The role of alpha 4 integrins in lung pathophysiology

R R Lobb1, B Pepinsky, D R Leone

  • 1Biogen Inc., Cambridge Center, MA 02142, USA.

Insights

Monoclonal antibodies targeting alpha 4 integrins block eosinophil and T-cell recruitment, reducing airway hyperresponsiveness. This suggests alpha 4 integrin antagonists could be novel therapeutics for asthma.

Area of Science:

  • Immunology
  • Cell Biology
  • Respiratory Medicine

Background:

  • Alpha 4 integrins are crucial leukocyte cell surface molecules mediating cell-matrix adhesion.
  • Integrin alpha 4 beta 1 binds VCAM-1 and fibronectin; alpha 4 beta 7 binds VCAM-1, fibronectin, and MAdCAM.

Purpose of the Study:

  • To investigate the role of alpha 4 integrins in allergic airway inflammation.
  • To determine the mechanism of action of monoclonal antibody HP1/2 in blocking alpha 4 integrin function.

Main Methods:

  • Utilized monoclonal antibodies (MoAbs) against alpha 4 integrins.
  • Conducted in vitro adhesion assays and in vivo lung antigen challenge models in sheep.
  • Generated and tested Fab fragments of MoAb HP1/2.

Main Results:

  • MoAbs blocked alpha 4 integrin adhesive function in vitro.
  • In vivo studies showed alpha 4 integrins are key in eosinophil/T-cell recruitment and airway hyperresponsiveness.
  • MoAb HP1/2 (intact or Fab fragments) was efficacious in a sheep allergic airways model, demonstrating blockade of adhesive function.

Conclusions:

  • The in vivo efficacy of MoAb HP1/2 is due to direct blockade of alpha 4 integrin adhesive function.
  • Alpha 4 integrins are critical targets for managing allergic airway inflammation.
  • Humanized monoclonal antibodies or other alpha 4 integrin antagonists show therapeutic potential for asthma.

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