Kwidzinski Erik, Bunse Jörg, Kovac Adam D, Ullrich Oliver, Zipp Frauke, Nitsch Robert, Bechmann Ingo
Campus Charité Mitte, Inst. f Anatomie, AG Zell u. Neurobiologie Philippstr. 12, 10115 Berlin, Germany.
Adv Exp Med Biol. 2003;527:113-8. doi: 10.1007/978-1-4615-0135-0_13.
From an immunological perspective the placenta is an allograft and therefore requires a special immune suppressive status termed immune privilege. Other organs of the body, which possess poor regenerative capacity share this special status, e.g. the brain, the eye and the gonads. The biological function of immune privilege in all these tissues is to protect them from inflammation-mediated injury. The mechanism maintaining immune privilege are poorly understood and are apparently site-specific. In the placenta, inhibition of IDO leads to spontaneous abortion, showing the crucial role of this enzyme for the maintenance of immune privilege. By catabolizing extracellular tryptophan IDO inhibits local T cell proliferation thereby preventing placental rejection. Here, we show that this mechanism can also be active in suppressing inflammatory responses in the CNS, where inflammations must be tightly regulated to prevent the loss of irreplaceable neurons. Employing RT-PCR and Western blot analysis we could show that, upon activation with the pro-inflammatory cytokine interferon-gamma, astrocytes and microglia are capable of expressing IDO in vitro and in vivo. To test the functional capacity of IDO in the CNS, we performed blockade experiments using actively induced experimental autoimmune encephalomyelitis (EAE), a T cell-mediated autoimmune disease which correlates to the human disease multiple sclerosis (MS). Inhibition of IDO activity by daily subcutaneous administration of the specific IDO inhibitor 1-methyl-DL-tryptophan during EAE significantly exacerbates EAE, shown by comparing clinical disease scores. Thus, local expression of IDO during inflammation is apparently a self-protection mechanism which limits antigen-specific immune responses in the CNS.
从免疫学角度来看,胎盘是一种同种异体移植组织,因此需要一种特殊的免疫抑制状态,即免疫赦免。身体中其他再生能力较差的器官也具有这种特殊状态,例如大脑、眼睛和性腺。所有这些组织中免疫赦免的生物学功能是保护它们免受炎症介导的损伤。维持免疫赦免的机制尚不清楚,而且显然具有部位特异性。在胎盘中,抑制吲哚胺2,3-双加氧酶(IDO)会导致自然流产,这表明该酶对维持免疫赦免起着关键作用。通过分解细胞外色氨酸,IDO抑制局部T细胞增殖,从而防止胎盘被排斥。在此,我们表明这种机制在抑制中枢神经系统的炎症反应中也可能发挥作用,在中枢神经系统中,炎症必须受到严格调控以防止不可替代的神经元丢失。通过逆转录聚合酶链反应(RT-PCR)和蛋白质免疫印迹分析,我们发现,在用促炎细胞因子γ干扰素激活后,星形胶质细胞和小胶质细胞在体外和体内都能够表达IDO。为了测试IDO在中枢神经系统中的功能能力,我们使用主动诱导的实验性自身免疫性脑脊髓炎(EAE)进行了阻断实验,EAE是一种与人类疾病多发性硬化症(MS)相关的T细胞介导的自身免疫性疾病。通过比较临床疾病评分发现,在EAE期间每天皮下注射特异性IDO抑制剂1-甲基-DL-色氨酸抑制IDO活性,会显著加重EAE。因此,炎症期间IDO的局部表达显然是一种自我保护机制,可限制中枢神经系统中抗原特异性免疫反应。