Human interleukin-5 (IL-5), granulocyte-macrophage colony-stimulating factor (GM-CSF), and IL-3 are eosinophilopoietic cytokines implicated in allergy in general and in the inflammation of the airways specifically as seen in asthma. All 3 cytokines function through cell surface receptors that comprise a ligand-specific  chain and a shared subunit (βc). Although binding of IL-5, GM-CSF, and IL-3 to their respective receptor  chains is the first step in receptor activation, it is the recruitment of βc that allows high-affinity binding and signal transduction to proceed. Thus, βc is a valid yet untested target for antiasthma drugs with the added advantage of potentially allowing antagonism of all 3 eosinophil-acting cytokines with a single compound. We show here the first development of such an agent in the form of a monoclonal antibody (MoAb), BION-1, raised against the isolated membrane proximal domain of βc. BION-1 blocked eosinophil production, survival, and activation stimulated by IL-5 as well as by GM-CSF and IL-3. Studies of the mechanism of this antagonism showed that BION-1 prevented the high-affinity binding of125I–IL-5, 125I–GM-CSF, and125I–IL-3 to purified human eosinophils and that it bound to the major cytokine binding site of βc. Interestingly, epitope analysis using several βc mutants showed that BION-1 interacted with residues different from those used by IL-5, GM-CSF, and IL-3. Furthermore, coimmunoprecipitation experiments showed that BION-1 prevented ligand-induced receptor dimerization and phosphorylation of βc, suggesting that ligand contact with βc is a prerequisite for recruitment of βc, receptor dimerization, and consequent activation. These results demonstrate the feasibility of simultaneously inhibiting IL-5, GM-CSF, and IL-3 function with a single agent and that BION-1 represents a new tool and lead compound with which to identify and generate further agents for the treatment of eosinophil-dependent diseases such as asthma.

HUMAN INTERLEUKIN-5 (IL-5), IL-3, and granulocyte-macrophage colony-stimulating factor (GM-CSF) are cytokines involved in hematopoiesis and inflammation.1 All 3 cytokines stimulate eosinophil production, function, and survival2-6 and therefore have the ability to influence inflammatory diseases, such as asthma, atopic dermatitis, and allergic rhinitis, in which the eosinophil plays a major effector role.7 IL-5, being the eosinophil-specific cytokine, has received most of the initial attention, with IL-5 mRNA and protein levels noted to be elevated in lung tissue and bronchoalveolar lavage fluid from symptomatic asthma patients.8-10 Correlations between IL-5 levels and allergen challenge and disease activity have also been seen. However, it is becoming apparent that not only IL-5, but also GM-CSF and IL-3 play a role in eosinophil production and activation in asthma, because there is evidence of both GM-CSF and IL-3 production at sites of allergic inflammation.11-17 The concomitant expression of these cytokines probably contributes to the total number of infiltrating eosinophils as well as to the degree of eosinophil activation. In addition, each of these cytokines may be responsible for the different phases and compartmentalization of the eosinophil infiltrate. Recent kinetic data from patients undergoing antigen challenge showed that IL-5 levels increased between days 2 and 7 postchallenge, whereas GM-CSF peaked at day 2 and remained elevated through to day 16. Furthermore, detection of GM-CSF extended beyond the site of allergen challenge.18 

IL-5, GM-CSF, and IL-3 stimulate eosinophils and other cells by binding to cell surface receptors that comprise a ligand-specific α chain and a β chain that is shared by the 3 receptors (βc).1 Binding to each receptor α chain is the initial step in receptor activation; however, engagement of either α chain alone is not sufficient for activation to occur. Recruitment of βc by each ligand:α chain complex follows, a step that has 2 major functional consequences. Firstly, it allows the binding of IL-5, GM-CSF, and IL-3 to become essentially irreversible. Secondly, it leads to full receptor activation. βc is the major signaling component of these receptors, and its engagement leads to the activation of JAK-2, STAT-5, and other signaling molecules,19 culminating in the full plethora of cellular activities commonly associated with either IL-5, GM-CSF, or IL-3 stimulation, such as eosinophil adherence, priming for degranulation and cytotoxicity, and prolongation of viability.

To block or antagonize the activity of eosinophil-activating cytokines in vivo, 3 major approaches are being tried. One of them uses antibodies to the implicated cytokines. For example, antibodies to human IL-5 are being used in an animal model of allergen-induced asthma20,21 and have been shown to have a relatively long-lasting effect in preventing eosinophil influx into the airways and bronchial hyperresponsiveness. A second approach relies on IL-5 or GM-CSF mutants that can bind to their respective α chains with wild-type affinity but that have lost or shown reduced ability to interact with human βc. IL-5 mutants such as E13Q, E13K, and E13R and the human GM-CSF mutant E21R directly antagonize the functional activation of eosinophils by IL-5 or GM-CSF, respectively.22,23 However, at least in the case of E13K, eosinophil survival is not antagonized, and, in fact, this mutant is able to support eosinophil survival.24 A third approach involves the use of soluble receptor α chains that can sequester circulating cytokines.25 However, this carries the risk of a cytokine:receptor α chain complex potentially interacting with surface-expressed βc and triggering receptor activation. The common theme among these approaches is that they tackle a single receptor system involving either IL-5, GM-CSF, or IL-3, leaving the other 2 eosinophil-acting cytokines unaffected. Although the concomitant administration of IL-5 and GM-CSF antagonists may be considered, this could be clinically impracticable.

An alternative approach to blocking eosinophil-activating cytokines involves targeting βc. Although βc does not directly bind IL-5, GM-CSF, or IL-3 alone, it does associate with these cytokines complexed to the appropriate receptor α chain. Recent studies have identified the major binding sites of βc for the IL-5:IL-5Rα, GM-CSF:GM-CSFRα, and IL-3:IL-3Rα complexes. Significantly, these sites are used by all 3 complexes and comprise the predicted B-C loop and F-G loops in the membrane proximal domain of βc.26-28 Thus, targetting βc is not only desirable, but also feasible, with the potential to allow the simultaneous inhibition of IL-5, GM-CSF, and IL-3 action by a single agent.

We show here the development of the first simultaneous antagonist of IL-5, GM-CSF, and IL-3 in the form of monoclonal antibody (MoAb) BION-1 directed against the major cytokine binding region of βc. BION-1 blocked the production and activation of human eosinophils stimulated by IL-5, GM-CSF, or IL-3 by inhibiting the high-affinity binding of all 3 cytokines to eosinophils and preventing receptor heterodimerization and βc phosphorylation. The results demonstrate the feasibility of blocking the 3 eosinophilopoietic cytokines with a single compound and support the notion of simultaneously inhibiting more than 1 cytokine by targetting the shared signaling subunit in their receptors.

