PMID- 26252430 OWN - NLM STAT- MEDLINE DCOM- 20160524 LR - 20150824 IS - 1791-2431 (Electronic) IS - 1021-335X (Linking) VI - 34 IP - 4 DP - 2015 Oct TI - Protective effect of neutralizing anti-IL-18alpha monoclonal antibody on a mouse model of acute graft-versus-host disease. PG - 2031-9 LID - 10.3892/or.2015.4176 [doi] AB - Graft-versus-host disease (GVHD) is a devastating complication of hematopoietic stem cell transplantation (HSCT), and is characterized by systemic inflammation and tissue damage in multiple organs, such as the liver and small intestine. Interleukin-18 (IL-18), an important pro-inflammatory cytokine, is elevated during the course of acute GVHD (aGVHD), and is associated with the severe clinical manifestations of the disease. The biological activity of IL-18 is based on its interaction with the IL-18 receptor (IL-18R) expressed in a variety of cells. The aim of this study was to assess whether blocking the interaction of IL-18 with IL-18R by the anti-IL‑18Ralpha antibody could attenuate the severity of aGVHD. We used a well-established mouse bone marrow transplantation (BMT) model (B6-->BALB/c) to block the IL-18/IL-18R interaction by a neutralizing monoclonal antibody (mAb) against murine IL-18Ralpha. Administration of anti-IL-18Ralpha mAb had a significant protective effect on the clinical and pathologic manifestations of aGVHD, resulting in a markedly improved survival rate, modified inflammatory response and decreased tissue damage. Interfering with IL-18/IL-18R interaction affected levels of Th1, Th2 and Th17 subsets in the peripheral blood of the aGVHD animals. Additionally, it led to decreased tissue expression of IL-18 and apoptosis-associated molecules (Fas and FasL), and lower phosphorylation levels of p38MAPK in the liver and small intestine. These changes coincided with the decrease in cell apoptosis in aGVHD target organs. Thus, anti‑IL-18Ralpha therapy may, therefore, represent a new therapeutic interference approach for treating aGVHD. FAU - Li, Xiaocui AU - Li X AD - Department of Pathogenic Biology and Immunology, Laboratory of Infection and Immunity, Xuzhou Medical College, Xuzhou, Jiangsu 221004, P.R. China. FAU - Zhang, Cuiping AU - Zhang C AD - Department of Pathogenic Biology and Immunology, Laboratory of Infection and Immunity, Xuzhou Medical College, Xuzhou, Jiangsu 221004, P.R. China. FAU - Chen, Wei AU - Chen W AD - Blood Diseases Institute, Xuzhou Medical College; Key Laboratory of Bone Marrow Stem Cells; Department of Hematology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu 221002, P.R. China. FAU - Pan, Bin AU - Pan B AD - Blood Diseases Institute, Xuzhou Medical College; Key Laboratory of Bone Marrow Stem Cells; Department of Hematology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu 221002, P.R. China. FAU - Kong, Fanyun AU - Kong F AD - Department of Pathogenic Biology and Immunology, Laboratory of Infection and Immunity, Xuzhou Medical College, Xuzhou, Jiangsu 221004, P.R. China. FAU - Zheng, Kuiyang AU - Zheng K AD - Department of Pathogenic Biology and Immunology, Laboratory of Infection and Immunity, Xuzhou Medical College, Xuzhou, Jiangsu 221004, P.R. China. FAU - Tang, Renxian AU - Tang R AD - Department of Pathogenic Biology and Immunology, Laboratory of Infection and Immunity, Xuzhou Medical College, Xuzhou, Jiangsu 221004, P.R. China. FAU - Zeng, Lingyu AU - Zeng L AD - Blood Diseases Institute, Xuzhou Medical College; Key Laboratory of Bone Marrow Stem Cells; Department of Hematology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu 221002, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150805 PL - Greece TA - Oncol Rep JT - Oncology reports JID - 9422756 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Neutralizing) RN - 0 (Interleukin-18) RN - 0 (Interleukin-18 Receptor alpha Subunit) SB - IM MH - Animals MH - Antibodies, Monoclonal/*administration & dosage/therapeutic use MH - Antibodies, Neutralizing/*administration & dosage/therapeutic use MH - Disease Models, Animal MH - Graft vs Host Disease/*drug therapy/immunology/metabolism MH - Humans MH - Interleukin-18/*metabolism MH - Interleukin-18 Receptor alpha Subunit/*antagonists & inhibitors/metabolism MH - Intestine, Small/metabolism MH - Liver/metabolism MH - Male MH - Mice MH - Survival Analysis MH - T-Lymphocytes, Helper-Inducer/metabolism EDAT- 2015/08/08 06:00 MHDA- 2016/05/25 06:00 CRDT- 2015/08/08 06:00 PHST- 2015/04/07 00:00 [received] PHST- 2015/06/24 00:00 [accepted] PHST- 2015/08/08 06:00 [entrez] PHST- 2015/08/08 06:00 [pubmed] PHST- 2016/05/25 06:00 [medline] AID - 10.3892/or.2015.4176 [doi] PST - ppublish SO - Oncol Rep. 2015 Oct;34(4):2031-9. doi: 10.3892/or.2015.4176. Epub 2015 Aug 5.