Abstract

BackgroundMultiple Sclerosis (MS) is characterized by the pathological trafficking of leukocytes into the central nervous system (CNS). Using the murine MS model, experimental autoimmune encephalomyelitis (EAE), we previously demonstrated that antagonism of the chemokine receptor CXCR7 blocks endothelial cell sequestration of CXCL12, thereby enhancing the abluminal localization of CXCR4-expressing leukocytes. CXCR7 antagonism led to decreased parenchymal entry of leukocytes and amelioration of ongoing disease during EAE. Of note, animals that received high doses of CXCR7 antagonist recovered to baseline function, as assessed by standard clinical scoring. Because functional recovery reflects axonal integrity, we utilized diffusion tensor imaging (DTI) to evaluate axonal injury in CXCR7 antagonist- versus vehicle-treated mice after recovery from EAE.MethodsC57BL6/J mice underwent adoptive transfer of MOG-reactive Th1 cells and were treated daily with either CXCR7 antagonist or vehicle for 28 days; and then evaluated by DTI to assess for axonal injury. After imaging, spinal cords underwent histological analysis of myelin and oligodendrocytes via staining with luxol fast blue (LFB), and immunofluorescence for myelin basic protein (MBP) and glutathione S-transferase-π (GST-π). Detection of non-phosphorylated neurofilament H (NH-F) was also performed to detect injured axons. Statistical analysis for EAE scores, DTI parameters and non-phosphorylated NH-F immunofluorescence were done by ANOVA followed by Bonferroni post-hoc test. For all statistical analysis a p < 0.05 was considered significant.ResultsIn vivo DTI maps of spinal cord ventrolateral white matter (VLWM) axial diffusivities of naïve and CXCR7 antagonist-treated mice were indistinguishable, while vehicle-treated animals exhibited decreased axial diffusivities. Quantitative differences in injured axons, as assessed via detection of non-phosphorylated NH-F, were consistent with axial diffusivity measurements. Overall, qualitative myelin content and presence of oligodendrocytes were similar in all treatment groups, as expected by their radial diffusivity values. Quantitative assessment of persistent inflammatory infiltrates revealed significant decreases within the parenchyma of CXCR7 antagonist-treated mice versus controls.ConclusionsThese data suggest that CXCR7 antagonism not only prevents persistent inflammation but also preserves axonal integrity. Thus, targeting CXCR7 modifies both disease severity and recovery during EAE, suggesting a role for this molecule in both phases of disease.

Highlights

  • Multiple Sclerosis (MS) is characterized by the pathological trafficking of leukocytes into the central nervous system (CNS)

  • CXCR7 antagonism promotes complete clinical recovery during EAE We recently demonstrated that CXCR7 antagonism ameliorates EAE induced by adoptive transfer of encephalitogenic Th1 cells by decreasing both leukocyte entry into the CNS parenchyma and demyelination [12]

  • Because both loss of myelin and interactions between immune and neuronal cells lead to axonal damage [31,32], we wondered whether CXCR7 antagonism might affect the extent of recovery

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Summary

Introduction

Multiple Sclerosis (MS) is characterized by the pathological trafficking of leukocytes into the central nervous system (CNS). CXCR7 antagonism led to decreased parenchymal entry of leukocytes and amelioration of ongoing disease during EAE. Recent data examining the dynamic expression of the chemokine CXCL12 at the blood-brain barrier (BBB) indicate that activity of CXCR7, a CXCL12 receptor that sequesters the chemokine intracellularly [9,10,11], is critical for the entry of infiltrating leukocytes in mice with experimental autoimmune encephalomyelitis (EAE), a murine model for MS [12]. Administration of a specific CXCR7 antagonist led to retention of abluminal CXCL12 expression at the BBB microvasculature, preventing the pathological entry of immune cells into the CNS parenchyma. The lack of detectable clinical deficits in animals with limited parenchymal entry of immune cells supports the notion that inflammation leads to reversible axonal injury, which can be ameliorated by targeting CXCR7

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