Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy.
Nat Med. 2010 Aug;16(8):897-902. doi: 10.1038/nm.2183. Epub 2010 Jul 25.
High amounts of glutamate are found in the brains of people with multiple sclerosis, an inflammatory disease marked by progressive demyelination. Glutamate might affect neuroinflammation via effects on immune cells. Knockout mice lacking metabotropic glutamate receptor-4 (mGluR4) were markedly vulnerable to experimental autoimmune encephalomyelitis (EAE, a mouse model of multiple sclerosis) and developed responses dominated by interleukin-17-producing T helper (T(H)17) cells. In dendritic cells (DCs) from those mice, defective mGluR4 signaling-which would normally decrease intracellular cAMP formation-biased T(H) cell commitment to the T(H)17 phenotype. In wild-type mice, mGluR4 was constitutively expressed in all peripheral DCs, and this expression increased after cell activation. Treatment of wild-type mice with a selective mGluR4 enhancer increased EAE resistance via regulatory T (T(reg)) cells. The high amounts of glutamate in neuroinflammation might reflect a counterregulatory mechanism that is protective in nature and might be harnessed therapeutically for restricting immunopathology in multiple sclerosis.
多发性硬化症是一种炎症性疾病,其特征是进行性脱髓鞘。在多发性硬化症患者的大脑中发现谷氨酸含量很高,谷氨酸可能通过对免疫细胞的影响来影响神经炎症。缺乏代谢型谷氨酸受体-4 (mGluR4) 的敲除小鼠对实验性自身免疫性脑脊髓炎 (EAE,多发性硬化症的小鼠模型) 非常敏感,并产生以白细胞介素-17 产生的辅助性 T (T(H)17) 细胞为主的反应。在这些小鼠的树突状细胞 (DC) 中,缺陷型 mGluR4 信号传导 - 通常会减少细胞内 cAMP 的形成 - 使 T(H) 细胞向 T(H)17 表型的偏向。在野生型小鼠中,mGluR4 在所有外周 DC 中均持续表达,并且在细胞激活后表达增加。用选择性 mGluR4 增强剂治疗野生型小鼠可通过调节性 T (T(reg)) 细胞增加 EAE 抗性。神经炎症中谷氨酸含量高可能反映了一种具有保护性质的反向调节机制,可能在治疗多发性硬化症的免疫病理学方面具有治疗潜力。