Sidor Michelle M, Sakic Boris, Malinowski Paul M, Ballok David A, Oleschuk Curtis J, Macri Joseph
McMaster University, Department of Psychiatry and Behavioural Neurosciences, 1200 Main Street West, Hamilton, Canada L8N 3Z5.
J Neuroimmunol. 2005 Aug;165(1-2):104-13. doi: 10.1016/j.jneuroim.2005.04.022.
The systemic autoimmune disease lupus erythematosus (SLE) is frequently accompanied by neuropsychiatric manifestations and brain lesions of unknown etiology. The MRL-lpr mice show behavioral dysfunction concurrent with progression of a lupus-like disease, thus providing a valuable model in understanding the pathogenesis of autoimmunity-induced CNS damage. Profound neurodegeneration in the limbic system of MRL-lpr mice is associated with cytotoxicity of their cerebrospinal fluid (CSF) to mature and immature neurons. We have recently shown that IgG-rich CSF fraction largely accounts for this effect. The present study examines IgG levels in serum and CSF, as well as the permeability of the blood-brain barrier in mice that differ in immune status, age, and brain morphology. In comparison to young MRL-lpr mice and age-matched congenic controls, a significant elevation of IgG and albumin levels were detected in the CSF of aged autoimmune MRL-lpr mice. Two-dimensional gel electrophoresis and MALDI-TOF MS confirmed elevation in IgG heavy and Ig light chain isoforms in the CSF. Increased permeability of the blood-brain barrier correlated with neurodegeneration (as revealed by Fluoro Jade B staining) in periventricular areas. Although the source and specificity of neuropathogenic antibodies remain to be determined, these results support the hypothesis that a breached blood-brain barrier and IgG molecules are involved in the etiology of CNS damage during SLE-like disease.
系统性自身免疫性疾病红斑狼疮(SLE)常伴有神经精神症状和病因不明的脑损伤。MRL - lpr小鼠在患类狼疮疾病的过程中出现行为功能障碍,因此为理解自身免疫性中枢神经系统损伤的发病机制提供了一个有价值的模型。MRL - lpr小鼠边缘系统的严重神经退行性变与其脑脊液(CSF)对成熟和未成熟神经元的细胞毒性有关。我们最近发现富含IgG的脑脊液部分在很大程度上导致了这种效应。本研究检测了不同免疫状态、年龄和脑形态的小鼠血清和脑脊液中的IgG水平以及血脑屏障的通透性。与年轻的MRL - lpr小鼠和年龄匹配的同基因对照相比,老年自身免疫性MRL - lpr小鼠的脑脊液中IgG和白蛋白水平显著升高。二维凝胶电泳和基质辅助激光解吸电离飞行时间质谱证实了脑脊液中IgG重链和轻链亚型的升高。血脑屏障通透性增加与脑室周围区域的神经退行性变(通过氟玉髓B染色显示)相关。尽管神经致病性抗体的来源和特异性仍有待确定,但这些结果支持了以下假设:血脑屏障破坏和IgG分子参与了类SLE疾病期间中枢神经系统损伤的病因。