exon 1 reduces the inhibitory function of CTLA-4 and contributes to the pathogenesis of Graves' disease. SO - Journal of Immunology. 165(11):6606-11, 2000 Dec 01 AS - J Immunol. 165(11):6606-11, 2000 Dec 01 NJ - Journal of immunology (Baltimore, Md. : 1950) VO - 165 IP - 11 PG - 6606-11 PI - Journal available in: Print PI - Citation processed from: Print JC - ifb, 2985117r IO - J. Immunol. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Abatacept MH - Adenine MH - Adjuvants, Immunologic/pd [Pharmacology] MH - Alleles MH - Antibodies, Monoclonal/pd [Pharmacology] MH - Antigens, CD MH - Antigens, Differentiation/bi [Biosynthesis] MH - *Antigens, Differentiation/ge [Genetics] MH - Antigens, Differentiation/im [Immunology] MH - Antigens, Differentiation/ph [Physiology] MH - CTLA-4 Antigen MH - Cell Division/im [Immunology] MH - Cell Line MH - Dose-Response Relationship, Immunologic MH - *Down-Regulation/ge [Genetics] MH - *Down-Regulation/im [Immunology] MH - Exons/ge [Genetics] MH - *Exons/im [Immunology] MH - Graves Disease/et [Etiology] MH - *Graves Disease/ge [Genetics] MH - *Graves Disease/im [Immunology] MH - Guanine MH - *Immunoconjugates MH - *Immunosuppressive Agents/ai [Antagonists & Inhibitors] MH - Immunosuppressive Agents/im [Immunology] MH - Immunosuppressive Agents/pd [Pharmacology] MH - Intracellular Fluid/im [Immunology] MH - Intracellular Fluid/me [Metabolism] MH - Lymphocyte Activation/im [Immunology] MH - Lymphocyte Culture Test, Mixed MH - Membrane Proteins/ai [Antagonists & Inhibitors] MH - Membrane Proteins/bi [Biosynthesis] MH - *Polymorphism, Genetic/im [Immunology] MH - Solubility AB - Activation of T cells requires at least two signals transduced by the Ag-specific TCR and a costimulatory ligand such as CD28. CTLA-4, expressed on activated T cells, binds to B7 present on APCs and functions as a negative regulator of T cell activation. Our laboratory previously reported the association of Graves' disease (GD) with a specific CTLA-4 gene polymorphism. In theory, reduced expression or function of CTLA-4 might augment autoimmunity. In the present study, we categorized autoimmune thyroid disease patients and normal controls (NC) by genotyping a CTLA-4 exon 1 polymorphism and investigated the function of CTLA-4 in all subjects. PBMCs and DNA were prepared from GD (n = 45), Hashimoto's thyroiditis (HT) (n = 18), and NC (n = 43). There were more GD patients with the G/G or A/G alleles (82.2% vs 65.1% in NC), and significantly fewer patients with the A/A allele (17.8% vs 34.9% in NC). In the presence of soluble blocking anti-human CTLA-4 mAb, T cell proliferation following incubation with allogeneic EBV-transformed B cells was augmented in a dose-dependent manner. Augmentation induced by CTLA-4 mAb was similar in GD and NC (GD, HT, NC = 156%, 164%, 175%, respectively). We related CTLA-4 polymorphism to mAb augmentation of T cell proliferation in each subgroup (GD, HT, NC). Although PBMC from individuals with the G/G alleles showed 132% augmentation, those with the A/A alleles showed 193% augmentation (p = 0.019). CTLA-4 polymorphism affects the inhibitory function of CTLA-4. The G allele is associated with reduced control of T cell proliferation and thus contributes to the pathogenesis of GD and presumably of other autoimmune diseases. RN - 0 (Adjuvants, Immunologic) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Immunoconjugates) RN - 0 (Immunosuppressive Agents) RN - 0 (Membrane Proteins) RN - 5Z93L87A1R (Guanine) RN - 7D0YB67S97 (Abatacept) RN - JAC85A2161 (Adenine) IS - 0022-1767 IL - 0022-1767 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 2-RO1-DK27384-18A1 Organization: (DK) *NIDDK NIH HHS* Country: United States GI - No: 5-F32-DK09612 Organization: (DK) *NIDDK NIH HHS* Country: United States LG - English DP - 2000 Dec 01 EZ - 2000/11/22 11:00 DA - 2001/02/28 10:01 DT - 2000/11/22 11:00 YR - 2000 ED - 20010111 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11086105 <38. