Method and composition for treating immune complex...

A - Human Necessities – 61 – K

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Details

A61K 39/395 (2006.01) A61K 31/7088 (2006.01) A61K 38/17 (2006.01) A61K 45/06 (2006.01) C12Q 1/02 (2006.01) G01N 33/567 (2006.01) C07K 16/28 (2006.01)

Patent

CA 2459310

The present invention provides methods and compositions for treating immune complex associated diseases (ICAD), such as SLE, rheumatoid arthritis, and hepatitis-C related immune complex disease (e.g., cryoglobulinemia) in a subject having an ICAD or at risk for developing ICAD. The invention is based upon the surprising finding that chromatin-containing immune complexes activate autoreactive B cells and dendritic cells by a dual receptor engagement process which, in both cell types, involves a Toll-like receptor (TLR). The methods of treating ICAD comprise administering a compound to an individual in need thereof that either 1) inhibits formation of the immune complex either by preventing formation and/or binding to the TLR, or 2) interferes with binding of an autoantigen-containing immune complex (or the antigenic component thereof) to the TLR, or 3) inhibits signaling pathways initiated by dual engagement of BCR and TLR (in B cells) or FcR and TLR (in dendritic cells) via immune complexed or uncomplexed autoantigens.

La présente invention concerne des procédés et des compositions pour traiter des maladies liées aux complexes immuns (immune complex associated diseases / ICAD), telles que le lupus érythémateux systémique (SLE), l'arthrite rhumatoïde, et les maladies à complexes immuns liées à l'hépatite C (par ex. la cryoglobulinémie) chez un sujet atteint d'une ICAD ou susceptible de contracter une ICAD. L'invention se base sur la découverte surprenante que les complexes immuns contenant de la chromatine activent les lymphocytes B autoréactifs et les cellules dendritiques par un processus de liaison à récepteur double qui, dans les deux types de cellules, fait intervenir un récepteur analogue au récepteur Toll (TLR). Les procédés de traitement des ICAD comprennent l'administration d'un composé à un individu qui en a besoin, ledit composé 1) inhibant la formation de complexes immuns en empêchant la formation et/ou la liaison au TLR; ou 2) interférant avec la liaison d'un complexe immun contenant un auto-antigène (ou l'élément antigénique de celui-ci) au TLR; ou 3) inhibant la signalisation de passages amorcés par la liaison double de BCR et TLR (dans les lymphocytes B) ou de FcR et TLR (dans les cellules dendritiques) par l'intermédiaire d'auto-antigènes immuns complexés ou non complexés.

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