Domain 4 cDNA.

Domain 4 of βc was expressed with an N-terminal Flag-epitope in the form of an activated βc mutant, ΔQP.29 An extracellular deletion removes domains 1 to 3 in this construct, but the transmembrane and cytoplasmic regions are retained. This was cloned into the eukaryotic expression vector pcDNA3 (Invitrogen, San Diego, CA).

Cytokines, cell lines, and primary cells.

Recombinant human IL-3 and GM-CSF were produced in Escherichia coli as described.22,30 Recombinant human IL-5 was purified from E coli by Bresagen (Adelaide, South Australia). Tumor necrosis factor α (TNFα) was a gift from Dr J. Gamble (Hanson Centre for Cancer Research, Adelaide, Australia). COS cells were transfected with receptor cDNA as described previously.26CHO βc and CHO ΔQP cells stably expressing either full-length βc or ΔQP, respectively, were generated by electroporation.22 TF1.8 cells were a gift from Dr J. Tavernier (University of Gent, Gent, Belgium). MO7e cells, a human megakaryoblastic cell line, were from Dr P. Crozier (Auckland, New Zealand). Human eosinophils were purified from the peripheral blood of normal or slightly eosinophilic volunteers via sedimentation through dextran and centrifugation through a discontinuous density gradient of hypertonic metrizamide, as previously described,31 and were greater than 95% pure. Human neutrophils and monocytes were purified from peripheral blood as described previously,2 32 with greater than 95% purity.

Generation of anti-βc MoAbs.

BALB/c mice were immunized intraperitonally with 1 × 107 COS cells transfected with βc or ΔQP expression constructs. The immunizations were repeated 4 times at 2-week intervals. Four weeks after the final immunization, a mouse was boosted with 2 × 106 COS transfectants intravenously. Three days later, splenocytes were harvested and fused with NS-1 myeloma cells as previously described.33 Hybridoma supernatants were screened on CHO βc or CHO ΔQP cells by flow cytometry, with untransfected CHO cells as a control. All antibodies were from single hybridoma clones as selected by a limiting dilution method. Using this procedure, several anti-βcMoAbs were generated; 8B8, 8E4,34 and 1C135 are nonfunctional MoAbs raised against full-length βc and have been used as control anti-βc MoAbs throughout these studies. MoAbs were purified from ascites fluid or hybridoma supernatant by a protein A sepharose column. The isotypes of MoAbs were tested with a Mouse MoAb Isotyping Kit (Boehringer Mannheim, Mannheim, Germany). Fab fragments were generated using a Fab Preparation kit (Pierce, Rockford, IL) following the supplied protocol.

Immunofluorescence.

Freshly purified neutrophils, eosinophils, monocytes, or CHO and COS cell transfectants (5 × 105) were incubated with 50 μL of hybridoma supernatant or 0.25 μg of purified MoAb for 45 to 60 minutes at 4°C. Cells were washed twice and then incubated with fluorescein isothiocyanate (FITC)-conjugated rabbit antimouse Ig (Silenus, Hawthorn, Victoria, Australia) for another 30 to 45 minutes. Cell were then washed and fixed before analyzing their fluorescence intensity on an EPICS-Profile II Flow Cytometer (Coulter Electronics, Hialeah, FL).

Ligand binding assay.

IL-3 and GM-CSF were radio-iodinated using the iodine monochloride method.36,125I–IL-5 was purchased from Dupont NEN (North Sydney, New South Wales, Australia). MoAb BION-1 was radio-iodinated using the chloramine T method.37 Binding assays were performed as previously described.38 Briefly, 1 to 2 × 106 cells were preincubated with either BION-1 whole IgG, Fab fragments, or control MoAbs or with a range of concentrations of IL-3 or TNFα for 1 hour at 4°C. Radio-labeled ligand was then added and incubated for a further 2 hours before the cells were separated from free label by centrifugation through fetal calf serum (FCS). Counts associated with the resulting cell pellets were determined by counting on a γ-counter (Cobra Auto Gamma; Packard Instruments Co, Meridien, CT). Nonspecific binding was determined for each ligand by determining binding in the presence of a 200-fold excess of unlabeled ligand.

βc mutants and MoAb epitope mapping.

Alanine substitutions in the B-C and F-G loops of domain 4 of the βc have been described previously.26,27 The cDNAs for wild-type βc and each of the βcmutants in the B-C and F-G loops were introduced into COS cells by electroporation,26 and binding assays were performed on the transfected cells 48 hours posttransfection. The anti-βcMoAb, BION-1, and 1C1 were labeled using the chloramine T method,37 and binding assays were performed essentially as described previously.27 

TF-1.8 cell proliferation assay.

TF-1.8 cells were grown in the presence of 2 ng/mL of GM-CSF. The cells were starved for 24 hours before setting up proliferation assays as described previously.33 From dose-response curves, the half-maximal proliferation dosage of IL-5 (0.3 ng/mL), GM-CSF (0.03 ng/mL), IL-3 (0.1 ng/mL), or erythropoietin (EPO; 5 ng/mL) was chosen to perform proliferation experiments in the presence of a range of concentrations of MoAbs. The 3H-Thymidine incorporation of each sample was determined by liquid scintillation.

Colony assay.

Ethics approval was obtained to collect bone marrow cells from healthy adult donors. The mononuclear cells were isolated after dextran sedimentation and density gradient centrifugation. The cells (50,000/mL) were cultured in semisolid methylcellulose medium for 14 days in humidified conditions supplied with 5% CO2. Colonies of more than 40 cells were scored after staining as previously described.39 

Eosinophil survival assays.

The maximal dose of IL-5 required to support eosinophil survival after 36 hours was determined. Eosinophils were then cultured with 1 nmol/L of IL-5, GM-CSF, or IL-3 plus anti-βc MoAbs for 36 hours. The viability of eosinophils was quantitated by propidium iodide staining and flow cytometry analysis as described.40 

CD69 expression.

Eosinophils were treated with a range of concentrations of cytokines for 3 hours either in the presence or absence of anti-βcMoAbs. CD69 expression was measured by immunofluorescence using an anti-CD69 monoclonal MoAb coupled to phycoerythrin (PE; Becton Dickinson Immunocytochemistry Systems, San Jose, CA).

Coimmunoprecipitation of α and β chains and the βc phosphorylation assays.

