The combination of anti-CD2 plus anti-CD3 monoclonal antibodies (mAbs)
synergistically prolongs allograft survival and induces antigen-speci
fic tolerance, Since altered expression of cell surface molecules migh
t be important for tolerance induction, the effect of anti-CD2 and ant
i-CD3 mAbs on the expression of adhesion molecules was analyzed on spl
enic T cells with an in vitro model, The anti-CD2 mAb, 12-15, alone ha
d no effect on the expression of integrin alpha 4-chain epitopes recog
nized by two anti-CD49d (VLA-4 alpha) mAbs, R1-2 and PS/2. The anti-CD
3 mAb, 2C11, caused R1-2 epitope expression to decrease, while PS/2 ep
itope expression remained unchanged. The combination of anti-CD2 and a
nti-CD3 mAbs further decreased R1-2 epitope expression while preservin
g PS/2 epitope expression. The expression of integrin beta 1 and beta
7 chains, each of which form heterodimers with alpha 4 chains, also re
mained unchanged, Expression of other integrin, selectin, or immunoglo
bulin superfamily molecules (CD11a, CD18, CD44, CD45, CD48, CD54 and C
D62L) were all significantly increased by anti-CD2 or anti-CD3 mAbs. D
ecreased R1-2 epitope expression was anti-CD3 dependent and specifical
ly augmented by anti-CD2 mAb. CD2-regulated decreases in R1-2 epitope
expression correlated with increased cAMP and could be prevented by ad
dition of high doses of IL-2 but was not affected by the addition of o
ther cytokines, R1-2 alpha 4 epitope expression could be specifically
restored by the divalent cation Mn2+, which also increased functional
binding to the VCAM-1 ligand, Significantly, the R1-2 but not the PS/2
mAb prolonged graft survival in a cardiac allograft model. These resu
lts show that anti-CD2 and anti-CD3 mAbs selectively decrease integrin
alpha 4 chain epitope expression on T cells through conformational re
gulation. Decreased expression of a CD49d epitope is unique in compari
son to the up-modulation of other T-cell adhesion receptors, These cha
nges correlate with functional effects and provide an additional mecha
nistic explanation for the synergistic effect of anti-CD2 plus anti-CD
3 in producing tolerance.