Abstract

Multiple sclerosis (MS) is an immune-mediated disease characterized by inflammatory demyelination and axonal degeneration in the central nervous system (CNS). Bacterial and fungal infections have been associated with the development of MS; microbial components that are present in several microbes could contribute to MS pathogenesis. Among such components, curdlan is a microbial 1,3-β-glucan that can stimulate dendritic cells, and enhances T helper (Th) 17 responses. We determined whether curdlan administration could affect two animal models for MS: an autoimmune model, experimental autoimmune encephalomyelitis (EAE), and a viral model, Theiler’s murine encephalomyelitis virus (TMEV)-induced demyelinating disease (TMEV-IDD). We induced relapsing-remitting EAE by sensitizing SJL/J mice with the myelin proteolipid protein (PLP)139-151 peptide and found that curdlan treatment prior to PLP sensitization converted the clinical course of EAE into hyperacute EAE, in which the mice developed a progressive motor paralysis and died within 2 weeks. Curdlan-treated EAE mice had massive infiltration of T cells and neutrophils in the CNS with higher levels of Th17 and Th1 responses, compared with the control EAE mice. On the other hand, in TMEV-IDD, we found that curdlan treatment reduced the clinical scores and axonal degeneration without changes in inflammation or viral persistence in the CNS. In summary, although curdlan administration exacerbated the autoimmune MS model by enhancing inflammatory demyelination, it suppressed the viral MS model with reduced axonal degeneration. Therefore, microbial infections may play contrasting roles in MS depending on its etiology: autoimmunity versus viral infection.

Highlights

  • Multiple sclerosis (MS) is an immune-mediated disease characterized by inflammatory demyelination and axonal degeneration in the central nervous system (CNS) (Trapp and Nave, 2008)

  • We demonstrated that microbial component curdlan injection in the autoimmune and viral models for MS resulted in disease exacerbation and amelioration, respectively

  • We previously reported that curdlan injection exacerbated MOG92-106induced EAE in SJL/J mice, who died around 1 month after EAE induction, where enhancement of CD4+ T-cell and anti

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Summary

Introduction

Multiple sclerosis (MS) is an immune-mediated disease characterized by inflammatory demyelination and axonal degeneration in the central nervous system (CNS) (Trapp and Nave, 2008). Some MS patients have higher immune responses to CNS antigens than the healthy controls; immune cell infiltration and antibody deposition have been observed in demyelinating lesions (Lucchinetti et al, 2000). Immunomodulatory drugs, such as interferon (IFN)-b and antivery late antigen (VLA)-4 antibody, have therapeutic efficacy in MS patients (Minagar et al, 2003). In most EAE models, demyelination is mediated by pro-inflammatory myelinspecific CD4+ T helper (Th) 1 and Th17 cells; axonal degeneration occurs secondary following severe demyelination (Tsunoda and Fujinami, 2002)

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