MO7e cells were surface labeled with 125I using the lactoperoxidase method, as described previously.41 The labeled cells were preincubated with MoAbs BION-1, control anti-βc MoAb 1C1 (0.5 mg/mL), or medium alone for 1 minutes before being stimulated or not with IL-3 (6 nmol/L) for 5 minutes. Cells were lysed in lysis buffer consisting of 137 mmol/L NaCl, 10 mmol/L Tris-HCl (pH 7.4), 10% glycerol, and 1% Nonindet P-40 with protease and phosphatase inhibitors (10 μg/mL leupeptin, 2 mmol/L phenylmethlysulphonyl fluoride, 10 μg/mL aprotonin,and 2 mmol/L sodium vanadate) for 30 minutes at 4°C, followed by centrifugation of the lysate at 10,000g for 15 minutes to remove cellular debris. The lysate was precleared with mouse-Ig–coupled Sepharose beads for 18 hours at 4°C and incubated with anti–IL-3Rα, anti-βc MoAb beads for 2 hours at 4°C. The beads were washed 6 times with lysis buffer and immunoprecipited proteins were separated on 7.5% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) under reducing conditions. The gel was transferred onto nitrocellulose and the immunoprecipited proteins were detected by a PhosphorImager (Molecular Dynamics, Sunnyvale, CA). The blot was then probed with an antiphosphotyrosine MoAb, 3-365-10 (Boehringer Mannheim, Frankfurt, Germany), as described previously.35 

Development of MoAb BION-1.

We have previously shown by site-directed mutagenesis that domain 4 of βc and, more specifically, the putative B-C and F-G loops are involved in high-affinity binding and receptor activation by IL-5, GM-CSF, and IL-3.26-28 To ascertain the feasibility of targetting this region of βc for developing molecules that can simultaneously block IL-5, GM-CSF, and IL-3 stimulation of eosinophils, we have attempted to raise functional MoAbs against this domain. However, previous attempts using cells expressing the full-length βc as the immunogen failed to produce any MoAb to domain 4 of βc, and immunization with chemically synthesized peptides encompassing either the predicted B-C and F-G loops or the whole domain 4 led to MoAb that recognized the immunogen but failed to bind to native βc. We have now succeeded in obtaining a blocking MoAb by immunizing mice with COS cells overexpressing a cDNA encoding only the extracellular domain 4 of βc (ΔQP). This MoAb, termed BION-1, immunoprecipitated full-length βc as well as ΔQP from transfected COS cells and recognized native βc in purified eosinophils, neutrophils, and monocytes as judged by flow cytometry (Fig 1).

Fig. 1.

Flow cytometry analysis of the staining of MoAb BION-1 (solid line) and an isotype-matched IgG1 control MoAb (dotted line) to (A) COS cells transiently transfected with βc, (B) CHO cells constitutively expressing βc, (C) TF-1.8 cells, (D) neutrophils, (E) eosinophils, and (F) monocytes.

Fig. 1.

Flow cytometry analysis of the staining of MoAb BION-1 (solid line) and an isotype-matched IgG1 control MoAb (dotted line) to (A) COS cells transiently transfected with βc, (B) CHO cells constitutively expressing βc, (C) TF-1.8 cells, (D) neutrophils, (E) eosinophils, and (F) monocytes.

Close modal
BION-1 inhibits the high-affinity binding of IL-5, GM-CSF, and IL-3 to human eosinophils.

Given that domain 4 of βc is crucial for the high-affinity binding of IL-5, GM-CSF, and IL-3, we examined whether BION-1 was able to affect this binding. Initially, we found that BION-1, either as a whole IgG or as a Fab fragment, inhibited, in a dose-dependent manner, the binding of 125I–IL-5,125I–GM-CSF, and 125I–IL-3 to the human erythroleukemic cell line TF-1.8 (data not shown). Significantly, BION-1 blocked the binding of IL-5, GM-CSF, and IL-3 to primary purified human eosinophils (Fig 2). In contrast, other anti-βc MoAb or IgG1 MoAb controls failed to do so. For each cytokine, we used the lowest practicable concentration of radioligand, thereby allowing binding to high-affinity sites with minimal binding to low-affinity sites.

Fig. 2.

BION-1 blocks high-affinity binding of IL-5, GM-CSF, and IL-3 to human eosinophils. Human eosinophils (1.8 × 106) were preincubated either alone (□) or in the presence of 1 μmol/L BION-1 MoAb (▪) or an isotype IgG1-matched control antibody (▧) before the addition of radiolabeled cytokine. Nonspecific binding was in each case less than 1% of total counts added. Each point is the mean of duplicate determinations and error bars represent 1 standard deviation.

Fig. 2.

BION-1 blocks high-affinity binding of IL-5, GM-CSF, and IL-3 to human eosinophils. Human eosinophils (1.8 × 106) were preincubated either alone (□) or in the presence of 1 μmol/L BION-1 MoAb (▪) or an isotype IgG1-matched control antibody (▧) before the addition of radiolabeled cytokine. Nonspecific binding was in each case less than 1% of total counts added. Each point is the mean of duplicate determinations and error bars represent 1 standard deviation.

Close modal

To demonstrate that the inhibitory effect of BION-1 was solely due to the blocking of high-affinity receptors, saturation binding studies were performed on TF-1 cells and peripheral blood mononuclear cells (PBMNC) in the presence or absence of BION-1 (Fig 3). Binding was performed with GM-CSF over a wide range of concentrations, ie, 10 pmol/L to 10 nmol/L. Scatchard transformation of the binding data obtained shows that BION-1 but not anti-βc antibody 8E4 completely blocked GM-CSF binding to high-affinity binding sites but not to low-affinity sites (Fig 3). These results, together with those in Fig 2, suggest that BION-1 recognizes the same binding site on βc used by IL-5, GM-CSF, and IL-3 or binds to an epitope in close proximity to it.

Fig. 3.

BION-1 blocks high-affinity binding of GM-CSF to TF-1 and PBMNC. Scatchard transformation of saturation binding studies performed on (A) TF-1 cells or (B) PBMNC preincubated either alone (•) or in the presence of 1 μmol/L BION-1 MoAb (○) or 1 μmol/L of a control anti-βc MoAb, 8E4 (▪) before the addition of radiolabeled GM-CSF. Binding assays were performed with125I-labeled GM-CSF over a concentration range of 10 pmol/L to 10 nmol/L. The dashed line indicates the best fit for BION-1 noninhibitable binding and the solid line indicates the high-affinity GM-CSF binding in the absence of BION-1.

Fig. 3.

BION-1 blocks high-affinity binding of GM-CSF to TF-1 and PBMNC. Scatchard transformation of saturation binding studies performed on (A) TF-1 cells or (B) PBMNC preincubated either alone (•) or in the presence of 1 μmol/L BION-1 MoAb (○) or 1 μmol/L of a control anti-βc MoAb, 8E4 (▪) before the addition of radiolabeled GM-CSF. Binding assays were performed with125I-labeled GM-CSF over a concentration range of 10 pmol/L to 10 nmol/L. The dashed line indicates the best fit for BION-1 noninhibitable binding and the solid line indicates the high-affinity GM-CSF binding in the absence of BION-1.

