In vivo neutralization of human IL-6 (hIL-6) achieved by immunization of hIL-6-transgenic mice with a hIL-6 receptor antagonist

J Immunol. 2001 Apr 1;166(7):4334-40. doi: 10.4049/jimmunol.166.7.4334.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Substitution / genetics
  • Amino Acid Substitution / immunology
  • Animals
  • Animals, Newborn / genetics
  • Animals, Newborn / growth & development
  • Animals, Newborn / immunology
  • Antibody Formation / genetics
  • Down-Regulation / genetics
  • Down-Regulation / immunology
  • Female
  • Growth Disorders / genetics
  • Growth Disorders / immunology
  • Growth Disorders / prevention & control
  • Humans
  • Immunity, Maternally-Acquired
  • Immunization, Secondary
  • Insulin-Like Growth Factor I / metabolism
  • Interleukin-6 / administration & dosage*
  • Interleukin-6 / biosynthesis
  • Interleukin-6 / genetics
  • Interleukin-6 / immunology*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Transgenic / immunology*
  • Phosphopyruvate Hydratase / genetics
  • Receptors, Interleukin-6 / antagonists & inhibitors*
  • Recombinant Proteins / administration & dosage*
  • Recombinant Proteins / genetics
  • Recombinant Proteins / immunology*
  • Vaccination / methods*

Substances

  • Interleukin-6
  • Receptors, Interleukin-6
  • Recombinant Proteins
  • Insulin-Like Growth Factor I
  • Phosphopyruvate Hydratase