胸腺基因转移髓鞘少突胶质糖蛋白可改善自身免疫性脱髓鞘的发病但不能改善其进展。

Thymic gene transfer of myelin oligodendrocyte glycoprotein ameliorates the onset but not the progression of autoimmune demyelination.

机构信息

Monash Immunology and Stem Cell Laboratories, Monash University, Melbourne, Australia.

出版信息

Mol Ther. 2012 Jul;20(7):1349-59. doi: 10.1038/mt.2012.15. Epub 2012 Feb 21.

Abstract

Tolerance induction, and thus prevention of autoimmunity, is linked with the amount of self-antigen presented on thymic stroma. We describe that intrathymic (i.t.) delivery of the autoantigen, myelin oligodendrocyte glycoprotein (MOG), via a lentiviral vector (LV), led to tolerance induction and prevented mice from developing fulminant experimental autoimmune encephalomyelitis (EAE). This protective effect was associated with the long-term expression of antigen in transduced stromal cells, which resulted in the negative selection of MOG-specific T cells and the generation of regulatory T cells (Tregs). These selection events were effective at decreasing T-cell proliferative responses and reduced Th1 and Th17 cytokines. In vivo, this translated to a reduction in inflammation and demyelination with minimal, or no axonal loss in the spinal cords of treated animals. Significantly intrathymic delivery of MOG to mice during the priming phase of the disease failed to suppress clinical symptoms despite mice being previously treated with a clearing anti-CD4 antibody. These results indicate that targeting autoantigens to the thymic stroma might offer an alternative means to induce the de novo production of tolerant, antigen-specific T cells; however, methods that control the number and or the activation of residual autoreactive cells in the periphery are required to successfully treat autoimmune neuroinflammation.

摘要

耐受诱导,从而预防自身免疫,与在胸腺基质上呈现的自身抗原的量有关。我们描述了通过慢病毒载体(LV)在胸腺内(i.t.)递送自身抗原髓鞘少突胶质细胞糖蛋白(MOG),导致耐受诱导,并防止小鼠发生暴发性实验性自身免疫性脑脊髓炎(EAE)。这种保护作用与转导基质细胞中抗原的长期表达有关,这导致了 MOG 特异性 T 细胞的阴性选择和调节性 T 细胞(Tregs)的产生。这些选择事件有效地降低了 T 细胞增殖反应,并减少了 Th1 和 Th17 细胞因子。在体内,这转化为炎症和脱髓鞘的减少,在治疗动物的脊髓中轴突丢失最小或没有。尽管先前用清除抗 CD4 抗体治疗过,但在疾病的启动阶段向小鼠体内胸腺内递送 MOG 未能抑制临床症状,这表明靶向胸腺基质中的自身抗原可能提供一种诱导耐受、抗原特异性 T 细胞的新方法;然而,需要控制外周残留自身反应性细胞的数量和/或激活,以成功治疗自身免疫性神经炎症。

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