Close modal
Epitope mapping of BION-1.

In an attempt to define the region in βc recognized by BION-1, we used several mutants of βc and examined whether substitutions of individual aminoacids in the predicted B-C loop or F-G loop impaired BION-1 binding. To perform these experiments, we transfected COS cells with wild-type and mutant βc and measured the affinity of 125I–BION-1 and125I-1C1 (as binding control). The results showed that βc mutants carrying either substitutions M363A/R364A, E366A, or R418A were not recognized by BION-1 (Table 1), indicating that these residues form part of the BION-1 epitope.

To address this issue further, we performed a reciprocal experiment in which increasing concentrations of IL-3 were used to compete for125I–BION-1 binding. As can be seen in Fig 4, the addition of IL-3 to TF1.8 cells expressing endogenous IL-3 receptor α and βc chains prevented, in a dose-dependent manner, the binding of125I–BION-1 to βc. In contrast, TNFα did not prevent the binding of 125I–BION-1 to βc. These results emphasize the close proximity of the epitopes on βc that the cytokines and BION-1 bind.

Fig. 4.

The binding of BION-1 to TF1.8 cells is inhibited by IL-3 but not by TNF. TF1.8 cells (2 × 106) were incubated with a range of concentrations of IL-3 (•) or TNF (○) in the presence of 125I-labeled MoAb BION-1 (1 nmol/L). Each point is the mean of duplicate determinations and error bars represent 1 standard deviation.

Fig. 4.

The binding of BION-1 to TF1.8 cells is inhibited by IL-3 but not by TNF. TF1.8 cells (2 × 106) were incubated with a range of concentrations of IL-3 (•) or TNF (○) in the presence of 125I-labeled MoAb BION-1 (1 nmol/L). Each point is the mean of duplicate determinations and error bars represent 1 standard deviation.

Close modal
BION-1 specifically inhibits eosinophil colony formation and activation induced by IL-5, GM-CSF, and IL-3.

To ascertain whether the inhibition of IL-5, GM-CSF, and IL-3 binding by BION-1 was translated into inhibition of IL-5, GM-CSF, and IL-3 stimulation, we initially used the factor-dependent TF-1.8 cell line that proliferates in response to either IL-5, GM-CSF, IL-3, or EPO. We found that BION-1 inhibited the stimulation of TF-1.8 cell proliferation by IL-5, GM-CSF, and IL-3 in a dose-dependent manner, with an ED50 of approximately 0.2 to 2 mmol/L, whereas a control anti-βc MoAb , 8E4, had little or no effect (Table 2). The Fab fragment of BION-1 behaved similarly with virtually identical ED50 values to the BION-1 antibody (data not shown). Additionally, the stimulating ability of EPO was not inhibited by BION-1, showing the specificity of BION-1 for the IL-5/GM-CSF/IL-3 receptors system (data not shown).

Because eosinophils are believed to be the major effector cells in asthma and they respond to IL-5, GM-CSF, and IL-3, we examined BION-1 for its ability to block eosinophil production and survival in response to these 3 cytokines. We found that BION-1, but not another anti-βc MoAb, 8E4, inhibited the ability of IL-5, GM-CSF, and IL-3 to stimulate the formation of eosinophil colonies from human bone marrow cells (Table 3). In addition, BION-1 inhibited the prosurvival activity of IL-5, GM-CSF, and IL-3 on purified peripheral blood human eosinophils (Fig 5). Because these cytokines are essential for maintaining eosinophil viability, blocking of βc by MoAb BION-1 promoted eosinophil cell death to levels similar to those observed in the absence of cytokines (Fig 5).

Fig. 5.

BION-1 blocks IL-5–, GM-CSF–, and IL-3–induced survival of eosinophils. (A) The percentage of viability of eosinophils after 36 hours in the presence of a range of concentrations of IL-5 (▪), GM-CSF (•), IL-3 (▴), or MoAb BION-1 (◊). (B) The percentage of viability of eosinophils after 36 hours in the presence of IL-5, GM-CSF, and IL-3 (1 nmol/L) and different concentrations of MoAb BION-1 (open symbols) and a control anti-βc MoAb, 8E4 (solid symbols). Each point is the mean of triplicate determinations and error bars represent 1 standard deviation.

Fig. 5.

BION-1 blocks IL-5–, GM-CSF–, and IL-3–induced survival of eosinophils. (A) The percentage of viability of eosinophils after 36 hours in the presence of a range of concentrations of IL-5 (▪), GM-CSF (•), IL-3 (▴), or MoAb BION-1 (◊). (B) The percentage of viability of eosinophils after 36 hours in the presence of IL-5, GM-CSF, and IL-3 (1 nmol/L) and different concentrations of MoAb BION-1 (open symbols) and a control anti-βc MoAb, 8E4 (solid symbols). Each point is the mean of triplicate determinations and error bars represent 1 standard deviation.

Close modal

Eosinophil functional activity can be activated by IL-5, GM-CSF, and IL-3 as well as by TNFα, with the latter using p55 and p75 of the TNFα receptor but not βc. A sign of eosinophil activation is the upregulation of the CD69 surface antigen, a marker of eosinophil activation in asthma42 and in vitro (Fig 6A). We found that BION-1 inhibited the upregulation of eosinophil CD69 induced by IL-5, GM-CSF, and IL-3 (Fig 6B), whereas another anti-βc MoAb failed to do so. The blocking effect of BION-1 was found to be specific for the IL-5, GM-CSF, and IL-3 receptors, because the stimulating activity of TNFα was not inhibited (Fig 6B).

Fig. 6.

MoAb BION-1 inhibits IL-5–, GM-CSF–, and IL-3–stimulated but not TNF-stimulated CD69 upregulation on human eosinophils. (A) CD69 upregulation in the presence of different concentrations of IL-5 (▪), GM-CSF (•), IL-3 (▴), and TNF (⧫). (B) CD69 upregulation stimulated by 0.3 nmol/L of IL-5, GM-CSF, IL-3, or TNF in the presence of different concentrations of MoAb BION-1 (open symbols) or control anti-βc MoAb, 8E4 (solid symbols). Results are expressed as the percentage increase or change in CD69 expression relative to unstimulated cells. Each point is the mean value of 3 replicates and error bars represent 1 standard deviation.

Fig. 6.

