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组织转谷氨酰胺酶通过促进巨噬细胞迁移促进实验性多发性硬化症的发病机制和临床转归。

Tissue Transglutaminase contributes to experimental multiple sclerosis pathogenesis and clinical outcome by promoting macrophage migration.

机构信息

VU University Medical Center, Neuroscience Campus Amsterdam, Dept. Anatomy & Neurosciences, The Netherlands.

VU University Medical Center, Neuroscience Campus Amsterdam, Dept. Molecular Cell Biology and Immunology, Amsterdam, The Netherlands.

出版信息

Brain Behav Immun. 2015 Nov;50:141-154. doi: 10.1016/j.bbi.2015.06.023. Epub 2015 Jun 29.

Abstract

Multiple sclerosis is a serious neurological disorder, resulting in e.g., sensory, motor and cognitive deficits. A critical pathological aspect of multiple sclerosis (MS) is the influx of immunomodulatory cells into the central nervous system (CNS). Identification of key players that regulate cellular trafficking into the CNS may lead to the development of more selective treatment to halt this process. The multifunctional enzyme tissue Transglutaminase (TG2) can participate in various inflammation-related processes, and is known to be expressed in the CNS. In the present study, we question whether TG2 activity contributes to the pathogenesis of experimental MS, and could be a novel therapeutic target. In human post-mortem material, we showed the appearance of TG2 immunoreactivity in leukocytes in MS lesions, and particular in macrophages in rat chronic-relapsing experimental autoimmune encephalomyelitis (cr-EAE), an experimental MS model. Clinical deficits as observed in mouse EAE were reduced in TG2 knock-out mice compared to littermate wild-type mice, supporting a role of TG2 in EAE pathogenesis. To establish if the enzyme TG2 represents an attractive therapeutic target, cr-EAE rats were treated with TG2 activity inhibitors during ongoing disease. Reduction of TG2 activity in cr-EAE animals dramatically attenuated clinical deficits and demyelination. The mechanism underlying these beneficial effects pointed toward a reduction in macrophage migration into the CNS due to attenuated cytoskeletal flexibility and RhoA GTPase activity. Moreover, iNOS and TNFα levels were selectively reduced in the CNS of cr-EAE rats treated with a TG2 activity inhibitor, whereas other relevant inflammatory mediators were not affected in CNS or spleen by reducing TG2 activity. We conclude that modulating TG2 activity opens new avenues for therapeutic intervention in MS which does not affect peripheral levels of inflammatory mediators.

摘要

多发性硬化症是一种严重的神经系统疾病,会导致感觉、运动和认知功能障碍等症状。多发性硬化症(MS)的一个关键病理方面是免疫调节细胞涌入中枢神经系统(CNS)。鉴定出调节细胞向 CNS 转移的关键分子,可能会开发出更具选择性的治疗方法来阻止这一过程。多功能酶组织转谷氨酰胺酶(TG2)可参与多种与炎症相关的过程,已知在中枢神经系统中表达。在本研究中,我们质疑 TG2 活性是否有助于实验性多发性硬化症的发病机制,以及是否可以成为新的治疗靶点。在人类死后组织中,我们发现在多发性硬化症病变中的白细胞中出现了 TG2 免疫反应性,并且在大鼠慢性复发性实验性自身免疫性脑脊髓炎(cr-EAE),即实验性多发性硬化症模型中,尤其在巨噬细胞中出现了 TG2 免疫反应性。与同窝野生型小鼠相比,在 TG2 敲除小鼠中观察到的小鼠 EAE 临床缺陷减少,支持 TG2 在 EAE 发病机制中的作用。为了确定酶 TG2 是否代表有吸引力的治疗靶点,在疾病进展期间用 TG2 活性抑制剂治疗 cr-EAE 大鼠。cr-EAE 动物中 TG2 活性的降低显著减轻了临床缺陷和脱髓鞘。这些有益效果的机制表明,由于细胞骨架灵活性和 RhoA GTP 酶活性减弱,巨噬细胞向中枢神经系统的迁移减少。此外,用 TG2 活性抑制剂治疗的 cr-EAE 大鼠的中枢神经系统中 iNOS 和 TNFα 水平选择性降低,而在 CNS 或脾脏中降低 TG2 活性时,其他相关炎症介质不受影响。我们得出结论,调节 TG2 活性为多发性硬化症的治疗干预开辟了新途径,而不会影响外周炎症介质的水平。

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