Harzheim Michael, Stepien-Mering Manuela, Schröder Rolf, Schmidt Stephan
Department of Neurology, University of Bonn, Germany.
J Interferon Cytokine Res. 2004 Dec;24(12):711-6. doi: 10.1089/jir.2004.24.711.
In multiple sclerosis (MS), a crucial step in the induction phase of the inflammatory process in the central nervous system (CNS) is the disruption of the endothelial blood-brain barrier (BBB). Its permeability depends on the expression of intercellular adhesion molecules, such as vinculin and N-cadherin in endothelial cells. Interferon-gamma (IFN-gamma), as a proinflammatory cytokine, decreases the expression of both adhesion molecules in epithelial and astrocytic cells, whereas IFN-beta1a, an established treatment for MS, increases the expression of N-cadherin and vinculin in astrocytic cells and is postulated to preserve endothelial cell barrier function and to inhibit transendothelial migration of activated leukocytes. We analyzed the expression of N-cadherin and vinculin in a murine brain endothelial cell line by immunofluorescence staining and Western blot to study the presumed reversal effects of IFN-beta1a (Rebif, Serono Pharma, Unterschleissheim, Germany) and IFN-gamma on the formation of intercellular contacts. Vinculin and N-cadherin expression in brain endothelial cells was decreased after treatment with IFN-gamma, whereas stimulation with IFN-beta1a caused increased expression of both adhesion molecules. Combined treatment with both IFNs did not affect vinculin and N-cadherin expression. These data suggest that IFN-gamma contributes to BBB disruption by decreasing and IFN-beta1a restores the BBB by an upregulation of vinculin and N-cadherin expression in brain endothelial cells. This action of IFN-beta1a may contribute to its beneficial effects in MS therapy.
在多发性硬化症(MS)中,中枢神经系统(CNS)炎症过程诱导阶段的一个关键步骤是内皮血脑屏障(BBB)的破坏。其通透性取决于内皮细胞中细胞间粘附分子的表达,如纽蛋白和N-钙粘蛋白。作为一种促炎细胞因子,干扰素-γ(IFN-γ)可降低上皮细胞和星形胶质细胞中这两种粘附分子的表达,而MS的既定治疗药物干扰素-β1a可增加星形胶质细胞中N-钙粘蛋白和纽蛋白的表达,并据推测可维持内皮细胞屏障功能并抑制活化白细胞的跨内皮迁移。我们通过免疫荧光染色和蛋白质印迹分析了小鼠脑内皮细胞系中N-钙粘蛋白和纽蛋白的表达,以研究干扰素-β1a(Rebif,赛诺菲制药公司,德国 Unterschleissheim)和干扰素-γ对细胞间接触形成的假定逆转作用。用干扰素-γ处理后,脑内皮细胞中纽蛋白和N-钙粘蛋白的表达降低,而用干扰素-β1a刺激则导致这两种粘附分子的表达增加。两种干扰素联合处理不影响纽蛋白和N-钙粘蛋白的表达。这些数据表明,干扰素-γ通过降低而导致血脑屏障破坏,而干扰素-β1a通过上调脑内皮细胞中纽蛋白和N-钙粘蛋白的表达来恢复血脑屏障。干扰素-β1a的这一作用可能有助于其在MS治疗中的有益效果。