MoAb BION-1 inhibits IL-5–, GM-CSF–, and IL-3–stimulated but not TNF-stimulated CD69 upregulation on human eosinophils. (A) CD69 upregulation in the presence of different concentrations of IL-5 (▪), GM-CSF (•), IL-3 (▴), and TNF (⧫). (B) CD69 upregulation stimulated by 0.3 nmol/L of IL-5, GM-CSF, IL-3, or TNF in the presence of different concentrations of MoAb BION-1 (open symbols) or control anti-βc MoAb, 8E4 (solid symbols). Results are expressed as the percentage increase or change in CD69 expression relative to unstimulated cells. Each point is the mean value of 3 replicates and error bars represent 1 standard deviation.

Close modal
BION-1 specifically inhibits IL-3 receptor dimerization and activation.

We have previously shown that IL-3, GM-CSF, and IL-5 induce dimerization of the respective α chains with βc, a phenomenon that leads to receptor activation as measured by phosphorylation of βc on tyrosine residues.35 43 We used this system to show that preincubation of Mo7e cells with BION-1 blocks receptor dimerization and tyrosine phosphorylation of βc, whereas anti-βc MoAb 1C1 was unable to prevent receptor dimerization and activation (Fig 7). This result suggests that, although IL-5, GM-CSF, and IL-3 direct binding to βc is not detectable, a direct interaction is obligatory for receptor dimerization and subsequent cellular activation.

Fig. 7.

Inhibition of IL-3–induced  and β chain dimerization and phosphorylation by MoAb BION-1. (A) Immunoprecipitations using anti–IL-3R MoAb, 9F5, or anti-βc MoAb, 8E4, from 125I-surface-labeled MO7e cells preincubated with MoAbs BION-1, control anti-βc MoAb 1C1, or medium alone (−), before being stimulated (+) or not (−) with IL-3. The radiolabeled proteins were spearated by SDS-PAGE and visualized by PhosphorImaging. The position and molecular weight of marker proteins are shown. (B) Immunoprecipitated proteins were probed using antiphosphotyrosine MoAb 3-365-10.

Fig. 7.

Inhibition of IL-3–induced  and β chain dimerization and phosphorylation by MoAb BION-1. (A) Immunoprecipitations using anti–IL-3R MoAb, 9F5, or anti-βc MoAb, 8E4, from 125I-surface-labeled MO7e cells preincubated with MoAbs BION-1, control anti-βc MoAb 1C1, or medium alone (−), before being stimulated (+) or not (−) with IL-3. The radiolabeled proteins were spearated by SDS-PAGE and visualized by PhosphorImaging. The position and molecular weight of marker proteins are shown. (B) Immunoprecipitated proteins were probed using antiphosphotyrosine MoAb 3-365-10.

Close modal

We show here that targetting the common β subunit of the human IL-5, IL-3, and GM-CSF receptors allows for the simultaneous blocking of the binding and stimulating activities of all 3 eosinophilopoietic cytokines. The MoAb BION-1 and its Fab fragment thus represent initial reagents with which to inhibit eosinophil production, survival, and activation in vitro and in vivo. Furthermore, the ability of BION-1 to directly bind to the cytokine-interacting region of βcoffers a new approach to identifying small molecule antagonists of βc.

IL-5, GM-CSF, and IL-3 are the only cytokines so far discovered that stimulate the production of eosinophils from the bone marrow. In addition, these cytokines stimulate the adhesion capacity of eosinophils, their cytotoxic activity, and their survival. Because of these properties, IL-5, GM-CSF, and IL-3 have been implicated in chronic inflammatory conditions mediated by eosinophils, of which allergic inflammation such as asthma is one of the best studied. In bronchial asthma, eosinophils have long been recognized to play a central role, as judged by their accumulation in the bronchoalveolar lavage fluid and the presence in the sputum of asthmatics of eosinophil cationic proteins believed to contribute to local tissue damage.7 Of the different eosinophil regulators, IL-5 has been a major focus of attention, largely due to its specificity for the eosinophil lineage. Elevated IL-5 mRNA and protein levels have been observed in biopsies of bronchial mucosa in asthma.8,9Furthermore, recruitment of eosinophils is associated with elevated IL-5 in the airways of asthma patients.10 Given the involvement of IL-5 in allergic inflammation, new therapeutic approaches have involved the use of anti–IL-5 antibodies20,21 and the development of specific IL-5 antagonists.23 24 

BION-1 may offer an alternative approach by blocking IL-5 through its interaction with βc, with the added advantage of also blocking GM-CSF and IL-3. It is becoming clear that not only IL-5, but also other eosinophilopoietic (GM-CSF and IL-3)11,14,15,44-46 as well as noneosinophilopoietic cytokines (IL-4)47-49 are elevated in asthma. Furthermore, the production of IL-5, GM-CSF, and IL-3 by CD4 cells is believed to prolong eosinophil survival in vivo.12,13 In the case of GM-CSF, for example, transgene expression allows the development of allergic airway inflammation.50,51 The extent to which these cytokines contribute to the lung inflammation is not clear. Their concomitant production may accentuate local eosinophilia or, alternatively, induce temporal and site-specific phases of eosinophil recruitment and activation.18 In either case, the simultaneous antagonism of the 3 eosinophilopoietic cytokines may more profoundly downregulate eosinophil-dependent inflammation.

The use of BION-1 or similar molecules that can simultaneously inhibit IL-5, GM-CSF, and IL-3 would be advantageous not only in asthma, but also in other eosinophil-dependent inflammatory diseases such as chronic hyperplastic sinusitis52 and nasal polyposis,16 in which all 3 cytokines have been found to be elevated. Furthermore, BION-1 and functionally analogous molecules may also be antagonists of choice in certain leukemias that produce and respond to GM-CSF and IL-3. A novel model of chronic myeloid leukemia has recently implicated bcr/abl in the production of excess GM-CSF and IL-3 and the development of disease in mice.53 The degree of βc inhibition required would have to be carefully ascertained in each case, because the complete absence of βc can lead, at least in mice, to lung disease.54 

BION-1 was able to greatly decrease eosinophil colony formation by IL-5, GM-CSF, and IL-3. This illustrates the importance of βc for eosinophil production and is consistent with βc gene knockout experiments showing a major reduction in eosinophil numbers in the peripheral blood and bone marrow of these mice.54 In addition, BION-1 profoundly inhibited eosinophil viability down to levels observed in the absence of cytokines, a property similar to that seen by some glucocorticoids such as fluticasone 17-propionate.55 This ability of BION-1 to inhibit IL-5–, IL-3–, and GM-CSF–mediated eosinophil viability suggests its use as an adjuvant of steroid therapy, its use to reduce the dosage of concomitant steroid therapy, and its use in steroid-resistant asthma.

