Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitis

IntroductionAutoimmune uveitis is a sight-threatening inflammatory eye disease driven by immune dysregulation. We previously introduced a therapeutic strategy involving the in vivo induction of retinal-antigen-specific regulatory T cells (Tregs) via αCD4 antibody injection followed by administration...

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Main Authors: Dijie Qiao, Lu Zhang, Yajie Zhong, Dongmei Liu, Zilin Chen, Wai Po Chong, Jun Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1636901/full
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author Dijie Qiao
Lu Zhang
Yajie Zhong
Dongmei Liu
Zilin Chen
Wai Po Chong
Wai Po Chong
Wai Po Chong
Jun Chen
author_facet Dijie Qiao
Lu Zhang
Yajie Zhong
Dongmei Liu
Zilin Chen
Wai Po Chong
Wai Po Chong
Wai Po Chong
Jun Chen
author_sort Dijie Qiao
collection DOAJ
description IntroductionAutoimmune uveitis is a sight-threatening inflammatory eye disease driven by immune dysregulation. We previously introduced a therapeutic strategy involving the in vivo induction of retinal-antigen-specific regulatory T cells (Tregs) via αCD4 antibody injection followed by administration of the retinal self-peptide IRBP1-20, which effectively suppresses inflammation during the onset of experimental autoimmune uveitis (EAU).MethodsWe evaluated the long-term therapeutic efficacy of this approach in a chronic EAU model. EAU was induced in C57BL/6 mice, and treatment was administered at each onset or relapse episode over a 28-week period. Disease progression was monitored by clinical scoring and funduscopy, with further assessment using histopathology and optical coherence tomography (OCT). Flow cytometry was employed to analyze immune cell infiltration, and RNA sequencing of ocular tissue was performed to assess gene expression changes.ResultsMice receiving aCD4 antibody and IRBP1-20 showed sustained disease control up to 28 weeks, with reduced ocular inflammation, less retinal damage on OCT, and decreased immune cell infiltration compared to untreated controls. Transcriptomic analysis revealed significant downregulation of inflammation-related genes following treatment.ConclusionThese findings support the long-term immunomodulatory effect of combining αCD4 antibody and retinal antigen injection, offering a potential strategy for managing chronic progressive autoimmune uveitis.
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spelling doaj-art-c23ecc9b7e3e4b23a403a3bf5cf0f17f2025-08-22T05:26:54ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-08-011610.3389/fimmu.2025.16369011636901Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitisDijie Qiao0Lu Zhang1Yajie Zhong2Dongmei Liu3Zilin Chen4Wai Po Chong5Wai Po Chong6Wai Po Chong7Jun Chen8State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, ChinaSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong, Hong Kong SAR, ChinaInstitute for Research and Continuing Education, Hong Kong Baptist University, Shenzhen, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, ChinaIntroductionAutoimmune uveitis is a sight-threatening inflammatory eye disease driven by immune dysregulation. We previously introduced a therapeutic strategy involving the in vivo induction of retinal-antigen-specific regulatory T cells (Tregs) via αCD4 antibody injection followed by administration of the retinal self-peptide IRBP1-20, which effectively suppresses inflammation during the onset of experimental autoimmune uveitis (EAU).MethodsWe evaluated the long-term therapeutic efficacy of this approach in a chronic EAU model. EAU was induced in C57BL/6 mice, and treatment was administered at each onset or relapse episode over a 28-week period. Disease progression was monitored by clinical scoring and funduscopy, with further assessment using histopathology and optical coherence tomography (OCT). Flow cytometry was employed to analyze immune cell infiltration, and RNA sequencing of ocular tissue was performed to assess gene expression changes.ResultsMice receiving aCD4 antibody and IRBP1-20 showed sustained disease control up to 28 weeks, with reduced ocular inflammation, less retinal damage on OCT, and decreased immune cell infiltration compared to untreated controls. Transcriptomic analysis revealed significant downregulation of inflammation-related genes following treatment.ConclusionThese findings support the long-term immunomodulatory effect of combining αCD4 antibody and retinal antigen injection, offering a potential strategy for managing chronic progressive autoimmune uveitis.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1636901/fullautoimmune uveitisimmunotherapyregulatory T cells (Treg)long-term therapychronic inflammationanti-CD4 antibody
spellingShingle Dijie Qiao
Lu Zhang
Yajie Zhong
Dongmei Liu
Zilin Chen
Wai Po Chong
Wai Po Chong
Wai Po Chong
Jun Chen
Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitis
Frontiers in Immunology
autoimmune uveitis
immunotherapy
regulatory T cells (Treg)
long-term therapy
chronic inflammation
anti-CD4 antibody
title Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitis
title_full Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitis
title_fullStr Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitis
title_full_unstemmed Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitis
title_short Combination of αCD4 antibody and retinal antigen injection induces long-term disease control in autoimmune uveitis
title_sort combination of αcd4 antibody and retinal antigen injection induces long term disease control in autoimmune uveitis
topic autoimmune uveitis
immunotherapy
regulatory T cells (Treg)
long-term therapy
chronic inflammation
anti-CD4 antibody
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1636901/full
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