Bettelli Estelle, Baeten Dominique, Jäger Anneli, Sobel Raymond A, Kuchroo Vijay K
Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Clin Invest. 2006 Sep;116(9):2393-402. doi: 10.1172/JCI28334.
Multiple sclerosis (MS) is a clinically and pathologically heterogeneous inflammatory/demyelinating disease of the CNS. In the MS variant Devic disease, lesions are predominantly found in the optic nerves and spinal cord but not the brain. The immunological bases of the different forms of MS are unknown. We previously generated myelin oligodendrocyte glycoprotein-specific (MOG-specific) TCR transgenic mice (TCRMOG mice; also referred to as 2D2 mice) and reported that a large proportion of these mice develop spontaneous isolated optic neuritis. We have now crossed the TCRMOG mice with MOG-specific Ig heavy-chain knock-in mice (IgHMOG mice; also referred to as Th mice), in which one-third of the B cells are specific for MOG. In these mice, MOG-specific B cells are very efficient in presenting MOG to the transgenic T cells and undergo class switching to IgG1 in the presence of the transgenic T cells. Sixty percent of TCRMOG x IgHMOG mice spontaneously developed a severe form of experimental autoimmune encephalomyelitis (EAE). Histological examination of the CNS revealed a selective distribution of meningeal and parenchymal inflammatory lesions in the spinal cord and optic nerves. Thus, CNS antigen-specific T and B cells cooperate to induce a distinct clinicopathologic EAE pattern that closely replicates human Devic disease.
多发性硬化症(MS)是一种中枢神经系统的临床和病理表现均具有异质性的炎症性/脱髓鞘疾病。在MS变异型视神经脊髓炎中,病变主要见于视神经和脊髓,而不累及脑。不同形式MS的免疫基础尚不清楚。我们之前构建了髓鞘少突胶质细胞糖蛋白特异性(MOG特异性)TCR转基因小鼠(TCRMOG小鼠;也称为2D2小鼠),并报道这些小鼠中有很大一部分会自发发生孤立性视神经炎。我们现在已将TCRMOG小鼠与MOG特异性Ig重链敲入小鼠(IgHMOG小鼠;也称为Th小鼠)进行杂交,其中三分之一的B细胞对MOG具有特异性。在这些小鼠中,MOG特异性B细胞能非常有效地将MOG呈递给转基因T细胞,并在转基因T细胞存在的情况下发生类别转换为IgG1。60%的TCRMOG×IgHMOG小鼠自发发生了严重形式的实验性自身免疫性脑脊髓炎(EAE)。对中枢神经系统的组织学检查显示,脊髓和视神经中存在脑膜和实质炎症病变的选择性分布。因此,中枢神经系统抗原特异性T细胞和B细胞协同作用,诱导出一种独特的临床病理EAE模式,该模式与人类视神经脊髓炎极为相似。