Department of Neurology, University of Rostock, Germany.
Prog Neurobiol. 2010 Nov;92(3):386-404. doi: 10.1016/j.pneurobio.2010.06.005. Epub 2010 Jun 15.
Experimental autoimmune encephalomyelitis (EAE) is still the most widely accepted animal model of multiple sclerosis (MS). Different types of EAE have been developed in order to investigate pathogenetic, clinical and therapeutic aspects of the heterogenic human disease. Generally, investigations in EAE are more suitable for the analysis of immunogenetic elements (major histocompatibility complex restriction and candidate risk genes) and for the study of histopathological features (inflammation, demyelination and degeneration) of the disease than for screening of new treatments. Recent studies in new EAE models, especially in transgenic ones, have in connection with new analytical techniques such as microarray assays provided a deeper insight into the pathogenic cellular and molecular mechanisms of EAE and potentially of MS. For example, it was possible to better delineate the role of soluble pro-inflammatory (tumor necrosis factor-α, interferon-γ and interleukins 1, 12 and 23), anti-inflammatory (transforming growth factor-β and interleukins 4, 10, 27 and 35) and neurotrophic factors (ciliary neurotrophic factor and brain-derived neurotrophic factor). Also, the regulatory and effector functions of distinct immune cell subpopulations such as CD4+ Th1, Th2, Th3 and Th17 cells, CD4+FoxP3+ Treg cells, CD8+ Tc1 and Tc2, B cells and γδ+ T cells have been disclosed in more detail. The new insights may help to identify novel targets for the treatment of MS. However, translation of the experimental results into the clinical practice requires prudence and great caution.
实验性自身免疫性脑脊髓炎(EAE)仍然是多发性硬化症(MS)最广泛接受的动物模型。为了研究异质性人类疾病的发病机制、临床和治疗方面,已经开发了不同类型的 EAE。一般来说,EAE 的研究更适合于分析免疫遗传因素(主要组织相容性复合体限制和候选风险基因)和研究疾病的组织病理学特征(炎症、脱髓鞘和变性),而不适合筛选新的治疗方法。最近在新型 EAE 模型中的研究,特别是在转基因模型中的研究,结合新的分析技术,如微阵列分析,深入了解了 EAE 以及潜在的 MS 的发病细胞和分子机制。例如,有可能更好地描绘可溶性促炎(肿瘤坏死因子-α、干扰素-γ 和白细胞介素 1、12 和 23)、抗炎(转化生长因子-β 和白细胞介素 4、10、27 和 35)和神经营养因子(睫状神经营养因子和脑源性神经营养因子)的作用。此外,还更详细地揭示了不同免疫细胞亚群(如 CD4+Th1、Th2、Th3 和 Th17 细胞、CD4+FoxP3+Treg 细胞、CD8+Tc1 和 Tc2、B 细胞和γδ+T 细胞)的调节和效应功能。新的见解可能有助于确定治疗 MS 的新靶点。然而,将实验结果转化为临床实践需要谨慎和极大的谨慎。