Abstract

Multiple sclerosis (MS) is a neuroinflammatory autoimmune disease characterized by multifocal perivascular infiltration of immune cells in the central nervous system (CNS). Cordycepin (3′-deoxyadenosine), an adenosine analogue initially extracted from the fungus Cordyceps militarisa, is one of the candidates that has multiple actions. We investigated that cordycepin attenuated the activation of LPS-induced mouse bone marrow-derived dendritic cells (BMDCs) and human monocyte-derived dendritic cells (MoDCs) through the inhibition of the AKT, ERK, NFκB, and ROS pathways and impaired the migration of BMDCs through the downregulation of adhesion molecules and chemokine receptors in vitro. In experimental autoimmune encephalomyelitis (EAE) model, preventive treatment with cordycepin decreased the expression of trafficking factors in the CNS, inhibited the secretion of inflammatory cytokines (IFN-γ, IL-6, TNF-α, and IL-17), and attenuated disease symptoms. A chemokine array indicated that cordycepin treatment reversed the high levels of CCL6, PARRES2, IL-16, CXCL10, and CCL12 in the brain and spinal cord of EAE mice, consistent with the RNA-seq data. Moreover, cordycepin suppressed the release of neuroinflammatory cytokines by activated microglial cells, macrophages, Th17 cells, Tc1 cells, and Th1 cells in vitro. Furthermore, cordycepin treatment exerted therapeutic effects on attenuating the disease severity in the early disease onset stage and late disease progression stage. Our study suggests that cordycepin treatment may not only prevent the occurrence of MS by inhibiting DC activation and migration but also potentially ameliorates the progression of MS by reducing neuroinflammation, which may provide insights into the development of new approaches for the treatment of MS.

Highlights

  • Multiple sclerosis (MS) is the most prevalent inflammatory autoimmune disease of the central nervous system (CNS)

  • Cordycepin attenuated the activation of LPS-induced mouse bone marrow-derived dendritic cells (BMDCs) and human monocyte-derived dendritic cells (MoDCs) through the inhibition of the AKT, ERK, NF-κB, and Reactive Oxygen Species (ROS) pathways and impaired the migration of BMDCs through the downregulation of adhesion molecules and chemokine receptors in vitro

  • In EAE model, preventive treatment with cordycepin decreased the expression of trafficking factors in the CNS, inhibited the secretion of inflammatory cytokines (IFN-g, IL-6, TNF-a, and IL-17) induced by specific peptides, and attenuated clinical symptoms

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Summary

Introduction

Multiple sclerosis (MS) is the most prevalent inflammatory autoimmune disease of the central nervous system (CNS). MS is mainly driven by myelin-specific autoreactive T cells that infiltrate the CNS, attack myelinated axons and induce neuroinflammatory responses [1]. Current treatment for MS includes diseasemodifying therapies (DMTs), symptomatic treatment, psychological support, physical and occupational therapies, and lifestyle modifications. Some DMTs (interferons, glatiramer acetate, teriflunomide, sphingosine 1-phosphate receptor modulators, fumarates, cladribine, natalizumab, ocrelizumab and alemtuzumab) that aim to modify the disease course of MS have been approved, their adverse effects and unsatisfactory efficacy are of concern. Multiple sclerosis (MS) is a neuroinflammatory autoimmune disease characterized by multifocal perivascular infiltration of immune cells in the central nervous system (CNS). Current treatment for MS is unsatisfactory, and we aimed to search for immunomodulatory agents from bioactive constituents of natural origin.

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