Kerschensteiner Martin, Stadelmann Christine, Buddeberg Bigna S, Merkler Doron, Bareyre Florence M, Anthony Daniel C, Linington Christopher, Brück Wolfgang, Schwab Martin E
Brain Research Institute, University of Zurich, and the Department of Biology, Swiss Federal Institute of Technology, Zurich, Switzerland.
Am J Pathol. 2004 Apr;164(4):1455-69. doi: 10.1016/S0002-9440(10)63232-4.
In multiple sclerosis (MS) the structural damage to axons determines the persistent clinical deficit patients acquire during the course of the disease. It is therefore important to test therapeutic strategies that can prevent or reverse this structural damage. The conventional animal model of MS, experimental autoimmune encephalomyelitis (EAE), typically shows disseminated inflammation in the central nervous system, which leads to a clinical deficit that cannot be directly attributed to a defined tract system. For this reason we have developed a localized EAE model, in which large inflammatory lesions are targeted to the dorsal columns of the spinal cord, an area including the corticospinal tract. These lesions show the pathological hallmarks of MS plaques and lead to reproducible and pronounced deficits in hindlimb locomotion. Because of the anatomical specificity of this technique we can now use highly sensitive behavioral tests that assess the functional integrity of specific axonal tracts. We show that these tests are predictive of the site and extent of a given lesion and are more sensitive for assessing the clinical course than the scales commonly used for disseminated EAE models. We believe that this targeted EAE model will become a helpful new tool for the evaluation of therapeutic approaches for MS that attempt to protect axons or support their repair.
在多发性硬化症(MS)中,轴突的结构损伤决定了患者在疾病过程中出现的持续性临床缺陷。因此,测试能够预防或逆转这种结构损伤的治疗策略非常重要。传统的MS动物模型——实验性自身免疫性脑脊髓炎(EAE),通常在中枢神经系统中表现为弥漫性炎症,这会导致一种无法直接归因于特定传导束系统的临床缺陷。出于这个原因,我们开发了一种局部性EAE模型,其中大的炎性病变靶向脊髓背柱,该区域包括皮质脊髓束。这些病变显示出MS斑块的病理特征,并导致后肢运动出现可重复且明显的缺陷。由于该技术的解剖学特异性,我们现在可以使用高度敏感的行为测试来评估特定轴突束的功能完整性。我们表明,这些测试能够预测给定病变的部位和程度,并且在评估临床病程方面比常用于弥漫性EAE模型的量表更敏感。我们相信,这种靶向性EAE模型将成为评估旨在保护轴突或支持其修复的MS治疗方法的一种有用的新工具。