A structure-based designed
peptide has been engineered to exhibit the same molecular surface as a portion of the CDR3-like region in domain 1 of the murine
CD4 molecule. Earlier in vitro experiments indicated that this analog, known as
rD-mPGPtide, inhibited T-cell proliferation in mixed lymphocyte reactions and blocked activation of both normal CD4+ T cells and T-cell lines after
T-cell receptor triggering. In addition,
rD-mPGPtide proved to be a potent inhibitor in vivo of CD4+ T-cell-mediated
experimental allergic encephalomyelitis disease in the SJL mouse model. In this current report, we have evaluated the potential of
rD-mPGPtide for suppressing the development of
graft-versus-host disease (GVHD) in an irradiated major histocompatibility complex (MHC)-haploidentical murine
bone marrow transplantation (BMT) model [(B6 x DBA/2)F1-->(B6 x CBA)F1 (950 cGy)]. Our results indicated that early administration of
rD-mPGPtide was effective in the inhibition of alloreactive responses of the donor T cells against the host and thus delayed or prevented the onset of GVHD. The median survival time of animals treated with
rD-mPGPtide was enhanced as much as four-fold with as little as a single dose of
peptide at the time of transplant. Decreased alloreactivity was indicated by phenotypic and functional analysis of positively selected thoracic duct lymphocytes 4 days after transplant and by histopathological examination of skin and gastrointestinal tissue samples 4 weeks later. Therefore, the administration of a CD4-CDR3
peptide is an efficacious approach against the development of GVHD during allogeneic BMT.