Jung S, Schluesener H J, Schmidt B, Fontana A, Toyka K V, Hartung H P
Department of Neurology, Julius-Maximilians-Universität Würzburg, Germany.
Immunology. 1994 Dec;83(4):545-51.
A possible effect of transforming growth factor type-beta 2 (TGF-beta 2) on autoimmune inflammation of the peripheral nervous system (PNS) was evaluated in experimental autoimmune neuritis (EAN) in Lewis rats, a disease model of the human Guillain-Barré syndrome. First, EAN was actively induced by immunization with a neuritogenic peptide corresponding to amino acids 53-78 of the bovine P2 protein. Intraperitoneal (i.p.) administration of 5 micrograms TGF-beta 2 per day after onset of clinical disease shortened the duration and ameliorated the severity of EAN compared to sham-injected control animals. Inflammatory infiltration and demyelination was significantly reduced in sciatic nerves of TGF-beta-treated animals, although expression of major histocompatibility complex (MHC) class II antigens was not down-regulated. Second, EAN was induced by adoptive transfer (AT) of activated P2-specific T-line cells (AT-EAN). Daily injections of 5 micrograms TGF-beta 2 i.p., beginning on the day of first clinical signs, failed to modify the clinical course of AT-EAN, although the antigen-induced activation of the neuritogenic T-line cells used for induction of disease was found to be partially sensitive to the inhibitory effect of TGF-beta in vitro. The experiments indicate that TGF-beta 2 holds promise as a therapeutic agent to combat autoimmunity in the PNS. They also suggest that the therapeutic efficacy of TGF-beta on rapidly developing disease such as AT-EAN is limited, as with other non-specific immunosuppressive drugs.
在人类吉兰-巴雷综合征的疾病模型——Lewis大鼠实验性自身免疫性神经炎(EAN)中,评估了转化生长因子β2(TGF-β2)对周围神经系统(PNS)自身免疫性炎症的可能作用。首先,用与牛P2蛋白53 - 78位氨基酸对应的致神经炎肽免疫,主动诱导EAN。与假注射对照动物相比,临床疾病发作后每天腹腔注射5微克TGF-β2可缩短EAN的病程并减轻其严重程度。TGF-β处理动物的坐骨神经中炎症浸润和脱髓鞘明显减少,尽管主要组织相容性复合体(MHC)II类抗原的表达未下调。其次,通过活化的P2特异性T细胞系(AT-EAN)的过继转移(AT)诱导EAN。从首次出现临床症状之日起,每天腹腔注射5微克TGF-β2未能改变AT-EAN的临床病程,尽管发现用于诱导疾病的致神经炎T细胞系的抗原诱导活化在体外对TGF-β的抑制作用部分敏感。实验表明,TGF-β2有望作为一种治疗剂来对抗PNS中的自身免疫。它们还表明,与其他非特异性免疫抑制药物一样,TGF-β对快速发展的疾病如AT-EAN的治疗效果有限。