The membrane proximal domain 4 of βc was chosen as the immunogen to generate BION-1, because this domain contains the major sites supporting cytokine high-affinity binding and receptor activation.26-28 We and others have previously shown that the B-C and F-G loops in domain 4 of βc support high-affinity binding to IL-5, IL-3, and GM-CSF and are important for receptor activation. Consistent with this and with the inhibition of BION-1 and IL-3 for each other’s binding, we found that residues M363 R364, E366 in the predicted B-C loop, and R418 in the predicted F-G loop form part of the BION-1 epitope. Interestingly, these residues do not appear to be directly involved in mediating high-affinity binding; however, they may be close in the 3-dimensional structure to Y365, H367, I368, and Y421, the mutation of which has a profound effect on cytokine binding and activation.26-28 Thus, these data suggest a more complex cytokine binding site than that found by mutagenesis and identify new target amino acids in βc for the development of novel antagonists. Furthermore, these data, together with the ability of BION-1 to prevent IL-3–mediated dimerization of the IL-3 receptor α chain and βc, support the concept that receptor dimerization and subsquent activation require ligand contacting both receptor subunits. However, we cannot rule out that, given the size of BION-1 as a Fab molecule of 50,000 MW, inhibition of receptor dimerization is the result of steric hindrance.

The development of BION-1 may have 2 immediate uses. Firstly, it may be used as a therapeutic in its own right after humanization and affinity maturation to improve its ED50. The use of MoAbs in clinical medicine is rapidly gaining momentum to the point that they now encompass 27% of biotechnology therapeutics in development and several anticytokine antibodies such as anti-TNFα56 are already showing their efficacy in clinical trials. In relation to IL-5, animal models show that anti–IL-5 antibodies are proving to be efficacious in asthma.31 Secondly, BION-1 may be used as the basis for a novel screening assay for antagonists of βc. The observation that IL-3 could reciprocally inhibit the binding of 125I-labeled BION-1 to βc (Fig4) suggests that compounds with the same specificity may be obtained. The major advance lies in the fact that, unlike IL-5, GM-CSF, and IL-3, which require prior binding to each α subunit before interacting with βc, BION-1 can directly bind to βc, thereby facilitating a cell-free solid-phase assay on which natural or engineered products may be screened for inhibition of binding of labeled BION-1 to immobilized βc or domain 4 of βc. The approach described here may also be extended to other receptors systems, such as the common subunit of the IL-4 and IL-13, which mediates the allergen-induced asthma triggered by IL-4 and IL-13.57 58 

Supported by the NH&MRC of Australia.

The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. section 1734 solely to indicate this fact.

