Immunology Program, Benaroya Research Institute, Seattle, Washington 98101.
Department of Immunology, University of Washington, Seattle, Washington 98109.
Cold Spring Harb Perspect Med. 2018 Nov 1;8(11):a028977. doi: 10.1101/cshperspect.a028977.
Multiple sclerosis (MS) is a multifocal demyelinating disease of the central nervous system (CNS) leading to the progressive destruction of the myelin sheath surrounding axons. It can present with variable clinical and pathological manifestations, which might reflect the involvement of distinct pathogenic processes. Although the mechanisms leading to the development of the disease are not fully understood, numerous evidences indicate that MS is an autoimmune disease, the initiation and progression of which are dependent on an autoimmune response against myelin antigens. In addition, genetic susceptibility and environmental triggers likely contribute to the initiation of the disease. At this time, there is no cure for MS, but several disease-modifying therapies (DMTs) are available to control and slow down disease progression. A good number of these DMTs were identified and tested using animal models of MS referred to as experimental autoimmune encephalomyelitis (EAE). In this review, we will recapitulate the characteristics of EAE models and discuss how they help shed light on MS pathogenesis and help test new treatments for MS patients.
多发性硬化症(MS)是一种中枢神经系统(CNS)的多灶性脱髓鞘疾病,导致围绕轴突的髓鞘鞘逐渐破坏。它可能表现出不同的临床和病理表现,这可能反映了不同发病机制的参与。尽管导致疾病发展的机制尚未完全阐明,但有大量证据表明 MS 是一种自身免疫性疾病,其发生和进展取决于针对髓鞘抗原的自身免疫反应。此外,遗传易感性和环境诱因可能有助于疾病的发生。目前,MS 没有治愈方法,但有几种疾病修饰疗法(DMT)可用于控制和减缓疾病进展。这些 DMT 中有相当一部分是使用多发性硬化症的动物模型(称为实验性自身免疫性脑脊髓炎,EAE)来鉴定和测试的。在这篇综述中,我们将回顾 EAE 模型的特征,并讨论它们如何帮助阐明 MS 的发病机制并帮助测试新的 MS 患者治疗方法。