Institute for Pediatric Regenerative Medicine, University of California Davis School of Medicine, Sacramento, California 95817, USA.
J Neurosci. 2009 Nov 25;29(47):14965-79. doi: 10.1523/JNEUROSCI.3794-09.2009.
Axonal loss is the principal cause of chronic disability in multiple sclerosis and experimental autoimmune encephalomyelitis (EAE). In C57BL/6 mice with EAE induced by immunization with myelin oligodendrocyte glycoprotein peptide 35-55, the first evidences of axonal damage in spinal cord were in acute subpial and perivascular foci of infiltrating neutrophils and lymphocytes and included intra-axonal accumulations of the endovesicular Toll-like receptor TLR8, and the inflammasome protein NAcht leucine-rich repeat protein 1 (NALP1). Later in the course of this illness, focal inflammatory infiltrates disappeared from the spinal cord, but there was persistent activation of spinal cord innate immunity and progressive, bilaterally symmetric loss of small-diameter corticospinal tract axons. These results support the hypothesis that both contact-dependent and paracrine interactions of systemic inflammatory cells with axons and an innate immune-mediated neurodegenerative process contribute to axonal loss in this multiple sclerosis model.
轴突损失是多发性硬化症和实验性自身免疫性脑脊髓炎(EAE)慢性残疾的主要原因。在髓鞘少突胶质糖蛋白肽 35-55 免疫诱导的 C57BL/6 小鼠 EAE 中,脊髓中轴突损伤的第一个证据是在浸润的中性粒细胞和淋巴细胞的急性软膜下和血管周围焦点中,包括轴内的内体 Toll 样受体 TLR8 以及炎性小体蛋白 NAcht 亮氨酸重复蛋白 1(NALP1)的积累。在这种疾病的后期,脊髓中的局灶性炎症浸润消失,但脊髓固有免疫持续激活,小直径皮质脊髓束轴突进行性、双侧对称丢失。这些结果支持以下假设:全身性炎症细胞与轴突的接触依赖性和旁分泌相互作用以及固有免疫介导的神经退行性过程都有助于该多发性硬化症模型中的轴突损失。