Myasthenia gravis (MG) and experimental autoimmune MG (EAMG) are T-cell regulated, antibody-mediated diseases.
Peptides p195-212 and p259-271 of the human
acetylcholine receptor (AChR) alpha-subunit, were previously shown to be immunodominant
T cell epitopes in MG patients as well as in SJL and BALB/c mice, respectively. A
dual altered peptide ligand (APL) composed of the two single
amino acid analogs of the myasthenogenic
peptides was shown to inhibit, in vitro and in vivo, MG-associated autoimmune responses. Furthermore, the
dual APL was shown to down-regulate the clinical manifestations of an established EAMG in C57BL/6 mice injected with Torpedo AChR (TAChR). In the present study we attempted the elucidation of the mechanism(s) by which the
dual APL down-regulates EAMG-associated responses. It is shown here that the
dual APL acts by actively suppressing, in a specific manner, myasthenogenic T cell responses. The active suppression is mediated, at least partially, by the up-regulation of the secretion of
TGF-beta following administration of the
dual APL. The up-regulated secretion of
TGF-beta is accompanied by down-regulation of IFN-gamma and
IL-2 [T helper (Th) 1-type
cytokine] secretion and by an up-regulation of
IL-10 secretion (Th2-type cytokine). Furthermore, the inhibitory effect of the
dual APL could be adoptively transferred to p195-212 or TAChR-immunized mice. The down-regulation of
IL-2 secretion and the ability of recombinant
IL-2 to rescue lymph node cells of mice treated with the
dual APL from a state of unresponsiveness suggests that the
dual APL acts also, at least partially, by causing the cells to undergo anergy.