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(American Journal of Pathology. 2004;165:969-976.)
© 2004 American Society for Investigative Pathology

A Monoclonal Antibody to High-Molecular Weight Kininogen Is Therapeutic in a Rodent Model of Reactive Arthritis

Ricardo G. Espinola*, Audrey Uknis*{dagger}, Irma M. Sainz*, Irma Isordia-Salas*, Robin Pixley*, Raul DeLa Cadena*{ddagger}, Walter Long§, Alexis Agelan§, John Gaughan{ddagger}, Albert Adam and Robert W. Colman*{dagger}

From The Sol Sherry Thrombosis Research Center* and the Departments of Medicine,{dagger} Physiology,{ddagger} and Microbiology and Immunology,§ Temple University School of Medicine, Philadelphia, Pennsylvania; and the Department of Pharmacy, University of Montreal, Quebec, Canada

We reported that high-molecular weight kininogen is proangiogenic by releasing bradykinin and that a monoclonal antibody to high-molecular weight kininogen, C11C1, blocked its binding to endothelial cells. We now test if this antibody can prevent arthritis and systemic inflammation in a Lewis rat model. We studied 32 animals for 16 days. Group I (negative control) received saline intraperitoneally. Group II (disease-treated) received peptidoglycan-polysaccharide simultaneously with C11C1. Group III (disease-untreated) received peptidoglycan-polysaccharide simultaneously with isotype-matched mouse IgG. Group IV (disease-free-treated) and group V (disease-free isotype-treated) received saline and C11C1 or mouse IgG. Analysis of joint diameter changes showed a decrease in the C11C1 disease-treated group compared to the disease-untreated group. The hind paw inflammatory score showed a decrease in the intensity and extent of inflammation between the disease-untreated and the C11C1 disease-treated group. Prekallikrein, high-molecular weight kininogen, factor XI, and factor XII were decreased in the disease-untreated group compared to the C11C1 disease-treated group. T-kininogen was increased in the disease-untreated group when compared with the C11C1 disease-treated group. Disease-free groups IV and V did not show any sign of inflammation at any time. This study shows that monoclonal antibody C11C1 attenuates plasma kallikrein-kinin system activation, local and systemic inflammation, indicating therapeutic potential in reactive arthritis.





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