Choi Eun Young, Lim Jong-Hyung, Neuwirth Ales, Economopoulou Matina, Chatzigeorgiou Antonios, Chung Kyoung-Jin, Bittner Stefan, Lee Seung-Hwan, Langer Harald, Samus Maryna, Kim Hyesoon, Cho Geum-Sil, Ziemssen Tjalf, Bdeir Khalil, Chavakis Emmanouil, Koh Jae-Young, Boon Louis, Hosur Kavita, Bornstein Stefan R, Meuth Sven G, Hajishengallis George, Chavakis Triantafyllos
Department of Biomedical Sciences and Department of Pharmacology, Cell Dysfunction Research Center (CDRC), University of Ulsan College of Medicine, Seoul, Republic of Korea.
Experimental Immunology Branch, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, Maryland, USA.
Mol Psychiatry. 2015 Jul;20(7):880-888. doi: 10.1038/mp.2014.146. Epub 2014 Nov 11.
Inflammation in the central nervous system (CNS) and disruption of its immune privilege are major contributors to the pathogenesis of multiple sclerosis (MS) and of its rodent counterpart, experimental autoimmune encephalomyelitis (EAE). We have previously identified developmental endothelial locus-1 (Del-1) as an endogenous anti-inflammatory factor, which inhibits integrin-dependent leukocyte adhesion. Here we show that Del-1 contributes to the immune privilege status of the CNS. Intriguingly, Del-1 expression decreased in chronic-active MS lesions and in the inflamed CNS in the course of EAE. Del-1-deficiency was associated with increased EAE severity, accompanied by increased demyelination and axonal loss. As compared with control mice, Del-1(-/-) mice displayed enhanced disruption of the blood-brain barrier and increased infiltration of neutrophil granulocytes in the spinal cord in the course of EAE, accompanied by elevated levels of inflammatory cytokines, including interleukin-17 (IL-17). The augmented levels of IL-17 in Del-1-deficiency derived predominantly from infiltrated CD8(+) T cells. Increased EAE severity and neutrophil infiltration because of Del-1-deficiency was reversed in mice lacking both Del-1 and IL-17 receptor, indicating a crucial role for the IL-17/neutrophil inflammatory axis in EAE pathogenesis in Del-1(-/-) mice. Strikingly, systemic administration of Del-1-Fc ameliorated clinical relapse in relapsing-remitting EAE. Therefore, Del-1 is an endogenous homeostatic factor in the CNS protecting from neuroinflammation and demyelination. Our findings provide mechanistic underpinnings for the previous implication of Del-1 as a candidate MS susceptibility gene and suggest that Del-1-centered therapeutic approaches may be beneficial in neuroinflammatory and demyelinating disorders.
中枢神经系统(CNS)的炎症及其免疫豁免的破坏是多发性硬化症(MS)及其啮齿动物模型实验性自身免疫性脑脊髓炎(EAE)发病机制的主要促成因素。我们之前已将发育性内皮位点-1(Del-1)鉴定为一种内源性抗炎因子,它可抑制整合素依赖性白细胞黏附。在此我们表明,Del-1有助于维持CNS的免疫豁免状态。有趣的是,在慢性活动性MS病变以及EAE病程中发炎的CNS中,Del-1的表达降低。Del-1缺陷与EAE严重程度增加相关,同时伴有脱髓鞘和轴突损失增加。与对照小鼠相比,在EAE病程中,Del-1(-/-)小鼠的血脑屏障破坏增强,脊髓中中性粒细胞浸润增加,同时包括白细胞介素-17(IL-17)在内的炎性细胞因子水平升高。Del-1缺陷时IL-17水平升高主要源于浸润的CD8(+)T细胞。在同时缺乏Del-1和IL-17受体的小鼠中,由于Del-1缺陷导致的EAE严重程度增加和中性粒细胞浸润得以逆转,这表明IL-17/中性粒细胞炎症轴在Del-1(-/-)小鼠的EAE发病机制中起关键作用。令人惊讶的是,全身性给予Del-1-Fc可改善复发缓解型EAE的临床复发情况。因此,Del-1是CNS中的一种内源性稳态因子,可保护机体免受神经炎症和脱髓鞘的影响。我们的研究结果为之前将Del-1作为MS候选易感基因的推测提供了机制基础,并表明以Del-1为中心的治疗方法可能对神经炎症和脱髓鞘疾病有益。