Department of Histology, Jagiellonian University Medical College, Cracow, Poland.
Medical Departament, Novartis Poland Sp. z o.o., Warsaw, Poland.
J Physiol Pharmacol. 2023 Aug;74(4). doi: 10.26402/jpp.2023.4.09. Epub 2023 Oct 16.
Multiple sclerosis (MS) and its animal model, experimental autoimmune encephalomyelitis (EAE) are characterized by three main histopathological parameters: inflammation, demyelination and axonal damage. In this study, these parameters were assessed in spinal cords of mice in the successive phases of EAE by quantitative histology and immunohistochemistry. The number of inflammatory lesions, the intensity of inflammation and expression of CD45 corresponded with the severity of clinical symptoms: they increased from the onset phase to the peak phase of the disease and subsided in the chronic phase. Demyelination increased in the peak phase and did not change in the chronic phase of EAE, although axonal damage gradually increased from the onset phase to the chronic phase, suggesting compensatory hypermyelination in that phase. The markers of myelin and axonal injury: myelin basic protein (MBP) and beta amyloid precursor protein (β-APP) showed changes (decrease and increase, respectively) of expression parallel to changes in demyelination and axonal damage. Results of this study indicate that although inflammation intensity subsides in the chronic phase of EAE, the neurodestructive processes: demyelination and axonal damage continue in that phase.
多发性硬化症(MS)及其动物模型实验性自身免疫性脑脊髓炎(EAE)的特征是三个主要的组织病理学参数:炎症、脱髓鞘和轴突损伤。在这项研究中,通过定量组织学和免疫组织化学评估了 EAE 连续阶段中小鼠脊髓中的这些参数。炎症病变的数量、炎症的强度和 CD45 的表达与临床症状的严重程度相对应:它们从发病阶段到疾病的高峰期增加,并在慢性阶段消退。脱髓鞘在 EAE 的高峰期增加,在慢性阶段没有变化,尽管轴突损伤从发病阶段到慢性阶段逐渐增加,这表明在该阶段存在代偿性的过度髓鞘化。髓鞘和轴突损伤的标志物:髓鞘碱性蛋白(MBP)和β淀粉样前体蛋白(β-APP)的表达变化(分别减少和增加)与脱髓鞘和轴突损伤的变化平行。这项研究的结果表明,尽管 EAE 的慢性阶段炎症强度消退,但神经破坏过程:脱髓鞘和轴突损伤仍在该阶段继续。