卡介苗东京 172 疫苗在主动诱导和自发性实验性自身免疫性脑脊髓炎模型中提供与年龄相关的神经保护作用。

Bacillus Calmette-Guérin Tokyo-172 vaccine provides age-related neuroprotection in actively induced and spontaneous experimental autoimmune encephalomyelitis models.

机构信息

Department of Biomedical Sciences, Sassari University, Sassari, Italy.

Department of Neurology, Juntendo University, Tokyo, Japan.

出版信息

Clin Exp Immunol. 2023 Apr 7;212(1):70-80. doi: 10.1093/cei/uxad015.

Abstract

Multiple sclerosis is the most common immune-mediated disorder affecting the central nervous system in young adults but still has no cure. Bacillus Calmette-Guérin (BCG) vaccine is reported to have non-specific anti-inflammatory effects and therapeutic benefits in autoimmune disorders including multiple sclerosis. However, the precise mechanism of action of BCG and the host immune response to it remain unclear. In this study, we aimed to investigate the efficacy of the BCG Tokyo-172 vaccine in suppressing experimental autoimmune encephalomyelitis (EAE). Groups of young and mature adult female C57BL/6J mice were BCG-vaccinated 1 month prior or 6 days after active EAE induction using myelin oligodendrocyte glycoprotein (MOG)35-55 peptide. Another group of 2D2 TCRMOG transgenic female mice was BCG-vaccinated before and after the onset of spontaneous EAE. BCG had an age-associated protective effect against active EAE only in wild-type mice vaccinated 1 month before EAE induction. Furthermore, the incidence of spontaneous EAE was significantly lower in BCG vaccinated 2D2 mice than in non-vaccinated controls. Protection against EAE was associated with reduced splenic T-cell proliferation in response to MOG35-55 peptide together with high frequency of CD8+ interleukin-10-secreting T cells in the spleen. In addition, microglia and astrocytes isolated from BCG-vaccinated mice showed polarization to anti-inflammatory M2 and A2 phenotypes, respectively. Our data provide new insights into the cell-mediated and humoral immune mechanisms underlying BCG vaccine-induced neuroprotection, potentially useful for developing better strategies for the treatment of MS.

摘要

多发性硬化症是最常见的影响年轻人中枢神经系统的免疫介导性疾病,但仍没有治愈方法。卡介苗(BCG)疫苗据报道具有非特异性抗炎作用,并在包括多发性硬化症在内的自身免疫性疾病中具有治疗益处。然而,BCG 的确切作用机制以及宿主对其的免疫反应仍不清楚。在这项研究中,我们旨在研究 BCG 东京 172 疫苗在抑制实验性自身免疫性脑脊髓炎(EAE)中的功效。将年轻和成熟的成年雌性 C57BL/6J 小鼠分组,在使用髓鞘少突胶质细胞糖蛋白(MOG)35-55 肽主动诱导 EAE 前 1 个月或 6 天后进行 BCG 疫苗接种。另一组 2D2 TCRMOG 转基因雌性小鼠在自发性 EAE 发作前和发作后进行 BCG 疫苗接种。BCG 仅对在 EAE 诱导前 1 个月接种疫苗的野生型小鼠具有与年龄相关的对主动 EAE 的保护作用。此外,与未接种疫苗的对照组相比,BCG 接种的 2D2 小鼠自发性 EAE 的发生率明显降低。对 EAE 的保护作用与对 MOG35-55 肽的脾 T 细胞增殖减少有关,并且脾中 CD8+白细胞介素-10 分泌 T 细胞的频率较高。此外,从 BCG 接种的小鼠中分离出的小胶质细胞和星形胶质细胞分别向抗炎 M2 和 A2 表型极化。我们的数据为 BCG 疫苗诱导的神经保护的细胞介导和体液免疫机制提供了新的见解,这可能对开发治疗多发性硬化症的更好策略有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff9/10081113/1845305f4f48/uxad015f0007.jpg

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