Abstract

BackgroundAutoimmunity to neuronal proteins occurs in several neurological syndromes, where cellular and humoral responses are directed to surface as well as intracellular antigens. Similar to myelin autoimmunity, pathogenic immune response to neuroaxonal components such as neurofilaments may contribute to neurodegeneration in multiple sclerosis.MethodsWe studied the immune response to the axonal protein neurofilament light (NF-L) in the experimental autoimmune encephalomyelitis animal model of multiple sclerosis. To examine the association between T cells and axonal damage, pathology studies were performed on NF-L immunized mice. The interaction of T cells and axons was analyzed by confocal microscopy of central nervous system tissues and T-cell and antibody responses to immunodominant epitopes identified in ABH (H2-Ag7) and SJL/J (H2-As) mice. These epitopes, algorithm-predicted peptides and encephalitogenic motifs within NF-L were screened for encephalitogenicity.ResultsConfocal microscopy revealed both CD4+ and CD8+ T cells alongside damaged axons in the lesions of NF-L immunized mice. CD4+ T cells dominated the areas of axonal injury in the dorsal column of spastic mice in which the expression of granzyme B and perforin was detected. Identified NF-L epitopes induced mild neurological signs similar to the observed with the NF-L protein, yet distinct from those characteristic of neurological disease induced with myelin oligodendrocyte glycoprotein.ConclusionsOur data suggest that CD4+ T cells are associated with spasticity, axonal damage and neurodegeneration in NF-L immunized mice. In addition, defined T-cell epitopes in the NF-L protein might be involved in the pathogenesis of the disease.

Highlights

  • Multiple sclerosis (MS) is a chronic demyelinating and neurodegenerative disease of the central nervous system (CNS) widely considered due to aggressive, autoreactive T cells and antibodies to myelin [1,2,3]

  • Whether T-cell responses to neuroaxonal components are pathogenic in MS is as yet unknown; we have recently shown that neurofilament light (NF-L) is phagocytosed by major histocompatibility complex (MHC) class II+ microglia/macrophages in MS brain lesions [17], indicating a potential source by which autoreactive T cells could become reactivated in MS

  • We have shown that autoimmunity to NF-L causes spasticity and neurodegeneration and that axonal damage is a direct consequence of such responses [7,8]

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Summary

Introduction

Multiple sclerosis (MS) is a chronic demyelinating and neurodegenerative disease of the central nervous system (CNS) widely considered due to aggressive, autoreactive T cells and antibodies to myelin [1,2,3]. Neurons constitutively express or readily upregulate expression of MHC class I during inflammation, indicating that neurons may become targets for CD8+ T cells [11]. Both CD4+ and CD8+ T cells could mediate attack on axons and neurons, either by direct contact via antigen-independent interactions or as a result of collateral damage [12]. Activated T cells in the CNS are reported to produce cytotoxic molecules as well as glutamate, nitric oxide and reactive oxygen species that could contribute to the damage and progressive neurodegeneration observed in MS and other neurodegenerative diseases in which inflammation has been described [13,14,15]. Pathogenic immune response to neuroaxonal components such as neurofilaments may contribute to neurodegeneration in multiple sclerosis

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