PMID- 11254686 OWN - NLM STAT- MEDLINE DCOM- 20010621 LR - 20220409 IS - 0022-1767 (Print) IS - 0022-1767 (Linking) VI - 166 IP - 7 DP - 2001 Apr 1 TI - In vivo neutralization of human IL-6 (hIL-6) achieved by immunization of hIL-6-transgenic mice with a hIL-6 receptor antagonist. PG - 4334-40 AB - Neutralization of IL-6 represents an attractive therapeutic option in several diseases, including B cell neoplasia, osteoporosis, and autoimmunity. Therapeutic attempts in humans have shown that administration of injectable doses of a mAb to IL-6 does not provide efficient neutralization of the cytokine in vivo. Therefore, alternative approaches are needed. In this study, we evaluated whether the Ab response to human IL-6 (hIL-6) elicited by vaccination with Sant1 (a hIL-6 variant with seven amino acid substitutions) was able to fully correct in vivo the clinical and biological effects of a chronic endogenous overproduction of hIL-6 in the hIL-6-transgenic NSE/hIL-6 mice. Because of the overexpression of hIL-6, occurring since birth, with circulating levels in the nanogram per milliliter range, NSE/hIL-6 mice have a marked decrease in growth rate, associated with decrease in insulin-like growth factor I levels, and represent an animal model of the growth impairment associated with human chronic inflammatory diseases. Following immunization with Sant1, but not with hIL-6, NSE/hIL-6 mice developed high titers of polyclonal Abs to hIL-6. The Abs, acquired by transplacental transfer, effectively neutralized IL-6 activities in vivo as shown by the complete correction of the growth defect and normalization of insulin-like growth factor levels in the hIL-6-transgenic offspring. Immunization with Sant1 could therefore represent a novel and simple therapeutic approach for the specific neutralization of IL-6 in humans. FAU - De Benedetti, F AU - De Benedetti F AD - Dipartimento di Scienze Pediatriche, Instituto di Ricerca e Cura a Carattere Scientifico Policlinico San Matteo, Universita' degli Studi di Pavia, Pavia, Italy. FAU - Pignatti, P AU - Pignatti P FAU - Vivarelli, M AU - Vivarelli M FAU - Meazza, C AU - Meazza C FAU - Ciliberto, G AU - Ciliberto G FAU - Savino, R AU - Savino R FAU - Martini, A AU - Martini A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Immunol JT - Journal of immunology (Baltimore, Md. : 1950) JID - 2985117R RN - 0 (Interleukin-6) RN - 0 (Receptors, Interleukin-6) RN - 0 (Recombinant Proteins) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 4.2.1.11 (Phosphopyruvate Hydratase) SB - IM MH - Amino Acid Substitution/genetics/immunology MH - Animals MH - Animals, Newborn/genetics/growth & development/immunology MH - Antibody Formation/genetics MH - Down-Regulation/genetics/immunology MH - Female MH - Growth Disorders/genetics/immunology/prevention & control MH - Humans MH - Immunity, Maternally-Acquired MH - Immunization, Secondary MH - Insulin-Like Growth Factor I/metabolism MH - Interleukin-6/*administration & dosage/biosynthesis/genetics/*immunology MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mice, Transgenic/*immunology MH - Phosphopyruvate Hydratase/genetics MH - Receptors, Interleukin-6/*antagonists & inhibitors MH - Recombinant Proteins/*administration & dosage/genetics/*immunology MH - Vaccination/*methods EDAT- 2001/03/20 10:00 MHDA- 2001/06/22 10:01 CRDT- 2001/03/20 10:00 PHST- 2001/03/20 10:00 [pubmed] PHST- 2001/06/22 10:01 [medline] PHST- 2001/03/20 10:00 [entrez] AID - 10.4049/jimmunol.166.7.4334 [doi] PST - ppublish SO - J Immunol. 2001 Apr 1;166(7):4334-40. doi: 10.4049/jimmunol.166.7.4334.