Research
Immune System Disease
Fighting Ability
New Hope For Vaccine To Fight Rheumatoid Arthritis, Other
Autoimmune Diseases
10-28-2002
HAIFA, Israel and NEW YORK, N.Y. -- Promising animal test
results that could lead to a vaccine to fight rheumatoid
arthritis, multiple sclerosis (MS) and other autoimmune
diseases were announced by researchers at the Technion-Israel
Institute of Technology. The vaccine reversed an arthritic-like
disease in rats by mobilizing part of the immune system
to protect joints under attack by other immune cells. The
work was reported in two related papers in the September
Journal of Immunology.
Autoimmune
diseases, in which the immune system attacks the body's
own tissues, are among the most widespread of serious chronic
diseases. In arthritis, immune cells attack the joints,
while in MS, they attack the myelin sheaths of nerve cells.
Current
treatments involve either steroids, which fight inflammation
caused by the immune system attacks, or immuno-suppressant
drugs, which depress immune system function generally. Both
these approaches create serious side effects and can only
slow, but not stop, the progress of the diseases. They are
also effective mostly at very early stages of each disease.
The
new approach, in contrast, tries to rally one part of the
immune system to fight the part that is attacking the body's
tissues. "We know that, in autoimmune diseases, immune
cells use chemical markers, called cytokines and chemokines,
to induce inflammation that destroys organs," explains
Dr. Nathan Karin of the Technion's Department of Immunology
and the research team leader. "These proteins also
attract white blood cells that, in the case of arthritis,
attack joint tissues, and in the case of MS, attack brain
components. Our method helps the immune system itself interfere
with this process."
In
untreated arthritis, part of the immune system detects one
of the chemical markers, called IP-10, recognizes that it
is wrongly labeling the body's own cells for attack, and
destroys it. But while these naturally produced antibodies
can slow, they cannot stop the progression of these diseases.
In effect, there is a "civil war" within the immune
system itself, with one part attacking and the other part
protecting the body's own cells. The new approach seeks
to help the "good" part of the immune system in
its fight with the "bad" or autoimmune part.
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The researchers
first identified that IP-10 is one of the specific proteins responsible
for the progression of these diseases, and more importantly that the
immune system tries to restrain the harmful activity of IP-10 by producing
auto-antibodies against it. They then generated a special vaccine
that amplifies the production of these beneficial antibodies. This
vaccine rapidly suppressed experimentally induced rheumatoid arthritis
and MS.
Dr. Karin
hopes that for rheumatoid arthritis this approach will replace older
treatments, which are extremely expensive and require many repeated
immunizations, and that it will also open new horizons for the therapy
of MS.
"We
are hopeful that the gene-based vaccine will be much better, since
only a few vaccinations are needed to train the immune system to destroy
IP-10, and the rat results indicate that chronic relief may be possible,"
says Karin.
While
the vaccine will interfere with IP-10 when the immune system uses
it to label actual invaders such as bacteria, Karin does not expect
this will cause serious side effects.
"There
are some 50 chemicals that the immune system uses to label cells to
be attacked," he points out. "Knocking out one will not
seriously weaken the immune system's response to infection or cancer.
But in autoimmune diseases, where one part of the immune system is
fighting another, eliminating IP-10 will shift the balance, giving
the edge to the part that is protecting the body."
The next
step is to move towards clinical tests of the vaccine in humans. Clinical
tests are now planned for MS patients, and the group is negotiating
with an as yet unnamed major U.S. pharmaceutical company.
The Technion-Israel Institute of Technology, known as "Israel's
MIT," is Israel's leading scientific and technological center
for applied research and education. It commands a worldwide reputation
for its pioneering work in computer science, biotechnology, water-resource
management, materials engineering, aerospace and medicine. Based in
New York City, the American Technion Society (ATS) is the leading
American organization supporting higher education in Israel.
This story has been adapted from a news release issued
by American Society For Technion - Israel Institute Of Technology,
www.technion.ac.il.
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