Gold Ralf, Linington Christopher, Lassmann Hans
Institute for Multiple Sclerosis research, Department of Experimental and Clinical Neuroimmunology, University of Goettingen and Gemeinnützige Hertie Stiftung, Göttingen, Germany.
Brain. 2006 Aug;129(Pt 8):1953-71. doi: 10.1093/brain/awl075. Epub 2006 Apr 21.
In view of disease heterogeneity of multiple sclerosis and limited access to ex vivo specimens, different approaches must be undertaken to better understand disease pathogenesis and new therapeutic challenges. Here, we critically discuss models of experimental autoimmune encephalomyelitis (EAE) that reproduce specific features of the histopathology and neurobiology of multiple sclerosis and their shortcomings as tools to investigate emerging therapeutic approaches. By using EAE models we have understood mechanisms of T-cell mediated immune damage of the CNS, and the associated effector cascade of innate immunity. Also, the importance of humoral components of the immune system for demyelination has been delineated in EAE, before it was applied therapeutically to subtypes of multiple sclerosis. Yet, similar to multiple sclerosis, EAE is also heterogeneous and influenced by the selected autoantigen, species and the genetic background. In particular, the relevance of cytotoxic CD8 T cells for human multiple sclerosis has been underestimated in most EAE models, and no EAE model exists that mimics primary progressive disease courses of multiple sclerosis. Seventy years after the first description of EAE and the publication of >7000 articles, we are aware of the obvious limitations of EAE as a model of multiple sclerosis, but feel strongly that when used appropriately it will continue to provide a crucial tool for improving our understanding and treatment of this devastating disease.
鉴于多发性硬化症的疾病异质性以及获取离体标本的机会有限,必须采用不同方法来更好地理解疾病发病机制和新的治疗挑战。在此,我们批判性地讨论实验性自身免疫性脑脊髓炎(EAE)模型,该模型再现了多发性硬化症组织病理学和神经生物学的特定特征及其作为研究新兴治疗方法工具的缺点。通过使用EAE模型,我们已经了解了T细胞介导的中枢神经系统免疫损伤机制以及相关的先天性免疫效应级联反应。此外,在将免疫系统的体液成分用于治疗多发性硬化症亚型之前,其在EAE中对脱髓鞘的重要性已得到阐明。然而,与多发性硬化症一样,EAE也是异质性的,并且受所选自身抗原、物种和遗传背景的影响。特别是,在大多数EAE模型中,细胞毒性CD8 T细胞对人类多发性硬化症的相关性被低估了,并且不存在模拟多发性硬化症原发性进行性病程的EAE模型。在首次描述EAE并发表7000多篇文章70年后,我们意识到EAE作为多发性硬化症模型存在明显局限性,但强烈认为,如果使用得当,它将继续为增进我们对这种毁灭性疾病的理解和治疗提供关键工具。