Grupo de Neuroinmuno-Reparación, Hospital Nacional de Parapléjicos, Finca La Peraleda s/n, 45071 Toledo, Spain; Grupo de Neurobiología del Desarrollo-GNDe, Instituto Cajal-CSIC, Avenida Doctor Arce 37, 28002 Madrid, Spain.
Unidad de Gestión Clínica Inter-centros de Neurociencias, Laboratorio de Investigación y Servicio de Neurología, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Madrid, Spain.
Neurobiol Dis. 2019 Jul;127:13-31. doi: 10.1016/j.nbd.2019.02.014. Epub 2019 Feb 21.
Multiple sclerosis (MS) is an autoimmune demyelinating disease of the human central nervous system (CNS), mainly affecting young adults. Among the immunomodulatory disease modifying treatments approved up to date to treat MS, IFN-β remains to be one of the most widely prescribed for the Relapsing-Remitting (RR) variant of the disease, although its mechanism of action is still partially understood. RR-MS variant is characterized by phases with increasing neurological symptoms (relapses) followed by periods of total or partial recovery (remissions), which implies the existence of immunomodulatory agents to promote the relapsing-to-remitting transition. Among these agents, it has been described the immunosuppressive role of a heterogeneous population of immature myeloid cells, namely the myeloid-derived suppressor cells (MDSCs) during the clinical course of the experimental autoimmune encephalomyelitis (EAE), the most used MS model to study RRMS. However, it is still unknown how the current MS disease modifying treatments, e.g. IFN- β, affects to MDSCs number or activity. Our present results show that a single injection of IFN-β at the onset of the clinical course reduces the severity of the EAE, enhancing the presence of MDSCs within the smaller demyelinated areas. Moreover, the single dose of IFN-β promotes MDSC immunosuppressive activity both in vivo and in vitro, augmenting T cell apoptosis. Finally, we show that IFN-ß preserves MDSC immaturity, preventing their differentiation to mature and less suppressive myeloid cell subsets. Taking together, all these data add new insights into the mechanism of IFN-β treatment in EAE and point to MDSCs as a putative endogenous mediator of its beneficial role in this animal model of MS.
多发性硬化症(MS)是一种人类中枢神经系统(CNS)的自身免疫性脱髓鞘疾病,主要影响年轻人。在迄今为止批准用于治疗 MS 的免疫调节疾病修饰治疗中,IFN-β仍然是治疗 RR 型疾病最广泛使用的药物之一,尽管其作用机制仍部分理解。RR-MS 变体的特征是具有进行性神经症状(复发)的阶段,随后是完全或部分恢复(缓解)的阶段,这意味着存在免疫调节剂来促进复发缓解的转变。在这些调节剂中,已经描述了在实验性自身免疫性脑脊髓炎(EAE)的临床过程中,异质未成熟髓样细胞群体(即髓源性抑制细胞(MDSC))的免疫抑制作用,这是用于研究 RRMS 的最常用的 MS 模型。然而,目前尚不清楚当前的 MS 疾病修饰治疗,例如 IFN-β,如何影响 MDSC 的数量或活性。我们目前的结果表明,在临床过程开始时单次注射 IFN-β可减轻 EAE 的严重程度,增强较小脱髓鞘区域内 MDSC 的存在。此外,IFN-β 单次剂量在体内和体外均增强 MDSC 的免疫抑制活性,增加 T 细胞凋亡。最后,我们表明 IFN-ß 可保持 MDSC 的不成熟,防止其分化为成熟和抑制作用较弱的髓样细胞亚群。总之,所有这些数据为 IFN-β 在 EAE 中的治疗机制提供了新的见解,并将 MDSC 作为其在 MS 动物模型中有益作用的内源性介质。