Abstract
The role of tumor necrosis factor (TNF)-α and its receptors in neuroautoimmune and neuroinflammatory diseases has been controversial. On the basis of our previous studies, we hereby aimed to further clarify TNF-α’s mechanism of action and to explore the potential role of TNF-α receptor (TNFR)1 as a therapeutic target in experimental autoimmune neuritis (EAN). EAN was induced by immunization with P0 peptide 180–199 in TNF-α knockout (KO) mice and anti-TNFR1 antibodies were used to treat EAN. Particularly, the effects of TNF-α deficiency and TNFR1 blockade on macrophage functions were investigated. The onset of EAN in TNF-α KO mice was markedly later than that in wild type (WT) mice. From day 14 post immunization, the clinical signs of TNF-α KO mice were significantly milder than those of their WT counterparts. Further, we showed that the clinical severity of WT mice treated with anti-TNFR1 antibodies was less severe than that of the control WT mice receiving PBS. Nevertheless, no difference with regard to the clinical signs of EAN or inflammatory infiltration in cauda equina was seen between TNF-α KO and WT mice with EAN after blockade of TNFR1. Although TNF-α deficiency did not alter the proliferation of lymphocytes in response to either antigenic or mitogenic stimuli, it down-regulated the production of interleukin (IL)-12 and nitric oxide (NO), and enhanced the production of IL-10 in macrophages. Increased ratio of regulatory T cells (Tregs) and reduced production of interferon (IFN)-γ in cauda equina infiltrating cells, and elevated levels of IgG2b antibodies against P0 peptide 180–199 in sera were found in TNF-α KO mice with EAN. In conclusion, TNF-α deficiency attenuates EAN via altering the M1/M2 balance of macrophages.
Highlights
Guillain-Barresyndrome (GBS) is an inflammatory demyelinating disorder of the peripheral nervous system (PNS) in humans
tumor necrosis factor (TNF)-a Deficiency Attenuates the Clinical Severity of Experimental autoimmune neuritis (EAN) All mice immunized with P0 peptide 180–199 in combination with Freund’s complete adjuvant (FCA) acquired EAN
By inducing EAN in TNF-a KO mice, we found that TNFa deficiency attenuated the clinical severity of EAN
Summary
Guillain-Barresyndrome (GBS) is an inflammatory demyelinating disorder of the peripheral nervous system (PNS) in humans. Experimental autoimmune neuritis (EAN) shares clinical, histopathological, and electrophysiological features with GBS and can be employed as an animal model to explore its pathogenesis. EAN is attributable to breakdown of the blood-nerve barrier (BNB), robust accumulation of reactive T cells and macrophages in the PNS and demyelination of peripheral nerves [2]. In order to cross the BNB and to provoke a local inflammatory response, circulating autoreactive T cells need to be activated and to produce proinflammatory cytokines, including tumor necrosis factor (TNF)-a, interleukin (IL)-1 and IL-6 [3]. Macrophages are the predominant cell population in the lesions of GBS and EAN [4]. Macrophages are crucial in the effector phase of EAN via phagocytotic attack and secretion of inflammatory mediators such as TNF-a and nitric oxide (NO) [5]
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