1
Bagley
CJ
Woodcock
JM
Stomski
FC
Lopez
AF
The structural and functional basis of cytokine receptor activation: Lessons from the common β subunit of the granulocyte-macrophage colony-stimulating factor, interleukin-3 (IL-3) and IL-5 receptors.
Blood
89
1997
1471
2
Lopez
AF
Williamson
DJ
Gamble
JR
Begley
CG
Harlan
JM
Klebanoff
SJ
Waltersdorph
A
Wong
G
Clark
SC
Vadas
MA
Recombinant human GM-CSF stimulates in vitro mature human neutrophil and eosinophil function, surface receptor expression, and survival.
J Clin Invest
78
1986
1220
3
Lopez
AF
Sanderson
CJ
Gamble
JR
Campbell
HD
Young
IG
Vadas
MA
Recombinant human interleukin 5 is a selective activator of human eosinophil function.
J Exp Med
167
1988
219
4
Sanderson
CJ
Interleukin-5, eosinophils, and disease.
Blood
79
1992
3101
5
Rothenberg
ME
Owen
WF
Siberstein
DS
Woods
J
Soberman
RJ
Austen
KF
Stevens
RL
Human eosinophils have prolonged survival, enhances functional properties, and become hypodense when exposed to human interleukin 3.
J Clin Invest
81
1988
1986
6
Begley
CG
Lopez
AF
Nicola
NA
Warren
DJ
Vadas
MA
Sanderson
CJ
Metcalf
D
Purified colony-stimulating factors enhance the survival of human neutrophils and eosinophils in vitro: A rapid and sensitive microassay for colony-stimulating factors.
Blood
68
1986
162
7
Owen
WF
Rothenberg
ME
Siberstein
DS
Regulation of human eosinophil viability, density, and function by granulocyte/macrophage colony-stimulating factor in the presence of 3T3 fibroblasts.
J Exp Med
166
1987
129
8
Hamid
Q
Azzawi
M
Ying
S
Moqbel
R
Wardlaw
AJ
Corrigan
CJ
Bradley
B
Durham
SR
Collins
JV
Jeffery
PK
Expression of mRNA for interleukin-5 in mucosal bronchial biopsies from asthma.
J Clin Invest
87
1991
1541
9
Saetta
M
Di Stefano
A
Maestrelli
P
Turato
G
Mapp
CE
Pieno
M
Zanguochi
G
Del Prete
G
Fabbri
LM
Airway eosinophilia and expression of interleukin-5 protein in asthma and in excerbation of chronic bronchitis.
Clin Exp Allergy
26
1996
766
10
Sur
S
Gleich
GJ
Swanson
MC
Bartemes
KR
Broide
DH
Eosinophilic inflammation is associated with elevation of interleukin-5 in the airways of patients with spontaneous symptomatic asthma.
J Allergy Clin Immunol
96
1995
661
11
Kay
AB
Ying
S
Varney
V
Gaga
M
Durham
SR
Moqbel
R
Wardlaw
AJ
Hamid
Q
Messenger RNA expression of the cytokine gene cluster, interleukin 3 (IL-3), IL-4, IL-5, and granulocyte/macrophage colony-stimulating factor, in allergen-induced late-phase cutaneous reactions in atopic subjects.
J Exp Med
173
1991
775
12
Till
S
Li
B
Durham
S
Humbert
M
Assoufi
B
Huston
D
Dickason
R
Jeannin
P
Kay
AB
Corrigan
C
Secretion of the eosinophil-active cytokines interleukin-5, granulocyte/macrophage colony-stimulating factor and interleukin-3 by bronchoalveolar lavage CD4+ and CD8+ T cell lines in atopic asthmatics, and atopic and non-atopic controls.
Eur J Immunol
25
1995
2727
13
Corrigan
CJ
Hamid
Q
North
J
Barkans
J
Moqbel
R
Durham
S
Gemou-Engesaeth
V
Kay
AB
Peripheral blood CD4 but not CD8 T-lymphocytes in patients with exacerbation of asthma transcribe and translate messenger RNA encoding cytokines which prolong eosinophil survival in the context of a Th2-type pattern: Effect of glucocorticoid therapy.
Am J Respir Cell Mol Biol
12
1995
567
14
Gibson
PG
Zlatic
K
Scott
J
Sewell
W
Woolley
K
Saltos
N
Chronic cough resembles asthma with IL-5 and granulocyte-macrophage colony-stimulating factor gene expression in bronchoalveolar cells.
J Allergy Clin Immunol
101
1998
320
15
Sousa
AR
Lams
BE
Pfister
R
Christie
PE
Schmitz
M
Lee
TH
Expression of interleukin-5 and granulocyte-macrophage colony-stimulating factor in aspirin-sensitive and non-aspirin-sensitive asthmatic airways.
Am J Respir Crit Care Med
156
1997
1384
16
Kobayashi
T
Hashimoto
S
Horie
T
Curcumin inhibition of Dermatophagoides farinea-induced interleukin-5 (IL-5) and granulocyte macrophage-colony stimulating factor (GM-CSF) production by lymphocytes from bronchial asthmatics.
Biochem Pharmacol
54
1997
819
17
Lantero
S
Sacco
O
Scata
C
Rossi
GA
Stimulation of blood mononuclear cells of atopic children with the relevant allergen induces the release of eosinophil chemotaxins such as IL-3, IL-5 and GM-CSF.
J Asthma
34
1997
141
18
Shaver
JR
Zangrilli
JG
Cho
S-K
Cirelli
RA
Pollice
M
Hastie
AT
Fish
JE
Kinetics of the development and recovery of the lung from IgE-mediated inflammation. Dissociation of pulmonary eosinophilia, lung injury, and eosinophil-active cytokines.
Am J Crit Care Med
155
1997
442
19
Miyajima
A
Kinoshita
T
Wakao
H
Hara
T
Yoshimura
A
Nishinakamura
R
Murray
R
Mui
A
Signal transduction by the GM-CSF, IL-3 and IL-5 receptors.
Leukemia
11
1997
418
(suppl 3)
20
Mauser
PJ
Pitman
AM
Fernandez
X
Foran
SK
Adams
GK
Kreutner
W
Egan
RW
Chapman
RW
Effects of an antibody to interleukin-5 in a monkey model of asthma.
Am J Respir Crit Care Med
152
1995
467
21
Kung
TT
Stelts
DM
Zurcher
JA
Adams
GK
Egan
RW
Kreutner
W
Watnick
AS
Jones
H
Chapman
RW
Involvement of IL-5 in a murine model of allergic pulmonary inflammation: Prophylactic and therapy effect of an anti-IL-5 antibody.
Am J Respir Cell Mol Biol
13
1995
360
22
Hercus
TR
Bagley
CJ
Cambareri
B
Dottore
M
Woodcock
JM
Vadas
MA
Shannon
MF
Lopez
AF
Specific human granulocyte-macrophage colony-stimulating factor antagonists.
Proc Natl Acad Sci USA
91
1994
5838
23
Tavernier
J
Tuypens
T
Verhee
A
Plaetinck
G
Devos
R
Van der Heyden
J
Guisez
Y
Oefner
C
Identification of receptor-binding domains on human interleukin 5 and design of an interleukin 5-derived receptor antagonist.
Proc Natl Acad Sci USA
92
1995
5194
24
McKinnon
M
Page
K
Uings
IJ
Banks
M
Fattah
D
Proudfoot
AE
Graber
P
Arod
C
Fish
R
Wells
TN
Solari
R
An interleukin 5 mutant distinguishes between two functional responses in human eosinophils.
J Exp Med
186
1997
121
25
Heaney
ML
Golde
DW
Soluble cytokine receptors.
Blood
87
1996
847
26
Woodcock
JM
Zacharakis
B
Plaetinck
G
Bagley
CJ
Qiyu
S
Hercus
TR
Tavernier
J
Lopez
AF
Three residues in the common b chain of the human GM-CSF, IL-3 and IL-5 receptors are essential for GM-CSF and IL-5 but not IL-3 high affinity binding and interact with Glu21 of GM-CSF.
EMBO J
13
1994
5176
27
Woodcock
JM
Bagley
CJ
Zacharakis
B
Lopez
AF
A single tyrosine residue in the membrane proximal domain of the GM-CSF, IL-3 and IL-5 receptor common β chain is necessary and sufficient for high affinity binding and signalling by all three ligands.
J Biol Chem
271
1996
25999
28
Lock
P
Metcalf
D
Nicola
NA
Histidine-367 of the human common beta chain of the receptor is critical for high-affinity binding of human granulocyte-macrophage colony-stimulating factor.
Proc Natl Acad Sci USA
91
1994
252
29
D’Andrea
RJ
Barry
SC
Moretti
PAB
Jones
K
Ellis
S
Vadas
MA
Goodall
GJ
