Greene Maria T, Ercolini Anne M, DeGutes Mathew, Miller Stephen D
Department of Microbiology-Immunology and Interdepartmental Immunobiology Center, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, United States.
J Autoimmun. 2008 Dec;31(4):399-407. doi: 10.1016/j.jaut.2008.09.004. Epub 2008 Nov 12.
Multiple sclerosis (MS) is a chronic autoimmune neurological disease characterized by infiltration of peripheral inflammatory cells to the central nervous system (CNS) and demyelination of CNS white matter. Epidemiological evidence suggests a possible infectious trigger. One potential mechanism by which an infectious agent may trigger MS is via molecular mimicry wherein T cells generated against foreign epitopes cross-react with self-myelin epitopes, such as myelin basic protein (MBP), with sufficient sequence similarity. It has been previously reported that an MBP(85-99)-reactive T cell clone derived from an MS patient cross-reacted with multiple bacterial-derived mimic peptides in vitro. We show that the same mimic peptides can induce clinical disease in two different strains of mice transgenic for both a human MBP(85-99)-specific TCR and HLA-DR2 (MHC II), albeit with different disease patterns - relapsing-remitting vs. monophasic. Interestingly, clinical disease correlates with CNS infiltration of CD4(+) T cells and F4/80(+) macrophages, but not with in vitro proliferative or cytokine responses of splenocytes in response to either MBP(85-99) or its mimics.
多发性硬化症(MS)是一种慢性自身免疫性神经疾病,其特征为外周炎性细胞浸润至中枢神经系统(CNS)以及CNS白质脱髓鞘。流行病学证据提示可能存在感染触发因素。感染因子触发MS的一种潜在机制是通过分子模拟,即针对外来表位产生的T细胞与具有足够序列相似性的自身髓磷脂表位(如髓磷脂碱性蛋白(MBP))发生交叉反应。此前有报道称,源自一名MS患者的MBP(85 - 99)反应性T细胞克隆在体外与多种细菌衍生的模拟肽发生交叉反应。我们发现,相同的模拟肽可在两种不同品系的小鼠中诱发临床疾病,这两种小鼠均转染了人MBP(85 - 99)特异性TCR和HLA - DR2(MHC II),尽管疾病模式不同——复发缓解型与单相型。有趣的是,临床疾病与CD4(+) T细胞和F4/80(+)巨噬细胞在CNS中的浸润相关,但与脾细胞针对MBP(85 - 99)或其模拟物的体外增殖或细胞因子反应无关。
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