Department of Anatomy and Neurosciences, VU University Medical Center, Neuroscience Campus Amsterdam, Amsterdam, The Netherlands.
Gene Ther. 2010 May;17(5):662-71. doi: 10.1038/gt.2010.8. Epub 2010 Feb 25.
Neuroinflammation, as defined by activation of local glial cells and production of various inflammatory mediators, is an important feature of many neurological disorders. Expression of pro-inflammatory mediators produced by glial cells in the central nervous system (CNS) is considered to contribute to the neuropathology observed in those diseases. To diminish the production or action of pro-inflammatory mediators, we have used lentiviral (LV) vector-mediated encoding rat interleukin-10 (rIL-10) or rat interleukin-1 receptor antagonist (rIL-1ra) to direct the local, long-term expression of these anti-inflammatory cytokines in the CNS. We have shown that cultured macrophages or astroglia transduced with LV-rIL-10 or LV-rIL-1ra produced far less tumor necrosis factor (TNF)alpha or IL-6, respectively in response to pro-inflammatory stimuli. Moreover, intracerebroventricular (i.c.v.) administration of LV-rIL-10 or LV-rIL-1ra resulted in transduction of glial cells and macrophages and, subsequently reduced TNFalpha, IL-6 and inducible nitric oxide synthase (iNOS) expression in various brain regions induced by inflammatory stimuli, whereas peripheral expression of these mediators remained unaffected. In addition, expression levels of the anti-inflammatory cytokines IL-4 and transforming growth factor-beta were not altered in either brain or pituitary gland. Furthermore, i.c.v. administration of LV-rIL-10 or LV-rIL-1ra given during the remission phase of chronic-relapsing experimental autoimmune encephalomyelitis, an animal model of multiple sclerosis, improved the clinical outcome of the relapse phase. Thus, local application of LV vectors expressing anti-inflammatory cytokines could be of therapeutic interest to counteract pro-inflammatory processes in the brain without interfering with the peripheral production of inflammatory mediators.
神经炎症是指局部神经胶质细胞的激活和各种炎症介质的产生,是许多神经疾病的重要特征。中枢神经系统(CNS)中胶质细胞产生的促炎介质的表达被认为有助于这些疾病中观察到的神经病理学变化。为了减少促炎介质的产生或作用,我们使用慢病毒(LV)载体介导的编码大鼠白细胞介素-10(rIL-10)或大鼠白细胞介素-1 受体拮抗剂(rIL-1ra),在 CNS 中指导这些抗炎细胞因子的局部、长期表达。我们已经表明,用 LV-rIL-10 或 LV-rIL-1ra 转导的培养巨噬细胞或星形胶质细胞对促炎刺激的反应分别产生的肿瘤坏死因子(TNF)alpha 或白细胞介素-6(IL-6)要少得多。此外,脑室(i.c.v.)给予 LV-rIL-10 或 LV-rIL-1ra 导致神经胶质细胞和巨噬细胞的转导,随后减少 TNFalpha、IL-6 和诱导型一氧化氮合酶(iNOS)在各种脑区的表达,而外周这些介质的表达不受影响。此外,无论是在大脑还是垂体,抗炎细胞因子 IL-4 和转化生长因子-β的表达水平都没有改变。此外,在慢性复发性实验性自身免疫性脑脊髓炎(多发性硬化症的动物模型)的缓解期给予 i.c.v.给予 LV-rIL-10 或 LV-rIL-1ra,改善了复发期的临床结果。因此,局部应用表达抗炎细胞因子的 LV 载体可能具有治疗意义,可以对抗大脑中的促炎过程,而不干扰炎症介质的外周产生。