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吉非贝齐通过PPARβ/δ改善小鼠实验性自身免疫性脑脊髓炎:对多发性硬化症的启示

Amelioration of experimental autoimmune encephalomyelitis by gemfibrozil in mice via PPARβ/δ: implications for multiple sclerosis.

作者信息

Mondal Susanta, Sheinin Monica, Rangasamy Suresh B, Pahan Kalipada

机构信息

Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, United States.

Division of Research and Development, Jesse Brown Veterans Affairs Medical Center, Chicago, IL, United States.

出版信息

Front Cell Neurosci. 2024 May 21;18:1375531. doi: 10.3389/fncel.2024.1375531. eCollection 2024.

Abstract

It is important to describe effective and non-toxic therapies for multiple sclerosis (MS), an autoimmune demyelinating disease. Experimental autoimmune encephalomyelitis (EAE) is an immune-mediated inflammatory disease that serves as a model for MS. Earlier we and others have shown that, gemfibrozil, a lipid-lowering drug, exhibits therapeutic efficacy in EAE. However, the underlying mechanism was poorly understood. Although gemfibrozil is a known ligand of peroxisome proliferator-activated receptor α (PPARα), here, we established that oral administration of gemfibrozil preserved the integrity of blood-brain barrier (BBB) and blood-spinal cord barrier (BSB), decreased the infiltration of mononuclear cells into the CNS and inhibited the disease process of EAE in both wild type and PPARα mice. On the other hand, oral gemfibrozil was found ineffective in maintaining the integrity of BBB/BSB, suppressing inflammatory infiltration and reducing the disease process of EAE in mice lacking PPARβ (formerly PPARδ), indicating an important role of PPARβ/δ, but not PPARα, in gemfibrozil-mediated preservation of BBB/BSB and protection of EAE. Regulatory T cells (Tregs) play a critical role in the disease process of EAE/MS and we also demonstrated that oral gemfibrozil protected Tregs in WT and PPARα EAE mice, but not PPARβ EAE mice. Taken together, our findings suggest that gemfibrozil, a known ligand of PPARα, preserves the integrity of BBB/BSB, enriches Tregs, and inhibits the disease process of EAE via PPARβ, but not PPARα.

摘要

描述针对多发性硬化症(MS)这种自身免疫性脱髓鞘疾病的有效且无毒的疗法很重要。实验性自身免疫性脑脊髓炎(EAE)是一种免疫介导的炎症性疾病,可作为MS的模型。此前我们和其他人已表明,降脂药物吉非贝齐在EAE中具有治疗效果。然而,其潜在机制尚不清楚。尽管吉非贝齐是过氧化物酶体增殖物激活受体α(PPARα)的已知配体,但在此我们证实,口服吉非贝齐可维持血脑屏障(BBB)和血脊髓屏障(BSB)的完整性,减少单核细胞向中枢神经系统的浸润,并在野生型和PPARα小鼠中均抑制EAE的病程。另一方面,发现口服吉非贝齐在缺乏PPARβ(以前称为PPARδ)的小鼠中无法维持BBB/BSB的完整性、抑制炎症浸润以及减轻EAE的病程,这表明PPARβ/δ而非PPARα在吉非贝齐介导的BBB/BSB保护及EAE保护中起重要作用。调节性T细胞(Tregs)在EAE/MS的病程中起关键作用,我们还证明口服吉非贝齐可保护WT和PPARα EAE小鼠中的Tregs,但不能保护PPARβ EAE小鼠中的Tregs。综上所述,我们的研究结果表明,作为PPARα已知配体的吉非贝齐可维持BBB/BSB的完整性、富集Tregs,并通过PPARβ而非PPARα抑制EAE的病程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5978/11148333/95b48a9f5d9b/fncel-18-1375531-g001.jpg

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