Treatment of murine lupus with cDNA encoding IFN-gammaR/Fc

J Clin Invest. 2000 Jul;106(2):207-15. doi: 10.1172/JCI10167.

Abstract

IFN-gamma, a pleiotropic cytokine, is a key effector molecule in the pathogenesis of several autoimmune diseases, including lupus. Importantly, deletion of IFN-gamma or IFN-gammaR in several lupus-predisposed mouse strains resulted in significant disease reduction, suggesting the potential for therapeutic intervention. We evaluated whether intramuscular injections of plasmids with cDNA encoding IFN-gammaR/Fc can retard lupus development and progression in MRL-Fas(lpr) mice. Therapy significantly reduced serum levels of IFN-gamma, as well as disease manifestations (autoantibodies, lymphoid hyperplasia, glomerulonephritis, mortality), when treatment was initiated at the predisease stage, particularly when IFN-gammaR/Fc expression was enhanced by electroporation at the injection site. Remarkably, disease was arrested and even ameliorated when this treatment was initiated at an advanced stage. This therapy represents a rare example of disease reversal and makes application of this nonviral gene therapy in humans with lupus (and perhaps other autoimmune/inflammatory conditions) highly promising.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Chromatin / immunology
  • DNA, Complementary / therapeutic use*
  • Genetic Predisposition to Disease
  • Genetic Therapy / methods
  • Hyperplasia
  • Immunoglobulin Fc Fragments / genetics
  • Immunoglobulin Fc Fragments / therapeutic use*
  • Immunoglobulin G / genetics
  • Immunoglobulin G / therapeutic use
  • Injections, Intramuscular
  • Interferon gamma Receptor
  • Interferon-gamma / immunology
  • Kidney / pathology
  • Lupus Erythematosus, Systemic / mortality
  • Lupus Erythematosus, Systemic / therapy*
  • Lymphoid Tissue / drug effects
  • Lymphoid Tissue / pathology
  • Mice
  • Mice, Inbred MRL lpr
  • Neutralization Tests
  • Receptors, Interferon / immunology*
  • Recombinant Fusion Proteins / therapeutic use

Substances

  • Chromatin
  • DNA, Complementary
  • Immunoglobulin Fc Fragments
  • Immunoglobulin G
  • Receptors, Interferon
  • Recombinant Fusion Proteins
  • Interferon-gamma