PMID- 25454619 OWN - NLM STAT- MEDLINE DCOM- 20150730 LR - 20201209 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 75 IP - 12 DP - 2014 Dec TI - Tregitope: Immunomodulation powerhouse. PG - 1139-46 LID - S0198-8859(14)00477-7 [pii] LID - 10.1016/j.humimm.2014.10.012 [doi] AB - IVIG is frequently used in the 'pre-conditioning' regimens for higher risk transplants; its effects are attributed in part to induction of Tregs. We have identified regulatory T cell (Treg) epitopes, now known as Tregitopes, in IgG, the main component of intravenous immunoglobulin therapy (IVIg). Tregitopes provide one explanation for the expansion and activation of Treg cells following IVIg treatment. Tregitopes are peptides that exhibit high affinity binding to multiple human HLA Class II DR; they are conserved across IgG isotypes and mammalian species. In vitro and in vivo, for human PBMC and in animal models, Tregitopes activate Tregs. Studies to delineate the mechanism of action have shown that Tregitopes' effects are very similar to IVIg in vitro. Here we demonstrate that Tregitopes induce Tregs to produce IL-10, leading to modulation of dendritic cell phenotype (down-regulation of Class II, CD80 and CD86 and up-regulation of ILT3), and describe the effects of Tregitopes in the ABM-TCR-transgenic skin transplantation model. The discovery of Tregitopes in IgG and other autologous proteins may contribute to improved understanding of the mechanism of action of IVIg and lead to the application of these powerful immunomodulators to improve transplantation success and suppress autoimmune disease, in the future. CI - Copyright (c) 2014 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Cousens, Leslie AU - Cousens L AD - EpiVax, Inc., Providence, RI, USA. FAU - Najafian, Nader AU - Najafian N AD - Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA; Cleveland Clinic, Weston, FL, USA. FAU - Martin, William D AU - Martin WD AD - EpiVax, Inc., Providence, RI, USA. FAU - De Groot, Anne S AU - De Groot AS AD - EpiVax, Inc., Providence, RI, USA; Institute for Immunology and Informatics, University of Rhode Island, Providence, RI, USA. Electronic address: AnnieD@EpiVax.com. LA - eng PT - Journal Article DEP - 20141022 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (B7-1 Antigen) RN - 0 (B7-2 Antigen) RN - 0 (CD86 protein, human) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA-DR Antigens) RN - 0 (IL10 protein, human) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (LILRB4 protein, human) RN - 0 (Membrane Glycoproteins) RN - 0 (Receptors, Cell Surface) RN - 0 (Receptors, Immunologic) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Animals MH - B7-1 Antigen/biosynthesis MH - B7-2 Antigen/biosynthesis MH - Dendritic Cells/immunology MH - Epitopes, T-Lymphocyte/*immunology MH - Female MH - HLA-DR Antigens/immunology MH - Humans MH - Immune Tolerance/immunology MH - Immunization, Passive MH - Immunoglobulin G/*immunology MH - Immunoglobulins, Intravenous MH - Immunomodulation MH - Interleukin-10/biosynthesis MH - Leukocytes, Mononuclear/immunology MH - Lymphocyte Activation/*immunology MH - Membrane Glycoproteins MH - Mice MH - Mice, Inbred C57BL MH - Receptors, Cell Surface/biosynthesis MH - Receptors, Immunologic MH - Skin Transplantation MH - T-Lymphocytes, Regulatory/*immunology MH - Transplantation Tolerance/*immunology OTO - NOTNLM OT - IVIg OT - Tolerance OT - Transplantation OT - Treg OT - Tregitope EDAT- 2014/12/03 06:00 MHDA- 2015/08/01 06:00 CRDT- 2014/12/03 06:00 PHST- 2014/07/03 00:00 [received] PHST- 2014/07/07 00:00 [revised] PHST- 2014/10/09 00:00 [accepted] PHST- 2014/12/03 06:00 [entrez] PHST- 2014/12/03 06:00 [pubmed] PHST- 2015/08/01 06:00 [medline] AID - S0198-8859(14)00477-7 [pii] AID - 10.1016/j.humimm.2014.10.012 [doi] PST - ppublish SO - Hum Immunol. 2014 Dec;75(12):1139-46. doi: 10.1016/j.humimm.2014.10.012. Epub 2014 Oct 22.