CD80/86 Inhibitors: Abatacept

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Compendium of Inflammatory Diseases

Synonyms

CTLA4Ig; CTLA-4-Ig

Definition

CD80/CD86 inhibitors are protein constructs which bind and inactivate CD80/CD86 on the surfaces of antigen-presenting B-cells and monocytes, blocking the costimulatory signal between these cells and CD28 on T-cells that is the second message of T-cell receptor/MHC interaction. They are members of a group of proteins commonly termed biological response modifiers (BRMs) or biological disease-modifying antirheumatic drugs (bDMARDs). The major CD80/CD86 inhibitor, abatacept, is not classified as a slow-acting antirheumatic drug (SAARD), because it is considered to have more specific actions and because its therapeutic actions are produced rapidly. Belatacept is a fusion protein which is closely related to abatacept. It is used to prolong kidney grafts.

Chemical Structures and Properties

Abatacept is a fully humanized fusion protein produced from the extracellular portion of cytotoxic T-lymphocyte-associated antigen 4 (CTLA4) linked to the Fc portion...

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References

  • Bruce, S. P., & Boyce, E. G. (2007). Update on abatacept: A selective costimulation modulator for rheumatoid arthritis. Annals of Pharmacotherapy, 41(7), 1153–1162.

    Article  CAS  PubMed  Google Scholar 

  • Cutolo, M., & Nadler, S. G. (2013). Advances in CTLA-4-Ig-mediated modulation of inflammatory cell and immune response activation in rheumatoid arthritis. Autoimmunity Reviews, 12(7), 758–767.

    Article  CAS  PubMed  Google Scholar 

  • Furie, R., Nicholls, K., Cheng, T. T., Houssiau, F., Burgos-Vargas, R., Chen, S. L., et al. (2014). Efficacy and safety of abatacept in lupus nephritis: A twelve-month, randomized, double-blind study. Arthritis & Rheumatology, 66(2), 379–389.

    Article  CAS  Google Scholar 

  • Genant, H. K., Peterfy, C. G., Westhovens, R., Becker, J. C., Aranda, R., Vratsanos, G., et al. (2008). Abatacept inhibits progression of structural damage in rheumatoid arthritis: Results from the long-term extension of the AIM trial. Annals of the Rheumatic Diseases, 67(8), 1084–1089.

    Article  CAS  PubMed  Google Scholar 

  • Goëb, V., Buch, M. H., Vital, E. M., & Emery, P. (2009). Costimulation blockade in rheumatic diseases: Where we are? Current Opinion in Rheumatology, 21(3), 244–250.

    Article  PubMed  Google Scholar 

  • Her, M., & Kavanaugh, A. (2013). Treatment of spondyloarthropathy: The potential for agents other than TNF inhibitors. Current Opinion in Rheumatology, 25(4), 455–459.

    Article  CAS  PubMed  Google Scholar 

  • Iannone, F., & Lapadula, G. (2012). The inhibitor of costimulation of T cells: Abatacept. Journal of Rheumatology, 89(Suppl.), 100–102.

    Google Scholar 

  • Nam, J. L., Ramiro, S., Gaujoux-Viala, C., Takase, K., Leon-Garcia, M., Emery, P., et al. (2014). Efficacy of biological disease-modifying antirheumatic drugs: a systematic literature review informing the 2013 update of the EULAR recommendations for the management of rheumatoid arthritis. Ann Rheum Dis 73(3):516–528.

    Google Scholar 

  • Rabaneda, E. F. V., Herrero-Beaumont, G., & Castaneda, S. (2013). Update on the use of abatacept for the treatment of rheumatoid arthritis. Expert Review of Clinical Immunology, 9(7), 599–621.

    Article  CAS  Google Scholar 

  • Rostaing, L., Vincenti, F., Grinyo, J., Rice, K. M., Bresnahan, B., Steinberg, S., et al. (2013). Long-term belatacept exposure maintains efficacy and safety at 5 years: Results from the long-term extension of the BENEFIT study. American Journal of Transplantation, 13(11), 2875–2883.

    Article  CAS  PubMed  Google Scholar 

  • Sandborn, W. J., Colombel, J. F., Sands, B. E., Rutgeerts, P., Targan, S. R., Panaccione, R., et al. (2012). Abatacept for Crohn’s disease and ulcerative colitis. Gastroenterology, 143(1), 62–69.

    Article  CAS  PubMed  Google Scholar 

  • van Vollenhoven, R. F., Parodis, I., & Levitsky, A. (2013). Biologics in SLE: Towards new approaches. Best Practice & Research in Clinical Rheumatology, 27(3), 341–349.

    Article  Google Scholar 

  • Weinblatt, M., Schiff, M., Goldman, A., Kremer, J., Luggen, M., Li, T., et al. (2007). Selective costimulation modulation using abatacept in patients with active rheumatoid arthritis while receiving etanercept: A randomised clinical trial. Annals of the Rheumatic Diseases, 66(2), 228–234.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Kevin D. Pile or Garry G. Graham .

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Pile, K.D., Graham, G.G., Mahler, S.M. (2016). CD80/86 Inhibitors: Abatacept. In: Parnham, M.J. (eds) Compendium of Inflammatory Diseases. Springer, Basel. https://doi.org/10.1007/978-3-7643-8550-7_20

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