Prins Marloes, Eriksson Charlotta, Wierinckx Anne, Bol John G J M, Binnekade Rob, Tilders Fred J H, Van Dam Anne-Marie
VU University Medical Center, Neuroscience Campus Amsterdam, Dept. Anatomy and Neurosciences, Amsterdam, The Netherlands.
VU University Medical Center, Neuroscience Campus Amsterdam, Dept. Anatomy and Neurosciences, Amsterdam, The Netherlands ; UNIV UMR1052, Centre de Recherche en Cancérologie de Lyon, Lyon, France.
PLoS One. 2013 Dec 23;8(12):e83835. doi: 10.1371/journal.pone.0083835. eCollection 2013.
Multiple sclerosis (MS) has been mainly attributed to white matter (WM) pathology. However, recent evidence indicated the presence of grey matter (GM) lesions. One of the principal mediators of inflammatory processes is interleukin-1β (IL-1β), which is known to play a role in MS pathogenesis. It is unknown whether IL-1β is solely present in WM or also in GM lesions. Using an experimental MS model, we questioned whether IL-1β and the IL-1 receptor antagonist (IL-1ra) are present in GM in addition to affected WM regions.
The expression of IL-1β and IL-1ra in chronic-relapsing EAE (cr-EAE) rats was examined using in situ hybridization, immunohistochemistry and real-time PCR. Rats were sacrificed at the peak of the first disease phase, the trough of the remission phase, and at the peak of the relapse. Histopathological characteristics of CNS lesions were studied using immunohistochemistry for PLP, CD68 and CD3 and Oil-Red O histochemistry.
IL-1β and IL-ra expression appears to a similar extent in affected GM and WM regions in the brain and spinal cord of cr-EAE rats, particularly in perivascular and periventricular locations. IL-1β and IL-1ra expression was dedicated to macrophages and/or activated microglial cells, at sites of starting demyelination. The time-dependent expression of IL-1β and IL-1ra revealed that within the spinal cord IL-1β and IL-1ra mRNA remained present throughout the disease, whereas in the brain their expression disappeared during the relapse.
The appearance of IL-1β expressing cells in GM within the CNS during cr-EAE may explain the occurrence of several clinical deficits present in EAE and MS which cannot be attributed solely to the presence of IL-1β in WM. Endogenously produced IL-1ra seems not capable to counteract IL-1β-induced effects. We put forward that IL-1β may behold promise as a target to address GM, in addition to WM, related pathology in MS.
多发性硬化症(MS)主要归因于白质(WM)病变。然而,最近的证据表明存在灰质(GM)病变。炎症过程的主要介质之一是白细胞介素-1β(IL-1β),已知其在MS发病机制中起作用。尚不清楚IL-1β是否仅存在于WM中,还是也存在于GM病变中。使用实验性MS模型,我们质疑除了受影响的WM区域外,GM中是否也存在IL-1β和白细胞介素-1受体拮抗剂(IL-1ra)。
使用原位杂交、免疫组织化学和实时PCR检测慢性复发性实验性自身免疫性脑脊髓炎(cr-EAE)大鼠中IL-1β和IL-1ra的表达。在疾病第一阶段的高峰期、缓解期的低谷期和复发高峰期处死大鼠。使用针对髓鞘蛋白脂蛋白(PLP)、CD68和CD3的免疫组织化学以及油红O组织化学研究中枢神经系统病变的组织病理学特征。
在cr-EAE大鼠的脑和脊髓中,受影响的GM和WM区域中IL-1β和IL-1ra的表达程度相似,特别是在血管周围和脑室周围位置。在开始脱髓鞘的部位,IL-1β和IL-1ra的表达主要见于巨噬细胞和/或活化的小胶质细胞。IL-1β和IL-1ra的时间依赖性表达表明,在脊髓中,IL-1β和IL-1ra mRNA在整个疾病过程中均持续存在,而在脑中,它们的表达在复发期间消失。
在cr-EAE期间,中枢神经系统GM中表达IL-1β的细胞的出现可能解释了EAE和MS中存在的几种临床缺陷的发生,这些缺陷不能仅归因于WM中IL-1β的存在。内源性产生的IL-1ra似乎无法抵消IL-1β诱导的效应。我们提出,除了WM相关病理外,IL-1β可能有望成为解决MS中GM相关病理的靶点。