Bettelli Estelle, Pagany Maria, Weiner Howard L, Linington Christopher, Sobel Raymond A, Kuchroo Vijay K
Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
J Exp Med. 2003 May 5;197(9):1073-81. doi: 10.1084/jem.20021603.
Multiple sclerosis (MS) is considered to be an autoimmune disease of the central nervous system (CNS) that in many patients first presents clinically as optic neuritis. The relationship of optic neuritis to MS is not well understood. We have generated novel T cell receptor (TCR) transgenic mice specific for myelin oligodendrocyte glycoprotein (MOG). MOG-specific transgenic T cells are not deleted nor tolerized and are functionally competent. A large proportion (>30%) of MOG-specific TCR transgenic mice spontaneously develop isolated optic neuritis without any clinical nor histological evidence of experimental autoimmune encephalomyelitis (EAE). Optic neuritis without EAE could also be induced in these mice by sensitization with suboptimal doses of MOG. The predilection of these mice to develop optic neuritis is associated with higher expression of MOG in the optic nerve than in the spinal cord. These results demonstrate that clinical manifestations of CNS autoimmune disease will vary depending on the identity of the target autoantigen and that MOG-specific T cell responses are involved in the genesis of isolated optic neuritis.
多发性硬化症(MS)被认为是一种中枢神经系统(CNS)的自身免疫性疾病,在许多患者中,其临床首发症状为视神经炎。视神经炎与MS之间的关系尚未完全明确。我们构建了针对髓鞘少突胶质细胞糖蛋白(MOG)的新型T细胞受体(TCR)转基因小鼠。MOG特异性转基因T细胞未被清除或耐受,且功能正常。很大一部分(>30%)MOG特异性TCR转基因小鼠自发发生孤立性视神经炎,无任何实验性自身免疫性脑脊髓炎(EAE)的临床或组织学证据。用次优剂量的MOG致敏这些小鼠也可诱发无EAE的视神经炎。这些小鼠易患视神经炎与视神经中MOG的表达高于脊髓有关。这些结果表明,中枢神经系统自身免疫性疾病的临床表现会因靶自身抗原的不同而有所差异,且MOG特异性T细胞反应参与了孤立性视神经炎的发生。