Department of Neurology, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas, United States of America.
PLoS One. 2019 Aug 15;14(8):e0220250. doi: 10.1371/journal.pone.0220250. eCollection 2019.
Spontaneous autoimmune peripheral polyneuropathy (SAPP) is a reproducible mouse model of chronic inflammatory peripheral neuropathy in female non-obese diabetic mice deficient in co-stimulatory molecule, B7-2 (also known as CD86). There is evidence that SAPP is an interferon-γ, CD4+ T-cell-mediated disorder, with autoreactive T-cells and autoantibodies directed against myelin protein zero involved in its immunopathogenesis. Precise mechanisms leading to peripheral nerve system inflammation and nerve injury including demyelination in this model are not well defined. We examined the role of activating Fc-gamma receptors (FcγRs) by genetically ablating Fcγ-common chain (Fcer1g) shared by all activating FcγRs in the pathogenesis of this model. We have generated B7-2/ Fcer1g-double null animals for these studies and found that the neuropathic disease is substantially ameliorated in these animals as assessed by behavior, electrophysiology, immunocytochemistry, and morphometry. Our current studies focused on characterizing systemic and endoneurial inflammation in B7-2-null and B7-2/ Fcer1g-double nulls. We found that accumulation of endoneurial inflammatory cells was significantly attenuated in B7-2/ Fcer1g-double nulls compared to B7-2-single nulls. Whereas, systemically the frequency of CD4+ regulatory T cells and expression of immunosuppressive cytokine, IL-10, were significantly enhanced in B7-2/ Fcer1g-double nulls. Overall, these findings suggest that elimination of activating FcγRs modulate nerve injury by altering endoneurial and systemic inflammation. These observations raise the possibility of targeting activating FcγRs as a treatment strategy in acquired inflammatory demyelinating neuropathies.
自发性自身免疫性周围多发性神经病 (SAPP) 是一种在缺乏共刺激分子 B7-2(也称为 CD86)的雌性非肥胖型糖尿病小鼠中重现的慢性炎症性周围神经病的可复制模型。有证据表明,SAPP 是一种干扰素-γ、CD4+T 细胞介导的疾病,自身反应性 T 细胞和针对髓鞘蛋白零的自身抗体参与其免疫发病机制。导致周围神经系统炎症和神经损伤(包括该模型中的脱髓鞘)的确切机制尚未完全明确。我们通过遗传消融所有激活型 FcγR 共有的 Fcγ 共同链 (Fcer1g) 来研究其在该模型中的发病机制中激活 Fcγ 受体 (FcγRs) 的作用。我们为这些研究生成了 B7-2/Fcer1g 双缺失动物,并发现这些动物的神经病变疾病在行为、电生理学、免疫细胞化学和形态计量学评估中得到了显著改善。我们目前的研究集中在表征 B7-2 缺失和 B7-2/Fcer1g 双缺失动物的全身和神经内膜炎症。我们发现,与 B7-2 单缺失动物相比,B7-2/Fcer1g 双缺失动物的神经内膜炎症细胞积聚明显减少。然而,全身 CD4+调节性 T 细胞的频率和免疫抑制细胞因子 IL-10 的表达在 B7-2/Fcer1g 双缺失动物中显著增强。总体而言,这些发现表明消除激活型 FcγRs 通过改变神经内膜和全身炎症来调节神经损伤。这些观察结果提出了靶向激活型 FcγR 作为获得性炎症性脱髓鞘性神经病治疗策略的可能性。