2001
DOI: 10.4049/jimmunol.166.11.6914
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Western and Chinese Antirheumatic Drug-Induced T Cell Apoptotic DNA Damage Uses Different Caspase Cascades and Is Independent of Fas/Fas Ligand Interaction

Abstract: Spontaneous or therapeutic induction of T cell apoptosis plays a critical role in establishing transplantation tolerance and maintaining remission of autoimmune diseases. We investigated the mechanisms of apoptosis induced by Chinese and Western antirheumatic drugs (ARDs) in human T cells. We found that hydroxychloroquine, Tripterygium wilfordii hook F, and tetrandrine (Tet), but not methotrexate, at therapeutic concentrations can cause T cell death. In addition, Tet selectively killed T cells, especially acti… Show more

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Cited by 47 publications
(34 citation statements)
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“…Residual T cell activity can be controlled by apoptosis, and T cell apoptosis inducers have great potential for the treatment of autoimmune diseases and allograft rejection (14, 19, 48 -50). Many drugs currently used for rheumatoid arthritis and transplantation rejection kill leukocytes, including T cells, macrophages, and monocytes (14,19,48). In our study RosA selectively killed Jurkat T cells in an Lck-dependent manner.…”
Section: Discussionmentioning
confidence: 76%
“…Residual T cell activity can be controlled by apoptosis, and T cell apoptosis inducers have great potential for the treatment of autoimmune diseases and allograft rejection (14, 19, 48 -50). Many drugs currently used for rheumatoid arthritis and transplantation rejection kill leukocytes, including T cells, macrophages, and monocytes (14,19,48). In our study RosA selectively killed Jurkat T cells in an Lck-dependent manner.…”
Section: Discussionmentioning
confidence: 76%
“…To address this issue, we took advantage of the lysosomotropic amine hydroxychloroquine, which is clinically used for the treatment of malaria, rheumatoid arthritis, and systemic lupus erythematosus. As do other immunosuppressive drugs, this agent exerts potent cytotoxic effects (Lai et al, 2001), which in part may explain unwarranted effects on the nervous system and the retina (Zaidi et al, 2001;Marmor et al, 2002). Here we report that hydroxychloroquine (HCQ) induces cell death apoptosis through a lysosomal mechanism.…”
Section: Introductionmentioning
confidence: 86%
“…The apoptotic process involves the activation of caspases (EC 3.4.22.36), cysteine proteases that trigger a series of reactions leading to DNA degradation (Choi et al, 2003). Defects in the apoptotic process, particularly in T cells, may be involved in autoimmune diseases (Lai et al, 2001;Ho and Lai, 2004). Induction of apoptosis in T or B cells, or inhibition of their proliferation, reduces inflammation triggered by these cells (Ho and Lai, 2004).…”
Section: Adhesion and Surface Molecules-amongmentioning
confidence: 99%