We examined in this study whether the newly developed
disease-modifying antirheumatic drug (
DMARD) 2-acetylthiomethyl-4-(4-methylphenyl)-4-oxobutanoic
acid (KE-298) augments activation-induced T cell death. Peripheral blood (PB) T cells, isolated from healthy donors, were activated by incubation with
interleukin-2 (IL-2) followed by further culture with 12-0-tetradecanoyl
phorbol 13-acetate (PMA) and
ionomycin in the presence or absence of
KE-298. The apoptosis of activated T cells was examined by flow cytometric determination of hypodiploid
DNA. Fas expression and
caspase-3 activity in activated T cells were also examined by flow cytometry, and expression of
Fas ligand (FasL), Bcl-2-related
proteins, and X chromosome-linked
inhibitor of apoptosis protein (XIAP) was determined by Western blot analysis. Apoptosis was not obvious in resting T cells and was not augmented by
KE-298. In contrast, apoptosis was clearly detected in activated T cells (activation-induced T cell death) with the increment of
caspase-3 activity, and incubation of these cells with
KE-298 further enhanced apoptosis. Treatment of activated T cells with
KE-298 increased Bax expression but decreased XIAP expression without affecting the expression of Fas/FasL. Thus
caspase-3 activity in activated T cells appeared to be increased by
KE-298. Our results suggest that the newly developed
DMARD,
KE-298, selectively augmented activation-induced T cell death. This finding may contribute to the therapeutic efficacy of
KE-298 in
rheumatoid arthritis (RA) patients and provide new insight into the
pharmacologic action of DMARDs.