A MONOCLONAL ANTIBODY AGAINST RAGE ALTERS GENE EXPRESSION AND IS PROTECTIVE IN EXPERIMENTAL MODELS OF SEPSIS AND PNEUMOCOCCAL PNEUMONIA

作者:Christaki Eirini; Opal Steven M*; Keith James C Jr; Kessimian Nubar; Palardy John E; Parejo Nicolas A; Tan Xiang Yang; Piche Nicholas Nicole; Tchistiakova Lioudmila; Vlasuk George P; Shields Kathleen M; Feldman Jeffrey L; LaVallie Edward R; Arai Maya; Mounts William; Pittman Debra D
来源:Shock, 2011, 35(5): 492-498.
DOI:10.1097/SHK.0b013e31820b2e1c

摘要

The RAGE (receptor for advanced glycation end products) is believed to play a role in sepsis by perpetuating inflammation. The interaction of RAGE with a variety of host-derived ligands that accumulate during stress and inflammation further induces the expression of RAGE. It was previously shown that a rat anti-RAGE monoclonal antibody protected mice from lethality in a cecal ligation and puncture model. We studied the effects of a humanized anti-RAGE monoclonal antibody in the murine pneumococcal pneumonia model of sepsis. Moreover, a gene expression analysis was performed in lung tissue of animals that underwent cecal ligation and puncture and treated with the rat anti-RAGE monoclonal antibody, compared with controls. Administration of humanized anti-RAGE mAb 6 h after intratracheal infection with Streptococcus pneumoniae improved mortality in BALB/c mice whether a 7.5 mg/kg (P < 0.01) or a 15 mg/kg dose (P < 0.01) was administered in combination with antibiotics. Gene expression analysis showed that many of the genes modulated by treatment with the anti-RAGE antibody were those that play an important role in regulating inflammation. Anti-RAGE monoclonal antibody offered a survival advantage to septic mice. This protective role in treated animals is supported by the observed gene expression profile changes of genes involved in sepsis and inflammation.

  • 出版日期2011-5