Extracellular truncations of hβc, the common signaling subunit for interleukin-3 (IL-3), granulocyte-macrophage colony-stimulating factor (GM-CSF), and IL-5, lead to ligand-independent activation.
Blood
87
1996
2641
30
Barry
SC
Bagley
CJ
Phillips
J
Dottore
M
Cambareri
B
Moretti
P
D’Andrea
R
Goodall
GJ
Shannon
MF
Vadas
MA
Lopez
AF
Two contiguous residues in human interleukin-3, Asp21 and Glu22, selectively interact with the α-and β-chains of its receptor and participate in function.
J Biol Chem
269
1994
8488
31
Vadas
MA
David
JR
Butterworth
A
Pisani
NT
Siongok
TA
A new method for the purification of human eosinophils and neutrophils, and a comparison of the ability of these cells to damage schistosomula of Schistosoma mansoni.
J Immunol
122
1979
1228
32
Elliott
MJ
Vadas
MA
Eglinton
JM
Park
LS
To
LB
Cleland
LG
Clark
SC
Lopez
AF
Recombinant human interleukin-3 and granulocyte-macrophage colony-stimulating factor show common biological effects and binding characteristics on human monocytes.
Blood
74
1989
2349
33
Sun
Q
Woodcock
JM
Rapoport
A
Stomski
FC
Korpelainen
EI
Bagley
CJ
Goodall
GJ
Smith
WB
Gamble
JR
Vadas
MA
Lopez
AF
Monoclonal antibody 7G3 recognizes the N-terminal domain of the human interleukin-3 (IL-3) receptor α-chain and functions as a specific IL-3 receptor antagonist.
Blood
87
1996
83
34
Woodcock
JM
McClure
B
Stomski
FC
Elliott
MJ
Bagley
CJ
Lopez
AF
The human granulocyte-macrophage colony-stimulating factor (GM-CSF) receptor exists as a preformed receptor complex that can be activated by GM-CSF, interleukin-3, or interleukin-5.
Blood
90
1997
3005
35
Stomski
FC
Sun
Q
Bagley
CJ
Woodcock
JM
Goodall
GJ
Andrews
RK
Berndt
MC
Lopez
AF
Human interleukin-3 (IL-3) induces disulphide-linked receptor α and β chain heterodimerization which is required for receptor activation but not high affinity binding.
Mol Cell Biol
16
1996
3035
36
Contreras
MA
Bale
WF
Spar
IL
Iodine monochloride (ICl) iodination techniques.
Methods Enzymol
92
1983
277
37
McConahey
PJ
Dixon
FJ
Radioiodination of proteins by the use of the chloramine-T method.
Methods Enzymol
70
1980
210
38
Lopez
AF
Eglinton
JM
Gillis
D
Park
LS
Vadas
MA
Reciprocal inhibition of binding between interleukin 3 and granulocyte-macrophage colony-stimulating factor to human eosinophils.
Proc Natl Acad Sci USA
86
1989
7022
39
Clutterbuck
EJ
Hirst
EMA
Sanderson
CJ
Human interleukin-5 (IL-5) regulates the production of eosinophils in human bone marrow cultures: Comparison and interaction with IL-1, IL-3, IL-6 and GM-CSF.
Blood
73
1989
1504
40
Nicoletti
I
Migliorati
G
Pagliacci
MC
Grignani
F
Riccardi
C
A rapid and simple method for measuring thymocyte apoptosis by propidium iodide staining and flow cytometry.
J Immunol Methods
139
1991
271
41
Walsh
FS
Crumpton
MJ
Orientation of cell-surface antigens in the lipid bilayer of lymphocyte plasma membrane.
Nature
269
1977
307
42
Hartnell
A
Robinson
DS
Kay
AB
Wardlaw
AJ
CD69 is expressed by human eosinophils activated in vivo in asthma by cytokines.
Immunology
80
1993
281
43
Stomski
FC
Woodcock
JM
Zacharakis
B
Bagley
CJ
Sun
Q
Lopez
AF
Identification of a Cys motif in the common β chain of the IL-3, GM-CSF and IL-5 receptors essential for disulfide-linked receptor hereodimerization and activation of all three receptors.
J Biol Chem
273
1998
1192
44
Robinson
D
Hamid
Q
Bentley
A
Ying
S
Kay
AB
Durham
SR
Activation of CD4+ T cells, increased TH2-type cytokine mRNA expression, and eosinophil recruitment in bronchoalveolar lavage after allergen inhalation challenge in patients with atopic asthma.
J Allergy Clin Immunol
92
1993
313
45
Allen
JS
Eisma
R
Leonard
G
Kreutzer
D
Interleukin-3 interleukin-5, and granulocyte-macrophage colony-stimulating factor expression in nasal polyps.
Am J Otolaryngol
18
1997
239
46
Gauvreau
GM
O’Byrne
PM
Moqbel
R
Velazquez
J
Watson
RM
Howie
KJ
Denburg
JA
Enhanced expression of GM-CSF in differentiating eosinophils of atopic and atopic asthmatics subjects.
Am J Respir Cell Mol Biol
19
1998
55
47
Barat
LT
Ying
S
Meng
Q
Barkans
J
Rajakulasingam
K
Durham
SR
Kay
AB
IL-4- and IL-5-positive T lymphocytes, eosinophils, and mast cells in allergen-induced late-phase cutaneous reactions in atopic subjects.
J Allergy Clin Immunol
101
1998
222
48
Robinson
DS
Hamid
Q
Ying
S
Tsicopoulos
A
Barkans
J
Bentley
AM
Corrigan
C
Durham
SR
Kay
AB
Predominant TH2-like bronchoalveolar T-lymphocyte population in atopic asthma.
N Engl J Med
326
1992
298
49
Durham
SR
Ying
S
Varney
VA
Jacobson
MR
Sudderick
RM
Mackay
IS
Kay
AB
Hamid
Q
Cytokine messenger RNA expression for IL-3, IL-4, IL-5, and granulocyte/macrophage colony-stimulating factor in the nasal mucosa after local allergen provocation: Relationship to tissue eosinophilia.
J Immunol
48
1992
2390
50
Stampfli
MR
Wiley
RE
Scott Neigh
G
Gajewska
BU
Lei
XF
Snider
DP
Xing
Z
Jordana
M
GM-CSF transgene expression in the airway allows aerosolized ovalbumin to induce allergic sensitization in mice.
J Clin Invest
102
1998
1704
51
Lei
XF
Ohkawara
Y
Stampfli
MR
Gauldie
J
Croitoru
K
Jordana
M
Xing
Z
Compartmentalized transgene expression of granulocyte-macrophage colony-stimulating factor (GM-CSF) in mouse lung enhances allergic airways inflammation.
Clin Exp Immunol
113
1998
157
52
Hamilos
DL
Leung
DY
Wood
R
Meyers
A
Stephens
JK
Barkans
J
Meng
Q
Cunningham
L
Bean
DK
Kay
AB
Chronic hyperplastic sinusitis: Association of tissue eosinophilia with mRNA expression of granulocyte-macrophage colony-stimluating factor and interleukin-3.
J Allergy Clin Immunol
92
1993
39
53
Zhang
X
Ren
R
Bcr-Abl efficiently induces a myeloproliferative disease and production of excess interleukin-3 and granulocyte-macrophage colony-stimulating factor in mice: A novel model for chronic myelogenous leukemia.
Blood
92
1998
3829
54
Robb
L
Drinkwater
CC
Metcalf
D
Li
R
Kontgen
F
Nicola
NA
Begley
CG
Hematopoietic and lung abnormalities in mice with a null mutation of the common β subunit of the receptors for granulocyte-macrophage colony-stimulating factor and interleukins 3 and 5.
Proc Natl Acad Sci USA
92
1995
9565
55
Hagan
JB
Kita
H
Gleich
GJ
Inhibition of interleukin-5 mediated eosinophil viability by fluticasone 17-propionate: Comparison with other glucocorticoids.
Clin Exp Allergy
28
1998
999
56
Elliott
MJ
Maini
RN
Anti-cytokine therapy in rheumatoid arthritis.
Clin Rheumatol
9
1995
633
57
Wills-Karp
M
Luyimbazi
J
Xu
X
Schofield
B
Neben
TY
Karp
CL
Donaldson
DD
Interleukin-13: Central mediator of allergic asthma.
Science
282
1998
2258
58
Grunig
G
Warnock
M
Wakil
AE
Venkayya
R
Rennick
DM
Sheppard
D
Mohrs
M
Donaldson
DD
Locksley
RM
Corry
DB
Requirement for IL-13 independently of IL-4 in experimental asthma.
Science
282
1998
2261

Author notes

Address reprint requests to A.F. Lopez, MD, PhD, The Hanson Centre for Cancer Research, IMVS, Frome Road, Adelaide, SA 5000, Australia.

Sign in via your Institution