TY - JOUR A1 - Helling, Bianca A1 - König, Martin A1 - Dälken, Benjamin A1 - Engling, Andre A1 - Krömer, Wolfgang A1 - Heim, Katharina A1 - Wallmeier, Holger A1 - Haas, Jürgen A1 - Wildemann, Brigitte A1 - Fritz, Brigitte A1 - Jonuleit, Helmut A1 - Kubach, Jan A1 - Dingermann, Theodor A1 - Radeke, Heinfried H. A1 - Osterroth, Frank A1 - Uherek, Christoph A1 - Czeloth, Niklas A1 - Schüttrumpf, Jörg T1 - A specific CD4 epitope bound by tregalizumab mediates activation of regulatory T cells by a unique signaling pathway T2 - Immunology and Cell Biology N2 - CD4+CD25+ regulatory T cells (Tregs) represent a specialized subpopulation of T cells, which are essential for maintaining peripheral tolerance and preventing autoimmunity. The immunomodulatory effects of Tregs depend on their activation status. Here we show that, in contrast to conventional anti-CD4 monoclonal antibodies (mAbs), the humanized CD4-specific monoclonal antibody tregalizumab (BT-061) is able to selectively activate the suppressive properties of Tregs in vitro. BT-061 activates Tregs by binding to CD4 and activation of signaling downstream pathways. The specific functionality of BT-061 may be explained by the recognition of a unique, conformational epitope on domain 2 of the CD4 molecule that is not recognized by other anti-CD4 mAbs. We found that, due to this special epitope binding, BT-061 induces a unique phosphorylation of T-cell receptor complex-associated signaling molecules. This is sufficient to activate the function of Tregs without activating effector T cells. Furthermore, BT-061 does not induce the release of pro-inflammatory cytokines. These results demonstrate that BT-061 stimulation via the CD4 receptor is able to induce T-cell receptor-independent activation of Tregs. Selective activation of Tregs via CD4 is a promising approach for the treatment of autoimmune diseases where insufficient Treg activity has been described. Clinical investigation of this new approach is currently ongoing. Y1 - 2014 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/39384 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-393846 SN - 0818-9641 SN - 1440-1711 N1 - This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/ VL - 93.2015 SP - 396 EP - 405 PB - Nature Publishing Group CY - Basingstoke ER -