少突胶质细胞衍生的细胞外囊泡作为治疗自身免疫性神经炎症的抗原特异性疗法在小鼠中的应用。
Oligodendrocyte-derived extracellular vesicles as antigen-specific therapy for autoimmune neuroinflammation in mice.
机构信息
Department of Neurology, Thomas Jefferson University, Philadelphia, PA 19107, USA.
National Engineering Laboratory for Resource Development of Endangered Crude Drugs in Northwest China, College of Life Sciences, Shaanxi Normal University, Xi'an 710119, China.
出版信息
Sci Transl Med. 2020 Nov 4;12(568). doi: 10.1126/scitranslmed.aba0599.
Autoimmune diseases such as multiple sclerosis (MS) develop because of failed peripheral immune tolerance for a specific self-antigen (Ag). Numerous approaches for Ag-specific suppression of autoimmune neuroinflammation have been proven effective in experimental autoimmune encephalomyelitis (EAE), an animal model of MS. One such approach is intravenous tolerance induction by injecting a myelin Ag used for triggering EAE. However, the translation of this and similar experimental strategies into therapy for MS has been hampered by uncertainty regarding relevant myelin Ags in MS patients. To address this issue, we developed a therapeutic strategy that relies on oligodendrocyte (Ol)-derived extracellular vesicles (Ol-EVs), which naturally contain multiple myelin Ags. Intravenous Ol-EV injection reduced disease pathophysiology in a myelin Ag-dependent manner, both prophylactically and therapeutically, in several EAE models. The treatment was safe and restored immune tolerance by inducing immunosuppressive monocytes and apoptosis of autoreactive CD4 T cells. Furthermore, we showed that human Ols also released EVs containing most relevant myelin Ags, providing a basis for their use in MS therapy. These findings introduce an approach for suppressing central nervous system (CNS) autoimmunity in a myelin Ag-specific manner, without the need to identify the target Ag.
自身免疫性疾病,如多发性硬化症(MS),是由于对特定自身抗原(Ag)的外周免疫耐受失败而发展的。许多针对自身免疫性神经炎症的 Ag 特异性抑制方法已被证明在实验性自身免疫性脑脊髓炎(EAE),即 MS 的动物模型中是有效的。其中一种方法是通过注射用于引发 EAE 的髓鞘 Ag 来诱导静脉内耐受。然而,由于 MS 患者中相关髓鞘 Ag 的不确定性,这些和类似的实验策略向 MS 治疗的转化受到了阻碍。为了解决这个问题,我们开发了一种依赖于少突胶质细胞(Ol)衍生的细胞外囊泡(Ol-EVs)的治疗策略,这些囊泡天然包含多种髓鞘 Ag。静脉内 Ol-EV 注射以髓鞘 Ag 依赖性方式减少了几种 EAE 模型中的疾病病理生理学,无论是预防性还是治疗性的。该治疗是安全的,通过诱导免疫抑制性单核细胞和自身反应性 CD4 T 细胞凋亡来恢复免疫耐受。此外,我们还表明,人类 Ol 也释放含有大多数相关髓鞘 Ag 的 EVs,为其在 MS 治疗中的应用提供了基础。这些发现为以髓鞘 Ag 特异性方式抑制中枢神经系统(CNS)自身免疫提供了一种方法,而无需确定靶 Ag。
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