PMID- 28223071 OWN - NLM STAT- MEDLINE DCOM- 20170818 LR - 20181113 IS - 1521-7035 (Electronic) IS - 1521-6616 (Print) IS - 1521-6616 (Linking) VI - 179 DP - 2017 Jun TI - Therapeutic antibody targeting of indoleamine-2,3-dioxygenase (IDO2) inhibits autoimmune arthritis. PG - 8-16 LID - S1521-6616(16)30605-2 [pii] LID - 10.1016/j.clim.2017.01.016 [doi] AB - Rheumatoid arthritis (RA) is a debilitating inflammatory autoimmune disease with no known cure. Recently, we identified the immunomodulatory enzyme indoleamine-2,3-dioxygenase 2 (IDO2) as an essential mediator of autoreactive B and T cell responses driving RA. However, therapeutically targeting IDO2 has been challenging given the lack of small molecules that specifically inhibit IDO2 without also affecting the closely related IDO1. In this study, we develop a novel monoclonal antibody (mAb)-based approach to therapeutically target IDO2. Treatment with IDO2-specific mAb alleviated arthritis in two independent preclinical arthritis models, reducing autoreactive T and B cell activation and recapitulating the strong anti-arthritic effect of genetic IDO2 deficiency. Mechanistic investigations identified FcgammaRIIb as necessary for mAb internalization, allowing targeting of an intracellular antigen traditionally considered inaccessible to mAb therapy. Taken together, our results offer preclinical proof of concept for antibody-mediated targeting of IDO2 as a new therapeutic strategy to treat RA and other autoantibody-mediated diseases. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Merlo, Lauren M F AU - Merlo LMF AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA. FAU - Grabler, Samantha AU - Grabler S AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA. FAU - DuHadaway, James B AU - DuHadaway JB AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA. FAU - Pigott, Elizabeth AU - Pigott E AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA. FAU - Manley, Kaylend AU - Manley K AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA. FAU - Prendergast, George C AU - Prendergast GC AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA; Department of Pathology, Anatomy and Cell Biology, Sidney Kimmel Medical College, Thomas Jefferson University, 1025 Walnut St. #100, Philadelphia, PA 19107, USA; Sidney Kimmel Cancer Center, Thomas Jefferson University, 233 S. 10th St. Suite 1050, Philadelphia, PA 19107, USA. FAU - Laury-Kleintop, Lisa D AU - Laury-Kleintop LD AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA. FAU - Mandik-Nayak, Laura AU - Mandik-Nayak L AD - Lankenau Institute for Medical Research, 100 Lancaster Ave., Wynnewood, PA 19096, USA. Electronic address: Mandik-NayakL@mlhs.org. LA - eng GR - R01 AR057847/AR/NIAMS NIH HHS/United States GR - R01 CA191191/CA/NCI NIH HHS/United States GR - R21 CA159337/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20170220 PL - United States TA - Clin Immunol JT - Clinical immunology (Orlando, Fla.) JID - 100883537 RN - 0 (Antibodies, Monoclonal) RN - 0 (Fcgr2b protein, mouse) RN - 0 (IDO2 protein, mouse) RN - 0 (Indoleamine-Pyrrole 2,3,-Dioxygenase) RN - 0 (Receptors, IgG) SB - IM CIN - Nat Rev Rheumatol. 2017 Apr;13(4):196-197. PMID: 28275264 MH - Animals MH - Antibodies, Monoclonal/pharmacology/*therapeutic use MH - Arthritis, Experimental/*drug therapy/immunology/pathology MH - Arthritis, Rheumatoid/chemically induced/*drug therapy/immunology/pathology MH - B-Lymphocytes/immunology MH - Female MH - Indoleamine-Pyrrole 2,3,-Dioxygenase/*antagonists & inhibitors/genetics/immunology MH - Lymph Nodes/cytology MH - Male MH - Mice, Inbred C57BL MH - Mice, Inbred DBA MH - Mice, Knockout MH - Receptors, IgG/genetics/immunology MH - Spleen/cytology MH - T-Lymphocytes/immunology MH - Tarsal Joints/drug effects/pathology PMC - PMC5466478 MID - NIHMS856149 OTO - NOTNLM OT - Antibody therapy OT - B cells OT - Experimental arthritis OT - IDO OT - Murine model EDAT- 2017/02/23 06:00 MHDA- 2017/08/19 06:00 PMCR- 2018/06/01 CRDT- 2017/02/23 06:00 PHST- 2016/11/15 00:00 [received] PHST- 2016/12/21 00:00 [revised] PHST- 2017/01/04 00:00 [accepted] PHST- 2017/02/23 06:00 [pubmed] PHST- 2017/08/19 06:00 [medline] PHST- 2017/02/23 06:00 [entrez] PHST- 2018/06/01 00:00 [pmc-release] AID - S1521-6616(16)30605-2 [pii] AID - 10.1016/j.clim.2017.01.016 [doi] PST - ppublish SO - Clin Immunol. 2017 Jun;179:8-16. doi: 10.1016/j.clim.2017.01.016. Epub 2017 Feb 20.