Lou J, Gasche Y, Zheng L, Giroud C, Morel P, Clements J, Ythier A, Grau G E
Department of Anesthesiology, Pharmacology and Surgical Intensive Care, University Medical Center, Geneva, Switzerland.
Lab Invest. 1999 Aug;79(8):1015-25.
Perivascular leukocyte infiltration into the central nervous system is characteristic of multiple sclerosis (MS) pathology. Interferon-beta (IFN-beta) has shown efficacy in the treatment of patients with MS, but the relevant mechanisms remain incompletely understood. In this study the effects of IFN-beta on leukocyte transendothelial migration were investigated using cells relevant to MS pathogenesis, namely human brain microvascular endothelial cells (HB-MVEC). Activated, but not resting leukocytes exhibited a high transendothelial migration capacity. HB-MVEC prestimulated with tumor necrosis factor (TNF) and IFN-gamma significantly promoted leukocyte transendothelial migration. IFN-beta inhibited the activated leukocyte transendothelial migration on TNF/IFN-gamma-activated HB-MVEC in a dose-dependent manner. A matrix metalloproteinase (MMP) inhibitor and monoclonal antibodies to lymphocyte function antigen-1 (LFA-1) or intercellular adhesion molecule-1 (ICAM-1), but not to very late antigen-4 or to vascular cell adhesion molecule-1 significantly inhibited the transendothelial migration of stimulated leukocytes, suggesting that this phenomenon involves the LFA-1/ICAM-1 interaction and MMP. However IFN-beta did not interfere with the binding of leukocytes to HB-MVEC unless IFN-beta was preincubated with leukocytes or added to HB-MVEC at the time of stimulation. Furthermore IFN-beta did not modulate the expression of adhesion molecules on either stimulated leukocytes or activated HB-MVEC, but partially reduced TNF and interleukin-1 production from stimulated leukocytes during coculture with HB-MVEC. Interestingly, in the presence of IFN-beta, a significant down-regulation of MMP-9 release from stimulated leukocytes was found, especially for the activated form of MMP-9. These results indicate that inhibition of leukocyte transendothelial migration is an important mechanism accounting for the beneficial effects of IFN-beta in the treatment MS patients.
血管周围白细胞浸润到中枢神经系统是多发性硬化症(MS)病理的特征。β-干扰素(IFN-β)已显示出对MS患者治疗的有效性,但相关机制仍未完全了解。在本研究中,使用与MS发病机制相关的细胞,即人脑微血管内皮细胞(HB-MVEC),研究了IFN-β对白细胞跨内皮迁移的影响。活化的而非静止的白细胞表现出高跨内皮迁移能力。用肿瘤坏死因子(TNF)和IFN-γ预刺激的HB-MVEC显著促进白细胞跨内皮迁移。IFN-β以剂量依赖的方式抑制TNF/IFN-γ激活的HB-MVEC上活化白细胞的跨内皮迁移。基质金属蛋白酶(MMP)抑制剂以及针对淋巴细胞功能抗原-1(LFA-1)或细胞间黏附分子-1(ICAM-1)的单克隆抗体,但不是针对极晚期抗原-4或血管细胞黏附分子-1的抗体,显著抑制刺激白细胞的跨内皮迁移,表明这种现象涉及LFA-1/ICAM-1相互作用和MMP。然而,除非IFN-β与白细胞预孵育或在刺激时添加到HB-MVEC中,否则IFN-β不会干扰白细胞与HB-MVEC的结合。此外,IFN-β不会调节刺激白细胞或活化HB-MVEC上黏附分子的表达,但在与HB-MVEC共培养期间会部分降低刺激白细胞产生的TNF和白细胞介素-1。有趣的是,在IFN-β存在的情况下,发现刺激白细胞释放的MMP-9显著下调,尤其是MMP-9的活化形式。这些结果表明,抑制白细胞跨内皮迁移是IFN-β治疗MS患者有益作用的重要机制。