Due to the easy and reliable induction of a disease condition with many of the features present in human autoimmunity,
mercury-induced autoimmunity (mHgAI) in rodents is a favourable autoimmune model. Genetically susceptible (H-2(s)) mice develop in response to
mercury (Hg) a systemic autoimmune condition with antinucleolar
antibodies (ANoA) targeting the
protein fibrillarin, transient polyclonal B-cell activation,
hyperimmunoglobulinemia, and systemic
immune-complex (IC) deposits. In order to study the short- and long-term effects of treatment with
immunomodulating agents on the disease parameters in HgAI, groups of B10.S (H-2(s)) mice were given 6 mg HgCl(2)/l
drinking water for 22 weeks. Three weeks initial treatment with
cyclosporin A (CyA), a high dose of
tacrolimus (HD
tacrolimus), or anti-CD4
monoclonal antibody (a-CD4) inhibited induction of ANoA and IC deposit by Hg. This effect persisted for the subsequent 19 weeks when the mice were only treated with Hg. Initial treatment with anti-IL-4
monoclonal antibody (a-IL-4) for 3 weeks inhibited induction of
IgE and IC deposits by Hg, but not ANoA. However, subsequent treatment with Hg without a-IL-4 for 19 weeks induced IC deposits. The T-cell modulating agents aggravated some of the HgAI disease parameters: a-CD4 stimulated the polyclonal B-cell activation, a-IL-4 increased the
IgG antichromatin antibody response, and a low dose of
tacrolimus (LD
tacrolimus) enhanced the ANoA, the polyclonal B-cell activation, and the IC deposits. We conclude that a short initial treatment with a-CD4 or CyA efficiently protects against induction of systemic autoimmunity for an extended period of time. However, some of the T-cell modulating agents, especially a low dose of
tacrolimus, aggravate autoimmune manifestations not only during ongoing treatment, but also
after treatment with these agents has ceased.