Department of Molecular Microbiology and Immunology, University of Texas at San Antonio, San Antonio, TX, USA.
Department of Neuroscience, Developmental and Regenerative Biology, University of Texas at San Antonio, San Antonio, TX, USA.
Autoimmunity. 2024 Dec;57(1):2387414. doi: 10.1080/08916934.2024.2387414. Epub 2024 Aug 21.
It is known that certain human leukocyte antigen (HLA) genes are associated with autoimmune central nervous system (CNS) diseases, such as multiple sclerosis (MS), but their exact role in disease susceptibility and etiopathogenesis remains unclear. The best studied HLA-associated autoimmune CNS disease is MS, and thus will be the primary focus of this review. Other HLA-associated autoimmune CNS diseases, such as autoimmune encephalitis and neuromyelitis optica will be discussed. The lack of animal models to accurately capture the complex human autoimmune response remains a major challenge. HLA transgenic () mice provide researchers with powerful tools to investigate the underlying mechanisms promoting susceptibility and progression of HLA-associated autoimmune CNS diseases, as well as for elucidating the myelin epitopes potentially targeted by T cells in autoimmune disease patients. We will discuss the potential role(s) of autoimmune disease-associated alleles in autoimmune CNS diseases and highlight information provided by studies using HLA mice to investigate the underlying pathological mechanisms and opportunities to use these models for development of novel therapies.
已知某些人类白细胞抗原 (HLA) 基因与自身免疫性中枢神经系统 (CNS) 疾病有关,如多发性硬化症 (MS),但其在疾病易感性和发病机制中的确切作用仍不清楚。研究最充分的与 HLA 相关的自身免疫性中枢神经系统疾病是 MS,因此将是本综述的主要重点。其他与 HLA 相关的自身免疫性中枢神经系统疾病,如自身免疫性脑炎和视神经脊髓炎,也将进行讨论。缺乏能够准确捕捉复杂的人类自身免疫反应的动物模型仍然是一个主要挑战。HLA 转基因 () 小鼠为研究人员提供了强大的工具,可用于研究促进与 HLA 相关的自身免疫性中枢神经系统疾病易感性和进展的潜在机制,以及阐明自身免疫病患者中 T 细胞潜在靶向的髓鞘表位。我们将讨论自身免疫性疾病相关 等位基因在自身免疫性中枢神经系统疾病中的潜在作用,并强调使用 HLA 小鼠进行研究提供的信息,以探讨潜在的病理机制,并为开发新疗法提供机会。