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29470611 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Dubrovsky AM AU - Lim MJ AU - Lane NE AI - Lim, Mie Jin; ORCID: http://orcid.org/0000-0002-7405-8139 FA - Dubrovsky, Alanna M FA - Lim, Mie Jin FA - Lane, Nancy E IN - Dubrovsky, Alanna M. Center for Musculoskeletal Health, University of California at Davis Medical Center, Sacramento, CA, 95817, USA. IN - Lim, Mie Jin. Center for Musculoskeletal Health, University of California at Davis Medical Center, Sacramento, CA, 95817, USA. IN - Lim, Mie Jin. Division of Rheumatology, Department of Internal Medicine, Inha University Hospital, Incheon, South Korea. IN - Lane, Nancy E. Center for Musculoskeletal Health, University of California at Davis Medical Center, Sacramento, CA, 95817, USA. nelane@ucdavis.edu. IN - Lane, Nancy E. Department of Internal Medicine, University of California at Davis Medical Center, 4625 2nd Avenue, Suite 2000, Sacramento, CA, 95817, USA. nelane@ucdavis.edu. TI - Osteoporosis in Rheumatic Diseases: Anti-rheumatic Drugs and the Skeleton. [Review] SO - Calcified Tissue International. 2018 Feb 22 AS - Calcif Tissue Int. 2018 Feb 22 NJ - Calcified tissue international PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cgh, 7905481 IO - Calcif. Tissue Int. CP - United States KW - Ankylosing spondylitis; Anti-osteoporotic medication; Anti-rheumatic drug; Bone loss; Osteoporosis; Rheumatoid arthritis AB - Osteoporosis in rheumatic diseases is a very well-known complication. Systemic inflammation results in both generalized and localized bone loss and erosions. Recently, increased knowledge of inflammatory process in rheumatic diseases has resulted in the development of potent inhibitors of the cytokines, the biologic DMARDs. These treatments reduce systemic inflammation and have some effect on the generalized and localized bone loss. Progression of bone erosion was slowed by TNF, IL-6 and IL-1 inhibitors, a JAK inhibitor, a CTLA4 agonist, and rituximab. Effects on bone mineral density varied between the biological DMARDs. Medications that are approved for the treatment of osteoporosis have been evaluated to prevent bone loss in rheumatic disease patients, including denosumab, cathepsin K, bisphosphonates, anti-sclerostin antibodies and parathyroid hormone (hPTH 1-34), and have some efficacy in both the prevention of systemic bone loss and reducing localized bone erosions. This article reviews the effects of biologic DMARDs on bone mass and erosions in patients with rheumatic diseases and trials of anti-osteoporotic medications in animal models and patients with rheumatic diseases. ES - 1432-0827 IL - 0171-967X DO - https://dx.doi.org/10.1007/s00223-018-0401-9 PT - Journal Article PT - Review ID - 10.1007/s00223-018-0401-9 [doi] ID - 10.1007/s00223-018-0401-9 [pii] PP - aheadofprint PH - 2017/07/27 [received] PH - 2018/02/01 [accepted] GI - No: P50 AR063043 Organization: *National Institutes of Health* LG - English EP - 20180222 DP - 2018 Feb 22 EZ - 2018/02/23 06:00 DA - 2018/02/23 06:00 DT - 2018/02/23 06:00 YR - 2018 RD - 20180222 UP - 20180223 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29470611