Hilliard B, Ventura E S, Rostami A
Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, USA.
Mult Scler. 1999 Feb;5(1):2-9. doi: 10.1191/135245899701564308.
Immunological tolerance and suppression of clinical and histological experimental allergic encaphalomyelitis (EAE) can be induced by the intravenous (i.v.) administration of myelin basic protein (MBP). In this report we have characterized the effect of the time of i.v. administration of MBP on the course of EAE in Lewis rats. Rats were treated with the i.v. administration of one or two 500 micrograms doses of MBP either before or after active immunization. Results indicated that i.v. administration of MBP in rats before active immunization with MBP/CFA (naïve rats) was most effective when given 14 days before active immunization, but treatment of rats actively immunized with MBP (immunized rats) was most effective at the onset of disease. Treatment at other times was less effective. The i.v. administration of the peptide MBP 68-88 (p68-88) containing the dominant encephalitogenic epitope could also suppress MBP-induced EAE in a dose dependent manner. Intravenous administration of two injections of p68-88 to naïve rats on days 10 and 3 before, or on days 0 and 7 after, active immunization with MBP suppressed the development of EAE in a dose dependent manner. Treatment of rats with i.v. MBP after, but not before, the transfer of MBP-reactive EAE effector cells suppressed the development of EAE in the recipient rats. Transfer of lymphoid cells from tolerized naïve rats failed to protect recipient rats against development of active or passive EAE. These results indicate the importance of timing and dose of the antigen on the induction of tolerance and suggests different mechanisms of tolerance induction by intravenous MBP in immunized and naïve rats. They also emphasize the importance of timing in designing efficient treatment strategies when i.v. tolerance is contemplated in EAE and possibly multiple sclerosis.
静脉注射髓鞘碱性蛋白(MBP)可诱导免疫耐受并抑制临床和组织学实验性变应性脑脊髓炎(EAE)。在本报告中,我们描述了静脉注射MBP的时间对Lewis大鼠EAE病程的影响。在主动免疫之前或之后,给大鼠静脉注射一或两剂500微克的MBP。结果表明,在用MBP/CFA主动免疫之前(未免疫大鼠)静脉注射MBP,在主动免疫前14天给药最为有效,但对已用MBP主动免疫的大鼠(免疫大鼠),在疾病发作时治疗最为有效。在其他时间治疗效果较差。含有主要致脑炎性表位的肽MBP 68-88(p68-88)的静脉注射也能以剂量依赖方式抑制MBP诱导的EAE。在对MBP进行主动免疫前10天和3天,或主动免疫后0天和7天,给未免疫大鼠静脉注射两剂p68-88,以剂量依赖方式抑制EAE的发展。在用MBP反应性EAE效应细胞转移之后而非之前,给大鼠静脉注射MBP,可抑制受体大鼠中EAE的发展。来自耐受的未免疫大鼠的淋巴细胞转移未能保护受体大鼠免受主动或被动EAE的发展。这些结果表明抗原的时间和剂量对诱导耐受的重要性,并提示静脉注射MBP在免疫大鼠和未免疫大鼠中诱导耐受的机制不同。它们还强调了在考虑EAE和可能的多发性硬化症中静脉耐受时,设计有效治疗策略时时间的重要性。