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<h2>OX40: a win–win path to tumor immunity</h2> Mice injected with agonist anti-OX40 antibody remain tumor-free after injection with cancer cells. Regulatory T (T reg) cells prevent autoimmunity by keeping self-reactive effector T cells in check, but this suppression becomes counterproductive when the effector cells are prevented from attacking tumors. Piconese et al. now show on page 825 , however, that tumor immunity can be achieved without risking autoimmunity simply by stimulating a T cell surface protein called OX40. A major challenge in tumor immunotherapy lies in breaking T reg cell–mediated tumor tolerance without inducing organism-wide autoimmunity or compromising immune surveillance. This goal has remained elusive because current methods used to derail T reg cell activity—such as depleting them using antibodies to a major T reg cell surface marker, CD25—also target effector T cells, thereby preventing tumor immunity and perhaps immunity to pathogens. T reg cell depletion also provokes conversion of effector T cells into T reg cells, thus worsening the initial immune suppression. Piconese et al. sought a different approach by targeting OX40 because its stimulation suppresses T reg cell function while enhancing effector T cell survival and activity in vitro. Mice injected with agonistic anti-OX40 antibody before
The Journal of Experimental Medicine – Rockefeller University Press
Published: Apr 14, 2008
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