Borel Paula, Benkhoucha Mahdia, Weber Martin S, Zamvil Scott S, Santiago-Raber Marie-Laure, Lalive Patrice H
Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva , Switzerland.
Int Immunol. 2008 Oct;20(10):1313-9. doi: 10.1093/intimm/dxn086. Epub 2008 Aug 6.
Glatiramer acetate (GA, copolymer-1, Copaxone), a therapy approved for treatment of multiple sclerosis (MS), prevents and reverses experimental autoimmune encephalomyelitis, the animal model of MS. In central nervous system autoimmune disease, GA is thought to act through modulation of antigen-presenting cells, such as monocytes, mediating an antigen-independent T(h)2 shift and development of FoxP3+ regulatory T cells. Recent reports indicate that GA may also be effective in models of other autoimmune diseases such as uveoretinitis, inflammatory bowel disease and graft rejection. To date, the potential effect of GA in lupus animal models has not been described. (NZB x BXSB)F1, male mice bearing Y-linked autoimmune acceleration , is a lupus-prone mouse model which is associated with a monocytosis accelerating disease progression. These mice were treated with GA before disease onset until death and both mortality rate and biological parameters were assessed to investigate whether GA may be beneficial in this spontaneous model of systemic lupus erythematosus. GA exerted no beneficial effect on the median survival after up to 7 months of treatment. Humoral and cellular parameters used as markers for lupus progression, such as anti-chromatin, anti-double-stranded DNA and anti-erythrocytes antibodies, hematocrit and monocytosis, were similarly unchanged. Our study demonstrates that GA has no significant effect on the progression of the (NZB x BXSB)F1 lupus-prone animal model. These results reinforce the hypothesis that GA may exert its beneficial effect in some specific autoimmune diseases only.
醋酸格拉替雷(GA,共聚-1,考帕松)是一种被批准用于治疗多发性硬化症(MS)的疗法,可预防和逆转实验性自身免疫性脑脊髓炎(MS的动物模型)。在中枢神经系统自身免疫性疾病中,GA被认为是通过调节抗原呈递细胞(如单核细胞)发挥作用,介导不依赖抗原的T(h)2偏移以及FoxP3 +调节性T细胞的发育。最近的报告表明,GA在其他自身免疫性疾病模型(如葡萄膜炎、炎症性肠病和移植排斥反应)中可能也有效。迄今为止,尚未描述GA在狼疮动物模型中的潜在作用。(NZB×BXSB)F1雄性小鼠携带Y连锁自身免疫加速基因,是一种狼疮易感小鼠模型,与单核细胞增多症加速疾病进展有关。在疾病发作前用GA治疗这些小鼠直至死亡,并评估死亡率和生物学参数,以研究GA在这种系统性红斑狼疮自发模型中是否有益。在长达7个月的治疗后,GA对中位生存期没有产生有益影响。用作狼疮进展标志物的体液和细胞参数,如抗染色质、抗双链DNA和抗红细胞抗体、血细胞比容和单核细胞增多症,同样没有变化。我们的研究表明,GA对(NZB×BXSB)F1狼疮易感动物模型的进展没有显著影响。这些结果强化了GA可能仅在某些特定自身免疫性疾病中发挥有益作用的假说。