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白细胞介素-2 单克隆抗体通过抑制 CD8 T 细胞减少局灶性脑缺血后的脱髓鞘。

IL-2mAb reduces demyelination after focal cerebral ischemia by suppressing CD8 T cells.

机构信息

Department of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.

State Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

CNS Neurosci Ther. 2019 Apr;25(4):532-543. doi: 10.1111/cns.13084. Epub 2018 Nov 15.

Abstract

AIMS

Demyelination, one of the major pathological changes of white matter injury, is closely related to T-cell-mediated immune responses. Thus, we investigate the role of an IL-2 monoclonal antibody (IL-2mAb, JES6-1) in combatting demyelination during the late phase of stroke.

METHODS

IL-2mAb or IgG isotype antibody (0.25 mg/kg) was injected intraperitoneally 2 and 48 hours after middle cerebral artery occlusion (MCAO) surgery. Infarct volume, peripheral immune cell infiltration, microglia activation, and myelin loss were measured by 2,3,5-triphenyte trazoliumchloride staining, immunofluorescence staining, flow cytometry, and Western blot. Intraperitoneal CD8 neutralizing antibody (15 mg/kg) was injected 1 day before MCAO surgery to determine the role of CD8 T cells on demyelinating lesions.

RESULTS

IL-2mAb treatment reduced brain infarct volume, attenuated demyelination, and improved long-term sensorimotor functions up to 28 days after dMCAO. Brain infiltration of CD8 T cells and peripheral activation of CD8 T cells were both attenuated in IL-2 mAb-treated mice. The protection of IL-2mAb on demyelination was abolished in mice depleted of CD8 T cell 1 week after stroke.

CONCLUSIONS

IL-2mAb preserved white matter integrity and improved long-term sensorimotor functions following cerebral ischemic injury. The activation and brain infiltration of CD8 T cells are detrimental for demyelination after stroke and may be the major target of IL-2mAb posttreatment in the protection of white matter integrity after stroke.

摘要

目的

脱髓鞘是白质损伤的主要病理变化之一,与 T 细胞介导的免疫反应密切相关。因此,我们研究了白细胞介素 2 单克隆抗体(IL-2mAb,JES6-1)在中风后期对抗脱髓鞘的作用。

方法

IL-2mAb 或 IgG 同种型抗体(0.25mg/kg)于大脑中动脉闭塞(MCAO)手术后 2 小时和 48 小时经腹腔注射。通过 2,3,5-三苯基氯化四氮唑染色、免疫荧光染色、流式细胞术和 Western blot 测量梗死体积、外周免疫细胞浸润、小胶质细胞激活和髓鞘丢失。在 MCAO 手术前 1 天经腹腔注射 CD8 中和抗体(15mg/kg),以确定 CD8 T 细胞在脱髓鞘病变中的作用。

结果

IL-2mAb 治疗可减少脑梗死体积、减轻脱髓鞘病变并改善 28 天后的长期感觉运动功能。IL-2mAb 治疗可减弱 CD8 T 细胞脑浸润和外周 CD8 T 细胞的激活。在中风后 1 周耗尽 CD8 T 细胞后,IL-2mAb 对脱髓鞘的保护作用被消除。

结论

IL-2mAb 可保护缺血性脑损伤后的白质完整性并改善长期感觉运动功能。CD8 T 细胞的激活和脑浸润对中风后脱髓鞘有害,可能是 IL-2mAb 治疗后保护中风后白质完整性的主要靶点。

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