De Keyser J, Wilczak N, Walter J H, Zurbriggen A
Department of Neurology, Academisch Ziekenhuis Groningen, The Netherlands.
Neuroreport. 2001 Feb 12;12(2):191-4. doi: 10.1097/00001756-200102120-00004.
It has been reported that astrocytes in the white matter of patients with multiple sclerosis (MS) lack beta2-adrenergic receptors. This abnormality might explain why astrocytes in active MS plaques aberrantly express major histocompatibility (MHC) class II molecules, which play an important role in the immunological cascade leading to myelin destruction. Canine distemper (CD) virus primarily infects astrocytes and causes a demyelinating disease in dogs that closely resembles MS. In control dogs, including three dogs with another inflammatory disease, beta2-adrenergic receptor immunoreactivity was observed on both neurons and astrocytes. In dogs with CD encephalitis, beta2-adrenergic receptors were present on neurons, but were absent on astrocytes in acute lesions, demyelinated lesions, and normal-appearing white matter. Similar to MS, several astrocytes in demyelinated lesions expressed MHC class II. These findings suggest that MS and the demyelinating stages of CD encephalitis have a common pathogenetic factor, and that the loss of astrocytic beta2-adrenergic receptors in MS might be induced by a viral infection of astrocytes.
据报道,多发性硬化症(MS)患者白质中的星形胶质细胞缺乏β2 - 肾上腺素能受体。这种异常可能解释了为何活动性MS斑块中的星形胶质细胞会异常表达主要组织相容性(MHC)II类分子,而该分子在导致髓鞘破坏的免疫级联反应中起重要作用。犬瘟热(CD)病毒主要感染星形胶质细胞,并在犬类中引发一种与MS极为相似的脱髓鞘疾病。在对照犬中,包括三只患有另一种炎症性疾病的犬,在神经元和星形胶质细胞上均观察到β2 - 肾上腺素能受体免疫反应性。在患有CD脑炎的犬中,神经元上存在β2 - 肾上腺素能受体,但在急性病变、脱髓鞘病变及外观正常的白质中的星形胶质细胞上则不存在。与MS相似,脱髓鞘病变中的一些星形胶质细胞表达MHC II类分子。这些发现表明,MS和CD脑炎的脱髓鞘阶段具有共同的致病因素,且MS中星形胶质细胞β2 - 肾上腺素能受体的缺失可能是由星形胶质细胞的病毒感染所致。