Kuerten Stefanie, Angelov Doychin N
Department of Anatomy I, University of Cologne, Joseph-Stelzmann-Str. 9, D-50931 Cologne, Germany.
Ann Anat. 2008;190(1):1-15. doi: 10.1016/j.aanat.2007.11.001.
Multiple sclerosis (MS) is a chronic neurodegenerative disease that causes central nervous system (CNS) inflammation and demyelination, affecting approximately two million people worldwide. In humans, different subtypes of the disease have been noted, characterized by distinct clinical courses and different histopathological manifestations. These disease variants likely result from the targeting of different neuroantigens in the CNS and possibly from the involvement of different effector arms of the immune system such as CD4(+) and CD8(+) T cells as well as autoantibodies. Mechanistic studies addressing the pathomechanisms of MS involve experimental autoimmune encephalomyelitis (EAE) in which immunization with neuroantigens is used to elicit the disease. Mechanism-oriented studies of EAE rely mostly on gene-modified mice on the C57BL/6 (B6) background. Here, we discuss how a systematic immuno- and histopathological comparison of the presently available EAE models on the B6 background, i.e. myelin basic protein-proteolipid protein (MBP-PLP) fusion protein (MP4)-, myelin oligodendrocyte glycoprotein (MOG) peptide 35-55- and PLP peptide 178-191-induced EAE, can facilitate our understanding of the complexity of MS. We point out how the development of further models on this basis can help cover the plethora of disease manifestations seen in MS.
多发性硬化症(MS)是一种慢性神经退行性疾病,可引起中枢神经系统(CNS)炎症和脱髓鞘,全球约有200万人受其影响。在人类中,已发现该疾病的不同亚型,其特征为不同的临床病程和不同的组织病理学表现。这些疾病变体可能是由于中枢神经系统中不同神经抗原成为攻击目标所致,也可能是由于免疫系统的不同效应臂(如CD4(+)和CD8(+) T细胞以及自身抗体)参与其中。针对MS发病机制的研究涉及实验性自身免疫性脑脊髓炎(EAE),其中通过用神经抗原进行免疫来引发疾病。对EAE的机制导向性研究主要依赖于C57BL/6(B6)背景的基因修饰小鼠。在此,我们讨论对目前可用的B6背景EAE模型(即髓鞘碱性蛋白-蛋白脂蛋白(MBP-PLP)融合蛋白(MP4)、髓鞘少突胶质细胞糖蛋白(MOG)肽35-55和PLP肽178-191诱导的EAE)进行系统的免疫和组织病理学比较,如何有助于我们理解MS的复杂性。我们指出在此基础上进一步开发模型如何有助于涵盖MS中所见的大量疾病表现。