Department of Molecular Pharmacology, Graduate School of Pharmaceutical Sciences, Kyoto University, Sakyo-ku, Kyoto 606-8501, Japan.
Department of Clinical Pharmacology and Therapeutics, Kyoto University Hospital, Sakyo-ku, Kyoto 606-8507, Japan, and.
J Neurosci. 2018 Sep 26;38(39):8484-8495. doi: 10.1523/JNEUROSCI.2203-17.2018. Epub 2018 Sep 10.
Multiple sclerosis (MS) is a chronic inflammatory disorder of the CNS characterized by demyelination and axonal injury. Current therapies that mainly target lymphocytes do not fully meet clinical need due to the risk of severe side effects and lack of efficacy against progressive MS. Evidence suggests that MS is associated with CNS inflammation, although the underlying molecular mechanism is poorly understood. Transient receptor potential melastatin 2 (TRPM2), a Ca-permeable nonselective cation channel, is expressed at high levels in the brain and by immune cells, including monocyte lineage cells. Here, we show that TRPM2 plays a pathological role in experimental autoimmune encephalomyelitis (EAE), an animal model of MS. Knockout (KO) or pharmacological inhibition of TRPM2 inhibited progression of EAE and TRPM2-KO mice showed lower activation of Iba1-immunopositive monocyte lineage cells and neutrophil infiltration of the CNS than WT mice. Moreover, CXCL2 production in TRPM2-KO mice was significantly reduced at day 14, although the severity of EAE was the same as that in WT mice at that time point. In addition, we used BM chimeric mice to show that TRPM2 expressed by CNS-infiltrating macrophages contributes to progression of EAE. Because CXCL2 induces migration of neutrophils, these results indicate that reduced expression of CXCL2 in the CNS suppresses neutrophil infiltration and slows progression of EAE in TRPM2-KO mice. Together, the results suggest that TRPM2 plays an important role in progression of EAE pathology and shed light on its putative role as a therapeutic target for MS. Current therapies for multiple sclerosis (MS), which mainly target lymphocytes, carry the risk of severe side effects and lack efficacy against the progressive form of the disease. Here, we found that the transient receptor potential melastatin 2 (TRPM2) channel, which is abundantly expressed in CNS-infiltrating macrophages, plays a crucial role in development of experimental autoimmune encephalomyelitis (EAE), an animal model of MS. EAE progression was suppressed by Knockout (KO) or pharmacological inhibition of TRPM2; this was attributed to a reduction in CXCL2 chemokine production by CNS-infiltrating macrophages in TRPM2-KO mice, resulting in suppression of neutrophil infiltration into the CNS. These results reveal an important role of TRPM2 in the pathogenesis of EAE and shed light on its potential as a therapeutic target.
多发性硬化症(MS)是一种中枢神经系统的慢性炎症性疾病,其特征是脱髓鞘和轴突损伤。目前主要针对淋巴细胞的治疗方法并不能完全满足临床需求,因为它们存在严重副作用的风险,并且对进展性 MS 缺乏疗效。有证据表明,MS 与中枢神经系统炎症有关,尽管其潜在的分子机制尚不清楚。瞬时受体电位 melastatin 2(TRPM2)是一种钙通透性非选择性阳离子通道,在大脑和免疫细胞中高水平表达,包括单核细胞谱系细胞。在这里,我们表明 TRPM2 在实验性自身免疫性脑脊髓炎(EAE)中发挥病理性作用,EAE 是 MS 的动物模型。TRPM2 敲除(KO)或药理学抑制可抑制 EAE 的进展,并且 TRPM2-KO 小鼠显示出比 WT 小鼠更低水平的 Iba1-免疫阳性单核细胞谱系细胞激活和中性粒细胞浸润中枢神经系统。此外,尽管在该时间点 EAE 的严重程度与 WT 小鼠相同,但 TRPM2-KO 小鼠在第 14 天的 CXCL2 产生明显减少。此外,我们使用 BM 嵌合小鼠表明,中枢神经系统浸润的巨噬细胞表达的 TRPM2 有助于 EAE 的进展。因为 CXCL2 诱导中性粒细胞的迁移,这些结果表明,TRPM2-KO 小鼠中中枢神经系统中 CXCL2 的表达减少抑制了中性粒细胞的浸润,并减缓了 TRPM2-KO 小鼠中 EAE 的进展。总之,这些结果表明 TRPM2 在 EAE 病理学进展中发挥重要作用,并揭示了其作为 MS 治疗靶点的潜在作用。目前针对多发性硬化症(MS)的治疗方法主要针对淋巴细胞,但存在严重副作用的风险,并且对疾病的进行性形式缺乏疗效。在这里,我们发现,在中枢神经系统浸润的巨噬细胞中大量表达的瞬时受体电位 melastatin 2(TRPM2)通道在多发性硬化症的动物模型实验性自身免疫性脑脊髓炎(EAE)的发展中起着关键作用。TRPM2 的敲除(KO)或药理学抑制抑制了 EAE 的进展;这归因于 TRPM2-KO 小鼠中中枢神经系统浸润的巨噬细胞中 CXCL2 趋化因子产生减少,导致中性粒细胞浸润到中枢神经系统受到抑制。这些结果揭示了 TRPM2 在 EAE 发病机制中的重要作用,并为其作为治疗靶点的潜力提供了线索。
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